[Dispersal of Staphylococcus aureus from nasal carriers]

Staphylococcus aureus (Sa) is an important cause of hospital-acquired infections, and nasal carriage of Sa is common among health care workers. This study was designed to measure the airborne dispersal of Sa and other bacteria from such carriers and to investigate whether the use of cap, gown, gloves, and mask could reduce this dispersal.

A total of 13 nasal Sa carriers were identified among 63 persons screened for Sa nasal carriage. The volunteers were studied for airborne dispersal of Sa in four different situations: quiet breathing, movements of the arms, whispering and loud talking. These activities were performed with and without gown, gloves, mask and cap upon street clothes.

The study showed that the highest number of Sa and bacteria in total was dispersed into the air when the volunteers were moving and wearing only their street clothes. The dispersal of Sa into the air was reduced into a minimum by wearing cap, gown and gloves, and no further significant decrease was achieved by wearing a mask. This applied for all volunteers except for one, who had to wear a mask in order to reduce his dispersal of Sa to a minimum. The total dispersal of bacteria was significantly reduced by wearing cap, gown and gloves; however, to reduce this dispersal to a minimum, volunteers also had to wear a mask.

Our study supports the rational basis that gown, cap, gloves and mask should be used not only in the operating theatre, but also while e.g. inserting central venous catheters.