The effect of improved compliance with hygiene guidelines on transmission of Staphylococcus aureus to newborn infants: the Swedish Hygiene Intervention and Transmission of S aureus study.
| Title: | The effect of improved compliance with hygiene guidelines on transmission of Staphylococcus aureus to newborn infants: the Swedish Hygiene Intervention and Transmission of S aureus study. |
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| Authors: | Mernelius S; Microbiology Laboratory, Department of Laboratory Services, Division of Medical Services, Ryhov County Hospital, Jönköping, Sweden. sara.mernelius@lj.se; Löfgren S; Lindgren PE; Blomberg M; Olhager E; Gunnervik C; Lenrick R; Thrane MT; Isaksson B; Matussek A |
| Source: | American journal of infection control [Am J Infect Control] 2013 Jul; Vol. 41 (7), pp. 585-90. Date of Electronic Publication: 2013 Jan 23. |
| Publication Type: | Comparative Study; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
| Language: | English |
| Journal Info: | Publisher: Mosby Country of Publication: United States NLM ID: 8004854 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1527-3296 (Electronic) Linking ISSN: 01966553 NLM ISO Abbreviation: Am J Infect Control Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: St. Louis, Mosby |
| MeSH Terms: | Cross Infection/*transmission ; Guideline Adherence/*statistics & numerical data ; Hygiene/*standards ; Infant, Newborn, Diseases/*prevention & control ; Infection Control/*methods ; Infectious Disease Transmission, Professional-to-Patient/*prevention & control ; Staphylococcal Infections/*transmission; Cross Infection/prevention & control ; Staphylococcal Infections/prevention & control ; Fathers ; Female ; Health Personnel ; Humans ; Infant, Newborn ; Male ; Mothers ; Practice Guidelines as Topic ; Sweden |
| Abstract: | Background: Newborn infants are often colonized with Staphylococcus aureus originating from health care workers (HCWs). We therefore use colonization with S aureus of newborn infants to determine the effect of an improved compliance with hygiene guidelines on bacterial transmission.; Methods: Compliance with hygiene guidelines was monitored prior to (baseline) and after (follow-up) a multimodal hygiene intervention in 4 departments of obstetrics and gynecology. spa typing was used to elucidate transmission routes of S aureus collected from newborn infants, mothers, fathers, staff members, and environment.; Results: The compliance with hygiene guidelines increased significantly from baseline to follow-up. The transmission of S aureus from HCWs to infants was however not affected. Fathers had the highest colonization rates. Persistent carriage was indicated in 18% of the HCWs. The most commonly isolated spa type was t084, which was not detected in a previous study from the same geographic area.; Conclusion: It is possible to substantially improve the compliance with hygiene guidelines, by using multimodal hygiene intervention. The improved compliance did not decrease the transmission of S aureus from sources outside the own family to newborn infants. Furthermore, we show the establishment of a new spa type (t084), which now is very common in our region.; (Copyright © 2013 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.) |
| Entry Date(s): | Date Created: 20130129 Date Completed: 20131021 Latest Revision: 20130701 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.ajic.2012.09.014 |
| PMID: | 23352076 |
| Database: | MEDLINE |
Comparative Study; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't