Are toilet seats a vector for transmission of methicillin-resistant Staphylococcus aureus?

Mary Anne Giannini1, Donna Nance, Jonathan A McCullers

  • 1Infection Control Program, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.

Insights

Alcohol wipes significantly reduce bacterial counts on hospital toilet seats. This intervention eliminated Methicillin-resistant Staphylococcus aureus (MRSA), crucial for protecting immunocompromised children.

Area of Science:

  • Microbiology
  • Infection Control
  • Hospital Hygiene

Background:

  • Hospital environments pose risks to immunocompromised patients.
  • Toilet seats can harbor pathogenic bacteria, including MRSA.
  • Effective hygiene protocols are essential in pediatric cancer care.

Purpose of the Study:

  • To assess the bacterial burden on toilet seats in a children's cancer hospital.
  • To validate a policy requiring alcohol wipe use on toilet seats by immunocompromised children.
  • To determine the efficacy of alcohol wipes in reducing bacterial contamination.

Main Methods:

  • Bacterial cultures were taken from hospital toilet seats.
  • Quantified bacterial counts before and after implementing the alcohol wipe policy.
  • Specifically tested for the presence of Methicillin-resistant Staphylococcus aureus (MRSA).

Main Results:

  • Methicillin-resistant Staphylococcus aureus (MRSA) was detected on 3.3% of toilets prior to the policy.
  • Implementing alcohol wipes led to a 50-fold decrease in average daily bacterial counts.
  • The use of alcohol wipes successfully eliminated MRSA from toilet seats.

Conclusions:

  • Alcohol wipes are highly effective in reducing bacterial load on toilet seats.
  • This intervention significantly enhances hygiene and safety for immunocompromised children.
  • The policy of using alcohol wipes is validated as a crucial infection control measure.

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