Editorials – Stethoscopes and Health Care–Associated Infection

February 24, 2017 at 3:49 pm

Mayo Clinic Proceedings March 2014 V.89 N.3 P.277–280

Dennis G. Maki

Divisions of Infectious Disease and Pulmonary/Critical Care Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI

Over the past 30 years we have come to fully appreciate the enormous potential for person-to-person spread of virulent nosocomial pathogens (eg, methicillin-resistant Staphylococcus aureus [MRSA], vancomycin-resistant enterococcus [VRE], multidrug-resistant [MDR] gram-negative bacilli and Clostridium difficile, viruses such as influenza A, respiratory syncytial virus, and norovirus, and even Candida species) in the health care setting, with devastating infection being the most feared iatrogenic consequence and one of the greatest threats to hospital safety.

It has long been accepted that the major reservoir of nosocomial infection is infected or colonized patients and the major mode of transmission is the transient carriage of nosocomial pathogens on the hands of noncolonized health care workers having direct physical contact with patients.

Hand hygiene before and after direct patient contact—now most often with a waterless alcohol gel or hand rub—has become an uncompromising expectation for modern-day health care workers …

PDF

http://www.mayoclinicproceedings.org/article/S0025-6196(14)00070-6/pdf

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Entry filed under: Bacterias, Biología Molecular, Desinfection and Sterilization, Epidemiología, Health Care-Associated Infections, Infecciones nosocomiales, Infecciones virales, Metodos diagnosticos, Update.

REVIEW – Middle East Respiratory Syndrome: What Clinicians Need to Know Contamination of Stethoscopes and Physicians’ Hands After a Physical Examination


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