Bacterial Contamination of Radiologist Workstations: Results of a Pilot Study

被引:16
作者
Duszak, Richard, Jr. [1 ,2 ]
Lanier, Brandi [1 ]
Tubbs, John A. [3 ]
Ogilvie, Mary [3 ]
Thompson-Jaeger, Sandra [3 ]
机构
[1] Midsouth Imaging & Therapeut, Memphis, TN 38120 USA
[2] Univ Tennessee, Hlth Sci Ctr, Memphis, TN USA
[3] Christian Bros Univ, Memphis, TN USA
关键词
Bacterial colonization and contamination; nosocomial infection; patient safety; radiologist workstation; physician workplace safety; HAND HYGIENE; STETHOSCOPES; IMPROVEMENT;
D O I
10.1016/j.jacr.2013.05.017
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: The aim of this study was to quantify and characterize bacterial contamination of radiologist workstations. Methods: Dictation microphones and computer mice at the most frequently used radiologist workstations from 2 inpatient and 2 outpatient reading rooms at 2 teaching hospitals in 2 states were sampled for bacteria. Reference toilet seat and doorknob sampling was performed in the 4 restrooms nearest those reading rooms. One microphone and one mouse in each reading room were sampled again after quick disinfection with an inexpensive, commercially available antiseptic pad. Sampling was performed using direct trypticase soy agar plating, with sampled areas uniformly approximating 50 cm(2). Colonies were quantified and additionally characterized after 24 hours using mannitol salt agar and MacConkey agar. Results: All sampled radiologist computer workstation and restroom sites were contaminated with bacteria. Mean colony counts were 69.4 +/- 38.7 (range, 15-123) for microphones, 46.1 +/- 58.1 (range, 1-173) for mice, 10.5 +/- 9.7 (range, 1-22) for toilet seats, and 14.8 +/- 16.0 (range, 1-36) for restroom doorknobs. Of all workstation sites, 64.3% (9 of 14) grew Staphylococcus aureus, and 21.4% (3 of 14) grew enteric organisms. Overall microphone and mouse bacterial contamination was significantly higher than that of nearby restroom toilets and doorknobs (57.8 +/- 49.0 vs 12.6 +/- 12.5, P = .005). Microphone and mouse bacterial counts were nearly completely eliminated after brief antiseptic swabbing (from 76.9 +/- 53.2 to 0.3 0.7, P = .002). Conclusions: Bacterial contamination of microphones and computer mice at radiologist workstations is common, with colonization significantly greater than nearby restroom toilet seats and doorknobs. Simple, rapid, and inexpensive disinfection techniques nearly completely eradicate workstation bacterial contamination. The clinical implications of colonization merits further study.
引用
收藏
页码:176 / 179
页数:4
相关论文
共 24 条
[1]  
Borges Lizandra Ferreira de Almeida E, 2012, Interdiscip Perspect Infect Dis, V2012, P579681, DOI 10.1155/2012/579681
[2]   Guideline for Hand Hygiene in Health-Care Settings: Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force [J].
Boyce, JM ;
Pittet, D .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2002, 23 (12) :S3-S40
[3]   Microbiologic Contamination and Time Efficiency of Use of Automatic MDCT Injectors With Prefilled Syringes: Results of a Clinical Investigation [J].
Buerke, Boris ;
Puesken, Michael ;
Mellmann, Alexander ;
Seifarth, Harald ;
Heindel, Walter ;
Wessling, Johannes .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2010, 194 (02) :299-303
[4]  
Carboneau Clark, 2010, J Healthc Qual, V32, P61, DOI 10.1111/j.1945-1474.2009.00074.x
[5]  
Catano J C, 2012, Interdiscip Perspect Infect Dis, V2012, P507640, DOI 10.1155/2012/507640
[6]   Stethoscopes and otoscopes - a potential vector of infection? [J].
Cohen, HA ;
Amir, J ;
Matalon, A ;
Mayan, R ;
Beni, S ;
Barzilai, A .
FAMILY PRACTICE, 1997, 14 (06) :446-449
[7]   Using the six sigma process to implement the centers for disease control and prevention guideline for hand hygiene in 4 intensive care units [J].
Eldridge, NE ;
Woods, SS ;
Bonello, RS ;
Clutter, K ;
Ellingson, L ;
Harris, MA ;
Livingston, BK ;
Bagian, JP ;
Danko, LH ;
Dunn, EJ ;
Parlier, RL ;
Pederson, C ;
Reichling, KJ ;
Roselle, GA ;
Wright, SM .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2006, 21 :S35-S42
[8]   Getting doctors to clean their hands: lead the followers [J].
Haessler, Sarah ;
Bhagavan, Anju ;
Kleppel, Reva ;
Hinchey, Kevin ;
Visintainer, Paul .
BMJ QUALITY & SAFETY, 2012, 21 (06) :499-502
[9]   The preventable proportion of nosocomial infections: an overview of published reports [J].
Harbarth, S ;
Sax, H ;
Gastmeier, P .
JOURNAL OF HOSPITAL INFECTION, 2003, 54 (04) :258-266
[10]   Computer keyboard and mouse as a reservoir of pathogens in an intensive care unit [J].
Hartmann B. ;
Benson M. ;
Junger A. ;
Quinzio L. ;
Röhrig R. ;
Fengler B. ;
Färber U.W. ;
Wille B. ;
Hempelmann G. .
Journal of Clinical Monitoring and Computing, 2004, 18 (1) :7-12