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

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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.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
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


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