Extended-spectrum beta-lactamase-producing Enterobacteriaceae in cell phones of health care workers from Peruvian pediatric and neonatal intensive care units

Agapito, Juan; Loyola Sosa, Steev Orlando; Petersen, Kyle; Lescano Guevara, Andres Guillermo; Gutierrez, Luz-R.; Tamariz, Jesus; Osada, Jorge; Rios, Paul; Horna, Gertrudis

dc.contributor.author	Loyola Sosa, Steev Orlando
dc.contributor.author	Gutierrez, Luz-R.
dc.contributor.author	Horna, Gertrudis
dc.contributor.author	Petersen, Kyle
dc.contributor.author	Agapito, Juan
dc.contributor.author	Osada, Jorge
dc.contributor.author	Rios, Paul
dc.contributor.author	Lescano Guevara, Andres Guillermo
dc.contributor.author	Tamariz, Jesus
dc.date.accessioned	2019-02-06T14:45:37Z
dc.date.available	2019-02-06T14:45:37Z
dc.date.issued	2016
dc.identifier.uri	https://hdl.handle.net/20.500.12866/5107
dc.description.abstract	BACKGROUND: Health care workers (HCWs) use their mobile phones during working hours or medical care. There is evidence that the instruments are colonized with pathogenic microorganisms. Here, we describe levels of Enterobacteriaceae contamination (EC) in cell phones and the risk factors associated with EC in Peruvian intensive care units (ICUs). METHODS: This was a 5-month cohort study among 114 HCWs of 3 pediatric and 2 neonatology ICUs from 3 Peruvian hospitals. A baseline survey collected data on risk factors associated with EC. Swabs were collected from HCWs' phones every other week. RESULTS: Three-quarters of HCWs never decontaminated their phones, and 47% reported using the phones in the ICU >5 times while working. EC was frequent across samplings and sites and was substantially higher in subjects with longer follow-up. Potential risk factors identified did not have strong associations with positive samples (relative risk, 0.7-1.5), regardless of significance. Half of the phones were colonized with an Enterobacteriaceae at least once during the 4 samplings attained on average during the study period. Half of the isolates were multidrug resistant (MDR), and 33% were extended-spectrum beta-lactamase producers. CONCLUSIONS: EC on HCWs' phones was frequent and apparently randomly distributed through the hospitals without clear clustering or strongly associated risk factors for having a positive sample. Based on the level of EC, phones may be considered as potential bacterial reservoirs of MDR and ESBL bacteria.	en_US
dc.language.iso	eng
dc.publisher	Elsevier
dc.relation.ispartofseries	American Journal of Infection Control
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	Cell Phone	en_US
dc.subject	Cell phones	en_US
dc.subject	Enterobacteriaceae	en_US
dc.subject	Health personnel	en_US
dc.subject	Health Personnel	en_US
dc.subject	Infectious disease transmission, professional-to-patient	en_US
dc.subject	beta-Lactamases/metabolism	en_US
dc.subject	Cohort Studies	en_US
dc.subject	Enterobacteriaceae/enzymology/isolation & purification	en_US
dc.subject	Fomites/microbiology	en_US
dc.subject	Hospitals, Pediatric	en_US
dc.subject	Humans	en_US
dc.subject	Intensive Care Units, Pediatric	en_US
dc.subject	Peru	en_US
dc.title	Extended-spectrum beta-lactamase-producing Enterobacteriaceae in cell phones of health care workers from Peruvian pediatric and neonatal intensive care units	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1016/j.ajic.2016.02.020
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.08
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#1.06.01
dc.relation.issn	1527-3296