Presence of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) on Healthcare Workers’ Attire: A Systematic Review

Contaminated healthcare workers’ (HCW) clothing risk transferring methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) in healthcare facilities. We performed a systematic review in Pubmed and Scopus for 2000–2020 according to the Preferred Reporting Items for Systematic Reviews and...

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Main Authors: Pavlina Lena, Angela Ishak, Spyridon A Karageorgos, Constantinos Tsioutis
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Tropical Medicine and Infectious Disease
Subjects:
Online Access:https://www.mdpi.com/2414-6366/6/2/42
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author Pavlina Lena
Angela Ishak
Spyridon A Karageorgos
Constantinos Tsioutis
author_facet Pavlina Lena
Angela Ishak
Spyridon A Karageorgos
Constantinos Tsioutis
author_sort Pavlina Lena
collection DOAJ
description Contaminated healthcare workers’ (HCW) clothing risk transferring methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) in healthcare facilities. We performed a systematic review in Pubmed and Scopus for 2000–2020 according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines to analyze evidence of MRSA on HCW attire. The primary study outcome was MRSA isolation rates on HCW clothing in healthcare settings. Out of 4425 articles, 23 studies were included: 18 with 1760 HCWs, four with 9755 HCW–patient interactions and one with 512 samples. There was a notable variation in HCWs surveyed, HCW attires, sampling techniques, culture methods and laundering practices. HCW attire was frequently colonized with MRSA with the highest rates in long-sleeved white coats (up to 79%) and ties (up to 32%). Eight studies reported additional multidrug-resistant bacteria on the sampled attire. HCW attire, particularly long-sleeved white coats and ties, is frequently contaminated with MRSA. Banning certain types and giving preference to in-house laundering in combination with contact precautions can effectively decrease MRSA contamination and spread.
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spelling doaj.art-e5010f4c572442839c67faa4d943b6932023-11-21T13:34:58ZengMDPI AGTropical Medicine and Infectious Disease2414-63662021-03-01624210.3390/tropicalmed6020042Presence of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) on Healthcare Workers’ Attire: A Systematic ReviewPavlina Lena0Angela Ishak1Spyridon A Karageorgos2Constantinos Tsioutis3School of Sciences, European University Cyprus, Nicosia 2404, CyprusSchool of Medicine, European University Cyprus, Nicosia 2404, CyprusSchool of Medicine, European University Cyprus, Nicosia 2404, CyprusSchool of Medicine, European University Cyprus, Nicosia 2404, CyprusContaminated healthcare workers’ (HCW) clothing risk transferring methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) in healthcare facilities. We performed a systematic review in Pubmed and Scopus for 2000–2020 according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines to analyze evidence of MRSA on HCW attire. The primary study outcome was MRSA isolation rates on HCW clothing in healthcare settings. Out of 4425 articles, 23 studies were included: 18 with 1760 HCWs, four with 9755 HCW–patient interactions and one with 512 samples. There was a notable variation in HCWs surveyed, HCW attires, sampling techniques, culture methods and laundering practices. HCW attire was frequently colonized with MRSA with the highest rates in long-sleeved white coats (up to 79%) and ties (up to 32%). Eight studies reported additional multidrug-resistant bacteria on the sampled attire. HCW attire, particularly long-sleeved white coats and ties, is frequently contaminated with MRSA. Banning certain types and giving preference to in-house laundering in combination with contact precautions can effectively decrease MRSA contamination and spread.https://www.mdpi.com/2414-6366/6/2/42MRSAattireclothingcontact transmissioncontact precautionslaundering
spellingShingle Pavlina Lena
Angela Ishak
Spyridon A Karageorgos
Constantinos Tsioutis
Presence of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) on Healthcare Workers’ Attire: A Systematic Review
Tropical Medicine and Infectious Disease
MRSA
attire
clothing
contact transmission
contact precautions
laundering
title Presence of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) on Healthcare Workers’ Attire: A Systematic Review
title_full Presence of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) on Healthcare Workers’ Attire: A Systematic Review
title_fullStr Presence of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) on Healthcare Workers’ Attire: A Systematic Review
title_full_unstemmed Presence of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) on Healthcare Workers’ Attire: A Systematic Review
title_short Presence of Methicillin-Resistant <i>Staphylococcus aureus</i> (MRSA) on Healthcare Workers’ Attire: A Systematic Review
title_sort presence of methicillin resistant i staphylococcus aureus i mrsa on healthcare workers attire a systematic review
topic MRSA
attire
clothing
contact transmission
contact precautions
laundering
url https://www.mdpi.com/2414-6366/6/2/42
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AT angelaishak presenceofmethicillinresistantistaphylococcusaureusimrsaonhealthcareworkersattireasystematicreview
AT spyridonakarageorgos presenceofmethicillinresistantistaphylococcusaureusimrsaonhealthcareworkersattireasystematicreview
AT constantinostsioutis presenceofmethicillinresistantistaphylococcusaureusimrsaonhealthcareworkersattireasystematicreview