Hospital privacy curtains laden with germs:study

To avoid spreading these bacteria,which can include the dangerous MRSA superbug,health care providers should make sure to wash their hands after routine contact with the curtains and before interacting with patients,said Michael Ohl,from the University of Iowa,Iowa City,at a Chicago conference.

There is growing recognition that the hospital environment plays an important role in the transmission of infections in the health care setting,and it8217;s clear that these privacy curtains are potentially important sites of contamination because they are frequently touched by patients and providers,Ohl told Reuters Health.

Health care providers often touch these curtains after they have washed their hands and then proceed to touch the patient. Further,these curtains often hang for a long time and are difficult to disinfect.

In their study,Ohl and his team took 180 swab cultures from 43 privacy curtains twice a week for three weeks. The curtains were located in the medical and surgical intensive care units and on a medical ward of the University of Iowa Hospitals.

The researchers also marked the curtains to keep track of when they were changed.

Tests detected Staphylococcus aureus bacteria,including the especially dangerous methicillin-resistant S. aureus MRSA,as well as various species of Enterococci,gut bacteria,some resistant to the newer antibiotic vancomycin.

The researchers used additional tests to identify specific vancomycin and methicillin-resistant strains to see whether the same strains were circulating and contaminating the curtains over and over.

The study found significant contamination that occurred very rapidly after new curtains were places.

Of the 13 privacy curtains placed during the study,12 showed contamination with in a week. Virtually all privacy curtains tested 8212; 41 out of 43 8212; were contaminated on at least one occasion.

MRSA was isolated from one in five curtains,and vancomycin-resistant Enterococci from four in 10.

Overall,two thirds of the swab cultures were positive for either S. Aureus,Enterococcus species or various bacterial species from a group known as gram-negative rods.

The vast majority of curtains showed contamination with potentially significant bacteria within a week for first being hung,and many were hanging for longer than three or four weeks,Ohl said.

The most intuitive,common sense strategy is for health care workers to wash hands after pulling the curtain and before seeing the patient. There are other strategies,such as more frequent disinfecting,but this would involve more use of disinfectant chemicals,and then there is the possibility of using microbial resistant fabrics.

But he said that hand washing was by far the most practical and cheapest method.

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