Role of Hand Washing Antiseptics in Open Containers as Source of Pathogens in Nosocomial Infections

Contaminated hand washing antiseptics act as source of multi-drug and disinfectant resistant isolates in nosocomial infections through hands of Health care workers(HCW). Limited data available necessitated the present study. To determine rate of contaminated hand-washing antiseptic solutions in open...

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Bibliographic Details
Published inBiomedical & pharmacology journal Vol. 6; no. 2; pp. 331 - 339
Main Authors babu, K.V. Yogeesha, A. HERSHAN, ALMONTHER, Namratha, S.
Format Journal Article
LanguageEnglish
Published Bhopal Biomedical and Pharmacology Journal 2013
Subjects
Antiseptics
Disease control
Disinfection & disinfectants
E coli
Epidemics
Epidemiology
Hand
Hands
Hospitals
Hygiene
Intensive care
Medical laboratories
Medical personnel
Microbial contamination
Nosocomial infection
Nosocomial infections
Pathogens
Patients
Pseudomonas aeruginosa
Studies
Typing
Ventilators
New York
Mumbai India
United States > US
India
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Summary:Contaminated hand washing antiseptics act as source of multi-drug and disinfectant resistant isolates in nosocomial infections through hands of Health care workers(HCW). Limited data available necessitated the present study. To determine rate of contaminated hand-washing antiseptic solutions in open containers(cHWAOC) by In-use test. To analyze role of cHWAOC in nosocomial infections as source of pathogens.Cross sectional prospective observational study of two months was conducted. 46 of 65 HWAOC from wards, OPDs,Casualty and ICUs were studied for microbial contamination by In-use test. Isolation, identification, antimicrobial susceptibility testing and antibiogram typing of isolates was done by standard laboratory procedures. Questionnaire surveywas used to asses hand washing practices in HWAOC. Correlation of isolates from cHWAOC with nosocomial infections was done by antibiogram typing and temporospatial association. Rate of c HWAOC was 2 8.26% ( 13/46). Distribution of cHWAOC was 21.8%, 50%, 66.67% and 15.38% respectively in wards, ICUs, Casualty and OPDs(P >0.05 NS). With an overall association in 11 nosocomial infections.Pseudomonas aeruginosa(5 antibiogram types) was predominant isolate(29.41%), followed by A. baumannii[3 types ] (17.64%) with association in 5 and 4 nosocomial infections respectively. Questionnaire survey revealed use of savlon in 80.43% of HWAOC with variable concentrations(2.5% to 17%v/v). Changing antiseptics in HWAOC was highly variable. Majority of the containers were washed by soap and water(73.9%). Higher rate of cHWAOC with Pseudomonas aeruginosa and Acinetobacter baumannii as most common isolates was observed. Possible role of cHWAOC as source of nosocomial pathogens could not be ruled out by antibiogram typing of isolates. Use of HWAOC in health care settings should be banned.
ISSN:0974-6242
2456-2610
DOI:10.13005/bpj/422