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Published on: June 21, 2022
Survival of enterococci and staphylococci on hospital fabrics and plastic
1Shriners Hospitals for Children, University of Cincinnati College of Medicine, Cincinnati, Ohio 45229-3095, USA. aneely@shrinenet.org
Abstract:
The transfer of gram-positive bacteria, particularly multiresistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE), among patients is a growing concern. One critical aspect of bacterial transfer is the ability of the microorganism to survive on various common hospital surfaces. The purpose of this study was to determine the survival of 22 gram-positive bacteria (vancomycin-sensitive and -resistant enterococci and methicillin-sensitive and -resistant staphylococci) on five common hospital materials: smooth 100% cotton (clothing), 100% cotton terry (towels), 60% cotton-40% polyester blend (scrub suits and lab coats), 100% polyester (privacy drapes), and 100% polypropylene plastic (splash aprons). Swatches were inoculated with 10(4) to 10(5) CFU of a microorganism, assayed daily by placing the swatches in nutritive media, and examining for growth after 48 h. All isolates survived for at least 1 day, and some survived for more than 90 days on the various materials. Smaller inocula (10(2)) survived for shorter times but still generally for days. Antibiotic sensitivity had no consistent effect on survival. The long survival of these bacteria, including MRSA and VRE, on commonly used hospital fabrics, such as scrub suits, lab coats, and hospital privacy drapes, underscores the need for meticulous contact control procedures and careful disinfection to limit the spread of these bacteria.
Insights
Gram-positive bacteria, including MRSA and VRE, can survive for days or even months on common hospital fabrics. This highlights the critical need for strict infection control to prevent bacterial spread.
Area of Science:
- Healthcare-associated infections
- Microbiology
- Infection control
Background:
- Gram-positive bacteria, such as methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE), pose a significant threat in healthcare settings.
- Bacterial survival on hospital surfaces is a key factor in transmission pathways.
Purpose of the Study:
- To investigate the survival duration of various gram-positive bacteria on common hospital materials.
- To assess the impact of different fabric types on bacterial persistence.
Main Methods:
- Twenty-two gram-positive bacterial isolates (including MRSA and VRE) were tested.
- Bacterial survival was evaluated on five materials: cotton, cotton terry, cotton-polyester blend, polyester, and polypropylene plastic.
- Inoculated swatches were incubated in nutritive media and monitored daily for growth.
Main Results:
- All bacterial isolates survived for at least one day on the tested materials.
- Some bacteria persisted for over 90 days on certain fabrics.
- Smaller initial bacterial loads (10^2 CFU) also survived for several days.
- Antibiotic resistance did not consistently influence bacterial survival times.
Conclusions:
- Common hospital fabrics like scrub suits, lab coats, and privacy drapes can support the prolonged survival of dangerous gram-positive bacteria.
- Effective contact precautions and disinfection strategies are essential to mitigate the spread of these resilient pathogens.
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