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The privacy curtains that separate care
spaces in hospitals and clinics are frequently contaminated with potentially
dangerous bacteria, researchers said in Chicago
this week.
To avoid spreading those bugs, health care
providers should make sure to wash their hands after routine contact with the
curtains and before interacting with patients, Dr. Michael Ohl, from the
University of Iowa, Iowa City, said at the 51st Inter-science Conference on
Anti-microbial Agents and Chemotherapy.
"There is growing recognition that the
hospital environment plays an important role in the transmission of infections
in the health care setting and it's clear that these (privacy curtains) are
potentially important sites of contamination because they are frequently
touched by patients and providers," Dr. Ohl told Reuters Health.
Health care providers often touch these curtains
after they have washed their hands and then proceed to touch the patient. Further, these curtains often hang for a long
time and are difficult to disinfect.
In their study, Dr. Ohl and his team took 180 swab
cultures from 43 privacy curtains twice a week for three weeks. The curtains were located in the medical and
surgical intensive care units and on a medical ward of the University of Iowa
Hospitals.
The researchers also marked the curtains to keep
track of when they were changed.
Tests detected Staphylococcus aureus bacteria,
including the especially dangerous methicillin-resistant S. aureus (MRSA), as
well as various species of Enterococci -- gut bacteria -- some resistant to the
newer antibiotic vancomycin.
The researchers used additional tests to identify
specific vancomycin and methicillin-resistant strains to see whether the same
strains were circulating and contaminating the curtains over and over.
The study found significant contamination that
occurred very rapidly after new curtains were placed.
Of the 13 privacy curtains placed during the study,
12 showed contamination within a week. Virtually
all privacy curtains tested (41 of 43) were contaminated on at least one
occasion.
MRSA was isolated from one in five curtains, and
vancomycin-resistant Enterococci (VRE) from four in 10. Eight curtains were contaminated with VRE more
than once. Three of these were of a
single type, but the other five showed contamination with different VRE
strains, which suggested recontamination was happening with bacteria from new
sources.
Overall, two thirds of the swab cultures were
positive for either S. aureus (26%), Enterococcus
species (44%) or various bacterial species from a group known as gram-negative
rods (22%).
"The vast majority of curtains showed
contamination with potentially significant bacteria within a week of first
being hung, and many were hanging for longer than three or four weeks,"
Dr. Ohl noted.
"We need to think about strategies to reduce
the potential transfer of bacteria from curtains to patients," he added. "The most intuitive, common sense
strategy is (for health care workers) to wash hands after pulling the curtain
and before seeing the patient. There are
other strategies, such as more frequent disinfecting, but this would involve
more use of disinfectant chemicals, and then there is the possibility of using
microbial resistant fabrics. But
handwashing is by far the most practical, and the cheapest intervention."
