Methicillin-resistant Staphylococcus aureus and Acinetobacter baumannii on computer interface surfaces of hospital

Po-Liang Lu1, L K Siu, Tun-Chieh Chen

  • 1Department of Internal Medicine, Kaohsiung Medical University Hospital, Taiwan, Republic of China. idpaul@gmail.com

BMC Infectious Diseases
|October 3, 2009
PubMed
Abstract

Insights

Hospital computer keyboards and mice show low contamination rates of key pathogens, even with improved hand hygiene. Routine surveillance is not necessary in non-outbreak settings.

Area of Science:

  • Infection Control
  • Clinical Microbiology
  • Healthcare Epidemiology

Background:

  • Computer peripherals like keyboards and mice can harbor nosocomial pathogens.
  • Disinfection of non-waterproof computer devices poses challenges in healthcare settings.
  • The impact of these devices on clinical infections requires clarification, especially with improved healthcare worker (HCW) hand hygiene.

Purpose of the Study:

  • To investigate the association between hospital-acquired pathogens on ward computers and clinical isolates.
  • To determine the contamination rates of specific pathogens (MRSA, Pseudomonas aeruginosa, Acinetobacter baumannii) on computer interfaces.
  • To assess the role of computer contamination in nosocomial infections in the context of enhanced hand hygiene.

Main Methods:

  • Study conducted in a 1600-bed medical center in southern Taiwan.
  • Surveillance of computer keyboards and mice across 47 wards.
  • Pulsed field gel electrophoresis and antibiogram used to analyze methicillin-resistant Staphylococcus aureus (MRSA), Pseudomonas aeruginosa, and Acinetobacter baumannii isolates from devices and clinical specimens during a non-outbreak period.

Main Results:

  • A 17.4% contamination rate was found for S. aureus, Acinetobacter spp., or Pseudomonas spp. on computer devices.
  • Specific contamination rates for MRSA and Acinetobacter baumannii were 1.1% and 4.3%, respectively; P. aeruginosa was not isolated.
  • While most isolates showed different pulsotypes, Acinetobacter baumannii isolates from two ward computers shared the same pulsotype.

Conclusions:

  • Good hand hygiene compliance by healthcare workers correlates with low contamination rates of key pathogens on computer interfaces.
  • Computer device contamination did not appear to contribute significantly to nosocomial infections in this setting.
  • Routine culture surveillance of computer equipment is not deemed necessary during non-outbreak situations.

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