Presence of Methicillin-Resistant Staphylococcus aureus (MRSA) on Healthcare Workers' Attire: A Systematic Review

Contaminated healthcare workers' (HCW) clothing risk transferring methicillin-resistant (MRSA) in healthcare facilities. We performed a systematic review in Pubmed and Scopus for 2000-2020 according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines to...

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Bibliographic Details
Published in:Tropical medicine and infectious disease 2021-03, Vol.6 (2), p.42
Main Authors: Lena, Pavlina, Ishak, Angela, Karageorgos, Spyridon A, Tsioutis, Constantinos
Format: Article
Language:English
Subjects:
attire
contact precautions
contact transmission
Health facilities
laundering
Medical personnel
Microorganisms
MRSA
Multidrug resistant organisms
Nurses
Nursing homes
Pathogens
Patients
Staphylococcus infections
Systematic Review
Textiles
Uniforms
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Summary:Contaminated healthcare workers' (HCW) clothing risk transferring methicillin-resistant (MRSA) in healthcare facilities. We performed a systematic review in Pubmed and Scopus for 2000-2020 according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines to analyze evidence of MRSA on HCW attire. The primary study outcome was MRSA isolation rates on HCW clothing in healthcare settings. Out of 4425 articles, 23 studies were included: 18 with 1760 HCWs, four with 9755 HCW-patient interactions and one with 512 samples. There was a notable variation in HCWs surveyed, HCW attires, sampling techniques, culture methods and laundering practices. HCW attire was frequently colonized with MRSA with the highest rates in long-sleeved white coats (up to 79%) and ties (up to 32%). Eight studies reported additional multidrug-resistant bacteria on the sampled attire. HCW attire, particularly long-sleeved white coats and ties, is frequently contaminated with MRSA. Banning certain types and giving preference to in-house laundering in combination with contact precautions can effectively decrease MRSA contamination and spread.
ISSN:2414-6366
2414-6366
DOI:10.3390/tropicalmed6020042