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Dispersal of gram-negative bacilli from contaminated sink drains to cover gowns and hands during hand washing

Published online by Cambridge University Press:  15 February 2019

Zeina Hajar ,
Thriveen Sankar Chittoor Mana ,
Jennifer L. Cadnum  and
Curtis J. Donskey
Zeina Hajar
Affiliation:
Department of Medicine, Infectious Diseases Division, University Hospitals Cleveland Medical Center, Cleveland, Ohio
Thriveen Sankar Chittoor Mana
Affiliation:
Research Service, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio
Jennifer L. Cadnum
Affiliation:
Research Service, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio
Curtis J. Donskey*
Affiliation:
Geriatric Research, Education, and Clinical Center, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio Case Western Reserve University School of Medicine, Cleveland, Ohio
*
Author for correspondence: Curtis J. Donskey, Email: Curtis.Donskey@va.gov
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Abstract

We demonstrated that hand washing resulted in frequent dispersal of gram-negative bacilli from colonized sink drains in hospitals to cover gowns and hands. A plastic drain cover reduced but did not eliminate the risk for contamination. This mechanism of dispersal could result in contamination of healthcare personnel and patients.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 4 , April 2019 , pp. 460 - 462
Creative Commons
This work is classified, for copyright purposes, as a work of the U.S. Government and is not subject to copyright protection within the United States.
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved.

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References

Kanamori, H, Weber, DJ, Rutala, WA. Healthcare outbreaks associated with a water reservoir and infection prevention strategies. Clin Infect Dis 2016;62:1423–1435.CrossRefGoogle ScholarPubMed
Jencson, AL, Cadnum, JL, Piedrahita, C, Donskey, CJ. Hospital sinks are a potential nosocomial source of Candida infections. Clin Infect Dis 2017;65:1954–1955.CrossRefGoogle ScholarPubMed
Hota, S, Hirji, Z, Stockton, K, Lemieux, C, Dedier, H, Wolfaardt, G, Gardam, MA. Outbreak of multidrug-resistant Pseudomonas aeruginosa colonization and infection secondary to imperfect intensive care unit room design. Infect Control Hosp Epidemiol 2009;30:25–33.CrossRefGoogle ScholarPubMed
Kotay, S, Chai, W, Guilford, W, Barry, K, Mathers, AJ. Spread from the sink to the patient: in situ study using green fluorescent protein (GFP) expressing Escherichia coli to model bacterial dispersion from hand washing sink trap reservoirs. Appl Environ Microbiol 2017;83(8): e03327–16.CrossRefGoogle ScholarPubMed
Kizny Gordon, AE, Mathers, AJ, Cheong, EYL, et al. The hospital water environment as a reservoir for carbapenem-resistant organisms causing hospital-acquired infections—a systematic review of the literature. Clin Infect Dis 2017;64:1435–1444.CrossRefGoogle ScholarPubMed
Gbaguidi-Haore, H, Varin, A, Cholley, P, Thouverez, M, Hocquet, D, Bertrand, X. A bundle of measures to control an outbreak of Pseudomonas aeruginosa associated with P-trap contamination. Infect Control Hosp Epidemiol 2018;39:164–169.CrossRefGoogle ScholarPubMed
Parkes, LO, Hota, SS. Sink-related outbreaks and mitigation strategies in healthcare facilities. Curr Infect Dis Rep 2018;20:42.CrossRefGoogle ScholarPubMed
Livingston, SH, Cadnum, JL, Gestrich, S, Jencson, AL, Donskey, CJ. A novel sink drain cover prevents dispersal of microorganisms from contaminated sink drains. Infect Control Hosp Epidemiol 2018:39:1254–1256.CrossRefGoogle ScholarPubMed
Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically; approved standard, 9th ed. CLSI document M07-A9. Clinical and Laboratory Standards Institute website. http://antimicrobianos.com.ar/ATB/wp-content/uploads/2012/11/03-CLSI-M07-A9-2012.pdf. Published 2012. Accessed March 1, 2018.Google Scholar
Gestrich, S, Jencson, AL, Cadnum, JL, Livingston, S, Wilson, BM, Donskey, CJ. A multicenter investigation to characterize the risk for pathogen transmission from healthcare facility sinks. Infect Control Hosp Epidemiol 2018;39:1467–1469.CrossRefGoogle ScholarPubMed