Reduction in the incidence of MRSA with use of alcohol-based hand rub solutions and gloves
Reduction in the incidence of MRSA with use of alcohol-based hand rub solutions and gloves
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DOI：
10.1007/s10156-011-0291-5
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发表时间：
2012-04-01
影响因子：
2.2
通讯作者：
Yamada, Katsushi
中科院分区：
文献类型：
--
作者：
Matsumoto, Kazuaki;Shigemi, Akari;Yamada, Katsushi
耐甲氧西林金黄色葡萄球菌（MRSA）具有高度传染性。它通过直接接触MRSA感染的人或物体传播。医疗工作者的手是医疗相关病原体在患者之间和医疗环境中传播的最常见媒介。本研究旨在调查临床培养回收的金黄色葡萄球菌中MRSA的发病率与使用含酒精的洗手液或手套和抗菌剂使用密度（AUD）之间的相关性。2005年1月至2008年6月期间，每6个月对所有数据进行一次检查。含酒精洗手液使用的增加与MRSA从临床培养物中回收的发生率降低相关（r（2）= 0.58）。手套使用与MRSA的发生率之间存在统计学显著相关性（r（2）= 0.68）（P < 0.05）。另一方面，我们没有发现每个抗生素组的AUD与MRSA的发病率之间存在任何相关性。因此，我们建议不仅要使用含酒精的手擦，还要戴手套，因为MRSA是通过医护人员的手在患者之间传播的。
Methicillin-resistant Staphylococcus aureus (MRSA) is highly contagious. It is spread by direct contact with MRSA-infected people or objects. Healthcare workers' hands are the most common vehicle for the transmission of healthcare-associated pathogens from patient to patient and within the healthcare environment. The present study aimed to investigate the correlation between the incidence of MRSA among Staphylococcus aureus recovered from clinical culture and the use of alcohol-based hand rub solutions or gloves and antimicrobial use density (AUD). All data were examined every 6 months between January 2005 and June 2008. The increasing use of alcohol-based hand rub solutions was correlated with a decreasing incidence of recovery of MRSA from clinical cultures (r (2) = 0.58). A statistically significant (P < 0.05) correlation (r (2) = 0.68) was observed between glove use and the incidence of MRSA. On the other hand, we did not find any correlation between the AUD of each antibiotic group and the incidence of MRSA. Thus, we suggest that it is important to use not only alcohol-based hand rubs, but also gloves, because MRSA is transmitted from patient to patient by the hands of healthcare workers.