Infections acquired in barbershops - A review

Barbershops are important venues for men to get their hair and beards done and hence, play an important role in men's social life. But barbershops can also be a source of infections. The barber's profession brings the barber into direct contact with customers who may carry pathogens, and contaminated instruments or skin-to-skin contacts might transmit infectious agents. Since barbers work with non-sterile and reusable sharp objects, a simple nick might facilitate blood-borne infections. In our review article we summarize current knowledge regarding barbershop-acquired infections including transmission routes and preventive measures. In fact, shaving in barbershops, particularly when reusing non-disinfected razor blades increases the transmission risk for the human immunodeficiency virus (HIV) and hepatitis B or C viruses. Furthermore, distinct bacteria like Staphylococcus aureus, fungi (in particular dermatophytic Trichophyton species) as well as ectoparasitic lice could be identified upon screening of the barbers' equipment and working places. However, knowledge regarding and compliance in hygiene practices varied considerably among barbers. Notably, since in certain countries barbershops are venues to contact sex workers, sexually transmitted diseases might also be acquired in barbershops. In conclusion, improving hygiene standards including disinfection of reusable equipment, and surveillance of the preventive measures would reduce the risk for barbershop-acquired infections.