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      Mobile Phones as a Potential Vehicle of Infection in a Hospital Setting

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          Abstract

          The objective of this article is to investigate the potential role of mobile phones as a reservoir for bacterial colonization and the risk factors for bacterial colonization in a hospital setting. We screened 226 staff members at a regional Australian hospital (146 doctors and 80 medical students) between January 2013 and March 2014. The main outcomes of interest were the types of microorganisms and the amount of contamination of the mobile phones. This study found a high level of bacterial contamination (n = 168/226, 74%) on the mobile phones of staff members in a tertiary hospital, with similar organisms isolated from the staff member's dominant hand and mobile phones. While most of the isolated organisms were normal skin flora, a small percentage were potentially pathogenic (n = 12/226, 5%). Being a junior medical staff was found to be a risk factor for heavy microbial growth (OR 4.00, 95% CI 1.54, 10.37). Only 31% (70/226) of our participants reported cleaning their phones routinely, and only 21% (47/226) reported using alcohol containing wipes on their phones. This study demonstrates that mobile phones are potentially vehicles for pathogenic bacteria in a hospital setting. Only a minority of our participants reported cleaning their phones routinely. Disinfection guidelines utilizing alcohol wipes should be developed and implemented.

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          Most cited references22

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          Acquisition of nosocomial pathogens on hands after contact with environmental surfaces near hospitalized patients.

          We examined the frequency of acquisition of bacterial pathogens on investigators' hands after contacting environmental surfaces near hospitalized patients. Hand imprint cultures were positive for one or more pathogens after contacting surfaces near 34 (53%) of 64 study patients, with Staphylococcus aureus and vancomycin-resistant Enterococcus being the most common isolates.
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            An overview of nosocomial infections, including the role of the microbiology laboratory.

            An estimated 2 million patients develop nosocomial infections in the United States annually. The increasing number of antimicrobial agent-resistant pathogens and high-risk patients in hospitals are challenges to progress in preventing and controlling these infections. While Escherichia coli and Staphylococcus aureus remain the most common pathogens isolated overall from nosocomial infections, coagulase-negative staphylococci (CoNS), organisms previously considered contaminants in most cultures, are now the predominant pathogens in bloodstream infections. The growing number of antimicrobial agent-resistant organisms is troublesome, particularly vancomycin-resistant CoNS and Enterococcus spp. and Pseudomonas aeruginosa resistant to imipenem. The active involvement and cooperation of the microbiology laboratory are important to the infection control program, particularly in surveillance and the use of laboratory services for epidemiologic purposes. Surveillance is used to identify possible infection problems, monitor infection trends, and assess the quality of care in the hospital. It requires high-quality laboratory data that are timely and easily accessible.
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              Review of mobile communication devices as potential reservoirs of nosocomial pathogens.

              Innovation in mobile communication technology has provided novel approaches to the delivery of healthcare and improvements in the speed and quality of routine medical communication. Bacterial contamination of mobile communication devices (MCDs) could be an important issue affecting the implementation of effective infection control measures and might have an impact on efforts to reduce cross-contamination. This review examines recent studies reporting bacterial contamination of MCDs, most demonstrating that 9-25% of MCDs are contaminated with pathogenic bacteria. We examine previously investigated risk factors for MCD contamination in addition to work on surface decontamination of the device. Recommendations to reduce contamination risks include staff education, strict hand hygiene measures, guidelines on device cleaning and consideration of the restrictions regarding use of mobile phone technology in certain high risk areas, for example, operating theatres, intensive care units and burns units. Further work is required to evaluate the benefit of such interventions on MCD contamination and to determine whether a link exists between contamination and subsequent patient infection.
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                Author and article information

                Journal
                J Occup Environ Hyg
                J Occup Environ Hyg
                UOEH
                uoeh20
                Journal of Occupational and Environmental Hygiene
                Taylor & Francis
                1545-9624
                1545-9632
                2015
                28 August 2015
                : 12
                : 10
                : D232-D235
                Affiliations
                [1 ]Launceston Clinical SchoolUniversity of Tasmania , Tasmania, Australia
                [2 ]Menzies Research Institute TasmaniaUniversity of Tasmania , Hobart, Tasmania, Australia
                [3 ]Launceston General HospitalUniversity of Tasmania , Launceston, Tasmania, Australia
                [4 ]Royal Hobart Hospital , Hobart, Tasmania, Australia
                Author notes
                Address correspondence to: Yi Chao Foong, Menzies Research Institute Tasmania, Private Bag 23 , Hobart, Tasmania, 7000, Australia; e-mail: ycfoong@ 123456utas.edu.au . E-mail: ycfoong@ 123456utas.edu.au
                Article
                1060330
                10.1080/15459624.2015.1060330
                7157962
                26083898
                005f18e4-ceb5-433d-af3e-6d19bd9cdfe2
                Copyright © 2015 JOEH, LLC

                This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.

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                Page count
                Figures: 0, Tables: 2, References: 22, Pages: 4
                Categories
                Department

                hospital,infection,mobile phones,vehicle
                hospital, infection, mobile phones, vehicle

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