Analysis Of Routine Bacterial Contamination Checking Feedback Of Nasiriyah City Hospitals During 2016
Abstract
Hospital contamination is an important cause of nosocomial infection. This study aims to assess the occurrence of bacterial contamination in 70 different departments of two private and five public hospitals in Nasseriah city (south of Iraq) during 2016. From 50 to 200 swabs collected weekly from each wards, were isolated 213 positive culture bacterial isolates, comprised 11 bacterial species detected by biochemical and enzymatic tests. The contamination was ranged between Pseudomonas species that represent the most contaminant species (30%) to Micrococcus spp. and Citrobacters pp were the fewest (0.46%). Generally, the private hospitals were less contaminated than public ones, the winter and summer months were less contaminated than spring and autumn, and multi- specialty hospital have more contamination than single-specialty one.References
S.O. Khelissa, M. Abdallah, C. Jama, C. Faille, N-E Chihib. (2017). Bacterial contamination and biofilm formation on abiotic surfaces and strategies overcome their persistence. JMES, Volume 8, Issue 9, Page 3326-3346
KarmenGodičTorkar and SanjaIvić. (2017). Surveillance of bacterial colonisation on contact surfaces in different medical wards.ArhHigRadaToksikol 2017;68:116-126.
Lawley TD, Clare S, Deakin LJ, Goulding D, Yen JL, Raisen C, Brandt C, Lovell J, Cooke F, Clark TG, Dougan G. (2010). Use of purified Clostridium difficile spores to facilitate evaluation of health care disinfection regimens. Appl. Environ. Microbiol. 76:6895–6900. http://dx.doi .org/10.1128/AEM.00718-10.
Eaton KA, Friedman DI, Francis GJ, Tyler JS, Young VB, Haeger J, Abu-Ali G, Whittam TS. (2008). Pathogenesis of renal disease due to enterohemorrhagic Escherichia coli in germ-free mice. Infect. Immun. 76:3054–3063. http://dx.doi.org/10.1128/IAI.01626-07.
Judge C, Galvin S, Burke L, Thomas T, Humphreys H, Fitzgerald-Hughes D. (2013). Search and you will find: detecting extended-spectrum β-lactamase-producing Klebsiellapneumoniae from a patient's immediate environment. Infect Control Hosp Epidemiol;34:534-6. doi: 10.1086/670206
Kramer A, Schwebke I, Kampf G. (2006). How long do nosocomial pathogens persist on inanimate surfaces? A systematic review. BMC Infect Dis.;6(1):130.
Kramer A, Schwebke I, Kampf G.(2006). How long do nosocomial pathogens persist on inanimate surfaces? A systemic review. BMC Infect Dis.;6:130, https://doi.org/10.1186/ 1471-2334-6-130
Vincenzo R., et al (2017).What Healthcare Workers Should Know about Environmental Bacterial Contamination in the Intensive Care Unit.BioMed Research International, Volume 2017, Article ID 6905450, 7 pages https://doi.org/10.1155/2017/6905450
Jibrin B. Y., et. al. (2017). Bacterial Contamination of Intensive Care Units at a Tertiary Hospital in Bauchi, Northeastern Nigeria. American Journal of Internal Medicine; 5(3): 46-51
Yang D, Zhang Z. (2008). Biofilm-forming Klebsiella pneumoniae strains have greater likelihood of producing extended-spectrum _-lactamases. J. Hosp. Infect. 68:369–371. http://dx.doi.org/10.1016/j.jhin.2008.02.001.
Dwidjosiswojo Z et al., (2011). Influence of copper ions on the viability and cytotoxicity of Pseudomonas aeruginosa under conditions relevant to drinking water environments, Int J HygEnv Health, in press,
Tankovic J, et al (1994). Characterization of a hospital outbreak of imipenem resistant Acinetobacter baumannii by phenotypic and genotypic typing methods. J. Clin. Microbiol. 32:2677–2681.
Neely A, Maley MP, Warden GD. 1999. Computer keyboards as reservoirs for Acinetobacterbaumannii in a burn hospital. Clin. Infect. Dis. 29:1358–1359. http://dx.doi.org/10.1086/313463.
Anna R., Dorota R, Agnieszka C and Małgorzata B.(2017). Bacterial contamination of touch surfaces in Polish hospitals,.MedycynaPracy 2017;68(4):459–467
Rusin, P., Maxwell S. &Gerba J.C. (2002). Comparative surface to hand and fingertip to mouth transfer of Gram positive and Gram negative bacteria and phage. Journal of Applied Microbiology. 9,585-592. DOI: 10.1046/j.1365- 2672.2002.01734.
Oie, S., Hosokawa, I. &Kamiya, A. (2002).Contamination of room handles by methicillin sensitive/methicillin resistance Staphylococcus aureus. Journal Hospital Infection 51,140-143. DOI: 10.1053/jhin.2002.1221. Peutherer JF (Eds.). Medical microbiology. 16th ed. Churchill.
Bellido F, Hancock R.(1993). Susceptibility and resistance of P. aeruginosa to antimicrobial agents. In: Campa M, Bendinelli M, Friedman H, eds. Pseudomonaaeruginosa as an opportunistic pathogen. New York, Plenum Press, 1993:321–48.
Pena C et al. (2003). An outbreak of carbapenem resistant Pseudomonaaeruginosa in a urology ward. Clinical microbiology and infection, 2003, 9:938–43.
OluwatoyosiOladapo, KemebradikumoPondei, Wisdom Olomo, AbisoyeOyeyemi, TamaramiebiNanakede and DimieOgoina.(2017). Bacterial Contamination of the Hospital Environment - The Experience of an Infection Control Team in a Tertiary Hospital in Niger Delta Region of Nigeria. International Journal of tropical disease & health 22(3): 1-9.
Zarb P., Coignard B., Griskeviciene J., Muller A., Vankerckhoven V., Weist K., Goossens MM., Vaerenberg S., Hopkins S., Catry B., others., (2012). Euro Surveill17 : 20316.
Larson,L.L. and Ramphal , R. (2002). Extended-spectrum beta-lactamases.SeminRespir Infect., 17(3):189-194.
S. Ensayef,S. Al-Shalchi and M. Sabbar.(2009). Microbial contamination in theoperating theatre: a study in ahospital in Baghdad. Eastern Mediterranean Health Journal, Vol. 15, No. 1, p:219
Reuter S et al., (2002) “Analysis of transmission pathways of Pseudomonasaeruginosa between patients and tap water outlets”, Crit Care Med, 10:2222-2228,
Blanc DS et al., (2004). “Faucets as a reservoir of endemic Pseudomonasaeruginosa colonization/infections in intensive care units”, Intensive Care Med, 30: 1964-1968,
Vallés J et al., “Patterns of colonization by Pseudomonasaeruginosa in intubated patients: a 3-year prospective study of 1.607 isolates using pulsed-field gel electrophoresis with implications for prevention of ventilator-associated pneumonia”, Intensive Care Med, 30:1768-1775, 2004.
Dancer SJ. (2009). the role of hospital cleaning in the control of hospital acquired infection. J. Hosp. Infect. 73:378–385. http://dx.doi.org/10 1016/j.jhin. 2009.03.030.
Dancer SJ. (2008). Importance of the environment in methicillin resistant Staphylococcus aureus acquisition: the case for hospital cleaning. Lancet Infect. Dis. 8:101–113. http://dx.doi.org/10.1016/S1473- 3099(07)70241-4.
Hidron AI, Edwards JR, Patel J, et al .(2008) ;for the National Healthcare Safety Network Team and Participating National Healthcare Safety Network Facilities. Antimicrobial-Resistant Pathogens Associated With Healthcare-Associated Infections: Annual Summary of Data Reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006–2007. Infect Control HospEpidemiol ;29:996-1011.
Stephanie J. Dancer, (2014). Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination, Clinical Microbiology Reviews Volume 27 Number 4 p. 665–690.