Risk of Staphylococcus aureus carriage in childcare employees

E D Moritz1, T C Smith

  • 1Department of Epidemiology, College of Public Health, University of Iowa, IA, USA. moritz.erin@gmail.com

Epidemiology and Infection
|November 27, 2012
PubMed

Insights

Childcare workers have a high Staphylococcus aureus carriage rate. Handwashing interventions for children may significantly reduce this risk, aiding infection control in early childhood settings.

Area of Science:

  • Microbiology
  • Public Health
  • Occupational Health

Background:

  • Asymptomatic Staphylococcus aureus carriage is a significant risk factor for infection and transmission.
  • Childcare workers face elevated infection risks, yet research on their bacterial carriage is limited.

Purpose of the Study:

  • To compare Staphylococcus aureus prevalence in childcare employees versus unexposed individuals.
  • To identify risk factors and potential interventions for S. aureus carriage in childcare settings.

Main Methods:

  • Cross-sectional study involving 110 childcare employees and 111 unexposed participants.
  • Prevalence of S. aureus carriage assessed in employees, unexposed adults, children, and on surfaces.
  • Multivariate analysis used to adjust for potential confounding factors.

Main Results:

  • Staphylococcus aureus prevalence was 35.2% in employees, 33.6% in unexposed adults, and 19.8% in children.
  • Surface contamination showed a prevalence of 9.8%.
  • Handwashing interventions for children upon arrival at childcare facilities significantly decreased employee S. aureus carriage (OR 0.17, P < 0.0001).

Conclusions:

  • Childcare employees exhibit a high prevalence of Staphylococcus aureus carriage.
  • Implementing hand hygiene for children entering childcare facilities is a promising strategy to reduce S. aureus transmission and carriage among staff.

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