The medical overcoat - is it a transmitting agent for bacterial pathogens? 2007

Muthukrishnan Srinivasan, and Alagappan Uma, and Arthanareeswaran Vinodhkumaradithyaa, and Subramoniam Gomathi, and Ponniyah Thirumalaikolundusubramanian
Institute of Microbiology, Madurai Medical College, Madurai, India. .

The aim of this study was to isolate, identify and compare the pathogenic bacteria prevalent on the overcoats of doctors, residents and students from medical and surgical wards, to determine their antimicrobial sensitivity, compare them with isolates from pus collected over the same period, and ultimately make recommendations. Using standard procedures, bacteria were isolated and identified from the hem and pocket mouths of the overcoats of 80 medical personnel, and drug sensitivity tests were carried out. Of the samples from the overcoats, 95% (n=152) were positive for bacterial isolates like Pseudomonas aeruginosa, Klebsiella sp., Escherichia coli, non-fermenting Gram-negative bacteria, Staphylococcus aureus, etc. Six swabs showed double isolates. There was a significant (P=0.014) association with the category of the participants (30/34 from doctors, 44/48 from residents and 78/78 from students). The isolates were significantly (P < 0.001) more prevalent on overcoats from surgical wards (n=98, 100%) than on those from medical wards (n=54, 87%). The pathogens from medical overcoats and those from pus samples were both multidrug resistant, though they were not similar. Hence overcoats may be a transmitting agent for bacterial pathogens. Doctors should be aware of the proper usage and frequency of laundering of overcoats.

UI MeSH Term Description Entries
D010820 Physicians Individuals licensed to practice medicine. Physician
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D003020 Clothing Fabric or other material used to cover the body. Clothes,Garments,Military Uniforms,Nurse Uniforms,School Uniforms,Uniforms,Garment,Military Uniform,Nurse Uniform,School Uniform,Uniform,Uniform, Military,Uniform, Nurse,Uniform, School,Uniforms, Military,Uniforms, Nurse,Uniforms, School
D006090 Gram-Negative Bacteria Bacteria which lose crystal violet stain but are stained pink when treated by Gram's method. Gram Negative Bacteria
D006282 Health Personnel Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976) Health Care Professionals,Health Care Providers,Healthcare Providers,Healthcare Workers,Health Care Professional,Health Care Provider,Healthcare Provider,Healthcare Worker,Personnel, Health,Professional, Health Care,Provider, Health Care,Provider, Healthcare
D013203 Staphylococcal Infections Infections with bacteria of the genus STAPHYLOCOCCUS. Infections, Staphylococcal,Staphylococcus aureus Infection,Staphylococcal Infection,Staphylococcus aureus Infections
D013211 Staphylococcus aureus Potentially pathogenic bacteria found in nasal membranes, skin, hair follicles, and perineum of warm-blooded animals. They may cause a wide range of infections and intoxications.
D016905 Gram-Negative Bacterial Infections Infections caused by bacteria that show up as pink (negative) when treated by the gram-staining method. Bacterial Infections, Gram-Negative,Infections, Gram-Negative Bacterial,Bacterial Infection, Gram-Negative,Gram Negative Bacterial Infections,Gram-Negative Bacterial Infection,Infection, Gram-Negative Bacterial

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