title: Reduction in the incidence of MRSA with use of alcohol-based hand rub solutions and gloves.
abstract: Methicillin-resistant Staphylococcus aureus (MRSA) is highly contagious. It is spread by direct contact with MRSA-infected people or objects. Healthcare workers' hands are the most common vehicle for the transmission of healthcare-associated pathogens from patient to patient and within the healthcare environment. The present study aimed to investigate the correlation between the incidence of MRSA among Staphylococcus aureus recovered from clinical culture and the use of alcohol-based hand rub solutions or gloves and antimicrobial use density (AUD). All data were examined every 6 months between January 2005 and June 2008. The increasing use of alcohol-based hand rub solutions was correlated with a decreasing incidence of recovery of MRSA from clinical cultures (r(2) = 0.58). A statistically significant (P < 0.05) correlation (r(2) = 0.68) was observed between glove use and the incidence of MRSA. On the other hand, we did not find any correlation between the AUD of each antibiotic group and the incidence of MRSA. Thus, we suggest that it is important to use not only alcohol-based hand rubs, but also gloves, because MRSA is transmitted from patient to patient by the hands of healthcare workers.
authors: Department of Clinical Pharmacy and Pharmacology, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan.
authors: Kazuaki
authors: K
authors: Matsumoto
authors: Akari
authors: A
authors: Shigemi
authors: Keiko
authors: K
authors: Yaji
authors: Yoshihiro
authors: Y
authors: Shimodozono
authors: Yasuo
authors: Y
authors: Takeda
authors: Kazuro
authors: K
authors: Ikawa
authors: Norifumi
authors: N
authors: Morikawa
authors: Hiroaki
authors: H
authors: Miyanohara
authors: Hideki
authors: H
authors: Kawamura
authors: Michiyo
authors: M
authors: Orita
authors: Koichi
authors: K
authors: Tokuda
authors: Junichiro
authors: J
authors: Nishi
authors: Katsushi
authors: K
authors: Yamada
mesh_terms: D000438:Alcohols / Q000008:administration & dosage*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology; D004202:Disinfectants / Q000008:administration & dosage; D017575:Gloves, Protective / Q000706:statistics & numerical data*; D006235:Hand Disinfection / Q000379:methods*; D006282:Health Personnel; D006801:Humans; D006920:Hygiene; D015994:Incidence; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D013203:Staphylococcal Infections / Q000453:epidemiology* / Q000382:microbiology
chemical_list: D000438:Alcohols; D000900:Anti-Bacterial Agents; D004202:Disinfectants