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2018 ; 13
(ä): Doc03
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MRSA prevalence among patient transport staff in Hamburg
#MMPMID29619291
Schablon A
; Kleinmüller O
; Nienhaus A
; Peters C
GMS Hyg Infect Control
2018[]; 13
(ä): Doc03
PMID29619291
show ga
Introduction: Patient transport employees frequently come into contact with
multidrug-resistant organisms (MDROs) and therefore are at a greater risk of
infection than the general population. These pathogens pose a significant
challenge for employees of patient transport services since they can spread over
long distances through patient transfers. To date, little is known about the
occupational risk of MRSA infection in patient transport settings. Methods: A
cross-sectional study was conducted to investigate the prevalence of MRSA in
patient transport personnel, including taxi drivers, as well as the potential
risk factors for MRSA colonization. For screening, nasal swabs were taken. When
an individual was tested positive, a control swab was taken; if this confirmed a
positive result, decolonization measures were offered. A molecular biological
examination of the MRSA samples was performed. Results: A total of 222 patient
transport employees were screened and 7 employees tested positive, putting the
MRSA prevalence at 3.2% (95% CI 1.4-6.5). Significant risk factors among patient
transport staff (PTS) for testing positive were the use of antibiotics (OR 11.9;
95% CI 1.8-78.4) and hospital admission (OR 6.9; 95% CI 1.1-45.9). MRSA swabs
were also performed on a total of 102 taxi drivers who provide patient transport
services. The MRSA prevalence was 0.98 (95% CI <0.01-5.9). Significant group
differences between PTS and taxi drivers, with respect to potential risk factors
for MRSA colonization, were identified as inpatient treatment (p=0.09), chronic
respiratory illnesses (p=0.01), and knowingly transporting patients/passengers
with MRSA (p=0.03). Conclusion: This study is the first to make data on the MRSA
risk of patient transport employees in Hamburg available. The prevalence data are
low in all areas and indicate a somewhat low risk of infection. A good infection
control at the facilities is highly recommendable and the employees should
acquire in-depth knowledge of infection prevention to improve compliance with
personal protective measures.
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