Mobile phone contamination among hospital staff: Focus on MRSA and ESBL-producing bacteria.

IF 1 Q4 INFECTIOUS DISEASES
Rita Ghaleb, Hassan Tarhini, Ghassan Sleilaty, Ghassan Nabbout, Etienne El Melky
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引用次数: 0

Abstract

Background: Mobile phones are indispensable tools in hospital practice but may act as sources for healthcare-associated pathogens. Despite global concern, no prior study in Lebanon had assessed the presence of multidrug-resistant organisms (MDROs) on healthcare workers' phones.

Methods: A cross-sectional observational study was conducted in a tertiary university hospital, enrolling 166 participants (125 medical staff and 41 administrative controls). Sterile swabs were collected from all phone surfaces, followed by microbiological analysis for meticillin-resistant Staphylococcus aureus (MRSA) and extended-spectrum β-lactamase (ESBL)-producing Enterobacteriaceae. Participants also completed a behavioral questionnaire assessing hygiene practices.

Results: The study detected universal contamination of mobile phones (100%). Two MDROs were isolated: one MRSA and one ESBL-producing Enterobacter cloacae, representing an overall prevalence of 1.2% (1.6% among medical staff). Risk behaviors were widespread: 85.6% of clinicians reported using phones in patients' presence, 34.4% interrupted clinical exams to answer calls, and only 9.6% disinfected hands afterward. Moreover, 60.8% had never disinfected their devices. The mean behavioral risk score was 5.16, significantly higher among interns (5.34) and residents (5.65) compared with administrative staff (4.39) (ANOVA, p = .01), suggesting lower risk with increasing clinical seniority.

Conclusion: Our findings confirm universal contamination of mobile phones among hospital staff, with detection of MRSA and ESBL-producing bacteria among young pediatric clinicians. Although MDRO prevalence was low, high-risk behaviors were frequent, underscoring the need to reinforce basic infection prevention measures through targeted staff education. Hand hygiene continues to be the most effective strategy to limit pathogen transmission. Regular mobile phone disinfection remains a complementary measure.

医院工作人员的手机污染:重点是MRSA和产生esbl的细菌。
背景:移动电话是医院实践中不可缺少的工具,但可能成为卫生保健相关病原体的来源。尽管引起了全球关注,但黎巴嫩此前没有研究评估卫生保健工作者手机上是否存在耐多药生物(mdro)。方法:在某三级大学附属医院进行横断面观察性研究,纳入166名受试者(125名医务人员和41名行政对照)。收集所有手机表面无菌拭子,进行耐甲氧西林金黄色葡萄球菌(MRSA)和产广谱β-内酰胺酶(ESBL)肠杆菌科微生物学分析。参与者还完成了一份评估卫生习惯的行为问卷。结果:本研究检测到手机普遍污染(100%)。分离出两种mdro:一种MRSA和一种产生esbl的阴沟肠杆菌,总体患病率为1.2%(医务人员中为1.6%)。危险行为普遍存在:85.6%的临床医生报告在患者在场时使用电话,34.4%的临床检查中断接听电话,只有9.6%的医生事后消毒了手。此外,60.8%的人从未对他们的医疗器械进行消毒。平均行为风险评分为5.16分,实习生(5.34分)和住院医师(5.65分)明显高于行政人员(4.39分)(方差分析,p = 0.01),表明临床资历越长,风险越低。结论:我们的研究结果证实了医院工作人员普遍存在手机污染,在年轻儿科临床医生中检测到MRSA和产生essl的细菌。虽然MDRO患病率较低,但高危行为频繁,强调需要通过有针对性的工作人员教育加强基本的感染预防措施。手卫生仍然是限制病原体传播的最有效策略。定期对手机进行消毒仍然是一项补充措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Infection Prevention
Journal of Infection Prevention Nursing-Advanced and Specialized Nursing
CiteScore
1.70
自引率
8.30%
发文量
46
期刊介绍: Journal of Infection Prevention is the professional publication of the Infection Prevention Society. The aim of the journal is to advance the evidence base in infection prevention and control, and to provide a publishing platform for all health professionals interested in this field of practice. Journal of Infection Prevention is a bi-monthly peer-reviewed publication containing a wide range of articles: ·Original primary research studies ·Qualitative and quantitative studies ·Reviews of the evidence on various topics ·Practice development project reports ·Guidelines for practice ·Case studies ·Overviews of infectious diseases and their causative organisms ·Audit and surveillance studies/projects
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