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Efficacy of Alcohol Gel for Removal of Methicillin-Resistant Staphylococcus Aureus from Hands of Colonized Patients

Published online by Cambridge University Press:  18 December 2014

Venkata Sunkesula
Affiliation:
Division of Infectious Diseases, Department of Medicine, Case Western Reserve University, School of Medicine, Cleveland, Ohio Center for Proteomics and Bioinformatics, Case Western Reserve University, School of Medicine, Cleveland, Ohio
Sirisha Kundrapu
Affiliation:
Division of Infectious Diseases, Department of Medicine, Case Western Reserve University, School of Medicine, Cleveland, Ohio
David R. Macinga
Affiliation:
Research and Development, GOJO Industries, Inc., Akron, Ohio Department of Integrative Medical Sciences, Northeastern Ohio Medical University, Rootstown, Ohio
Curtis J. Donskey*
Affiliation:
Division of Infectious Diseases, Department of Medicine, Case Western Reserve University, School of Medicine, Cleveland, Ohio Geriatric Research Education and Clinical Center, Cleveland Veterans Affairs Medical Center, 10701 East Boulevard, Cleveland, Ohio.
*
Address correspondence to Curtis J. Donskey, MD, Geriatric Research, Education, and Clinical Center, Cleveland Veterans Affairs Medical Center, 10701 East Boulevard, Cleveland, Ohio 44106 (curtisd123@yahoo.com).

Abstract

Of 82 patients with methicillin-resistant Staphylococcus aureus (MRSA) colonization, 67 (82%) had positive hand cultures for MRSA. A single application of alcohol gel (2 mL) consistently reduced the burden of MRSA on hands. However, incomplete removal of MRSA was common, particularly in those with a high baseline level of recovery.

Infect Control Hosp Epidemiol 2014;00(0):1–3

Type
Concise Communications
Copyright
© 2014 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

1. Boyce, JM, Pittet, D. 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. Infect Control Hosp Epidemiol 2002;23:S3S40.Google Scholar
2. Stiefel, U, Cadnum, JL, Eckstein, BC, Guerrero, DM, Tima, MA, Donskey, CJ. Contamination of hands with methicillin-resistant Staphylococcus aureus after contact with environmental surfaces and after contact with the skin of colonized patients. Infect Control Hosp Epidemiol 2011;32:185187.CrossRefGoogle ScholarPubMed
3. Landers, T, Abusalem, S, Coty, MB, Bingham, J. Patient-centered hand hygiene: the next step in infection prevention. Am J Infect Control 2012;40:S11S17.Google Scholar
4. Burnett, E, Lee, K, Kydd, P. Hand hygiene: what about our patients. Br J Infect Control 2008;9:1924.CrossRefGoogle Scholar
5. Gagné, D, Bédard, G, Maziade, PJ. Systematic patients' hand disinfection: impact on methicillin-resistant Staphylococcus aureus infection rates in a community hospital. J Hosp Infect 2010;75:269272.Google Scholar
6. Lee, JY, Choi, JW, Kim, H. Determination of hand surface area by sex and body shape using alginate. J Physiol Anthropol 2007;26:475483.CrossRefGoogle ScholarPubMed
7. Pittet, D, Allegranzi, B, Boyce, J. The World Health Organization Guidelines on Hand Hygiene in Health Care and Their Consensus Recommendations. Infect Control Hosp Epidemiol 2009;30:611622.Google Scholar
8. Macinga, DR, Beausoleil, CM, Campbell, E, et al. Quest for a realistic in vivo test method for antimicrobial hand-rub agents: introduction of a low-volume hand contamination procedure. Appl Environ Microbiol 2011;77:85888594.Google Scholar
9. Loveday, HP, Wilson, JA, Pratt, RJ, et al. epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. J Hosp Infect 2014;86:S1S70.CrossRefGoogle ScholarPubMed
10. Edmonds, SL, Macinga, DR, Mays-Suko, P, et al. Comparative efficacy of commercially available alcohol-based hand rubs and World Health Organization-recommended hand rubs: formulation matters. Am J Infect Control 2012;40:521525.Google Scholar