Related Experiment Video
Updated: May 23, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Distribution of bacterial contamination in a teaching hospital in Tehran - a special focus on Staphylococcus aureus
Mehdi Mirzaii1, Mohammad Emaneini, Parviz Maleknejad
1Department of Microbiology, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:
There are documents that confirm the cycle of bacterial transmission between patients, staff, and the inanimate environment. The environment may have more effect on intensive care units (ICUs), because the patients who require intensive care have unstable clinical conditions and are more sensitive to infections. The aim of this study was to determine the prevalence of bacteria in air and inanimate surface in the ICUs and to compare the microbial levels to standard levels.Air and inanimate surface in the four ICUs of a teaching hospital underwent weekly surveillance by means of air sampler and swabs for a period of six-month. Total bacterial counts were evaluated onto trypticase soy agar and mannitol salt agar (MSA).A total of 725 samples [air (168) and inanimate surfaces (557)] were collected. The total mean ± SD CFU/m3 of airborne bacteria in all of the ICUs were 115.93 ± 48.04. The most common bacteria in air of the ICUs were Gram-positive cocci (84.2%). The total mean ± SD airborne of Staphylococcus aureus was 12.10±8.11 CFU/m3. The highest levels of S. aureus contamination were found in ventilators and bed ledges. More suitable disinfection of hospital environments and monthly rotation in utilization of the various disinfectant agents are needed for the prevention of airborne and inanimate transmission of S. aureus.
Insights
Intensive care unit (ICU) environments harbor significant bacterial contamination, particularly Staphylococcus aureus on surfaces like ventilators. Enhanced disinfection protocols are crucial to prevent patient and staff infection transmission.
Area of Science:
- Microbiology
- Hospital Infection Control
- Environmental Hygiene
Background:
- Bacterial transmission cycles involve patients, staff, and the hospital environment.
- Intensive care units (ICUs) pose higher infection risks due to patient vulnerability and unstable conditions.
Purpose of the Study:
- To determine bacterial prevalence in ICU air and on surfaces.
- To compare microbial levels against established standards.
- To identify high-risk contamination sites for Staphylococcus aureus.
Main Methods:
- Weekly environmental surveillance over six months in four teaching hospital ICUs.
- Air sampling and surface swabbing for bacterial analysis.
- Culturing bacteria on trypticase soy agar and mannitol salt agar (MSA).
Main Results:
- A total of 725 samples (168 air, 557 surface) were collected.
- Mean airborne bacteria count was 115.93 ± 48.04 CFU/m³; Gram-positive cocci dominated (84.2%).
- Mean airborne Staphylococcus aureus was 12.10 ± 8.11 CFU/m³, with highest contamination on ventilators and bed ledges.
Conclusions:
- ICU environments show significant bacterial presence, including S. aureus.
- Effective disinfection and rotation of cleaning agents are vital.
- Preventing airborne and surface transmission of S. aureus requires improved environmental hygiene practices.
Related Concept Videos
Staphylococcal Skin Infections
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Special Staining Techniques
Clinical Significance of Antibiotic Resistance
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies. Common...
Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
