의료진의 휴대전화에서 분리된 의료관련감염 병원균 (Isolation of Healthcare-Associated Pathogens from Cellular Phones Used by Medical Personnel)

서지정보

· 발행기관 : 대한의료관련감염관리학회
· 수록지 정보 : 의료관련감염관리 / 15권 / 1호 / 36 ~ 40페이지
· 저자명 : 김재석, 권오건, 송원근, 김한성, 박지영, 조현찬, 이규만, 이혜란

초록

Background: Cellular phone has become a necessary device for communicating in hospitals. Cellular phones contaminated with bacteria may serve as a fomite in the transmission of pathogens by the hands of medical personnel.
We investigated the bacterial contamination of cellular phones used by medical personnel in a tertiary hospital.
Methods: Culture swabs were obtained from 101 cellular phones and 99 anterior nasal cavities from medical personnel using cellular phones. The swabs were inoculated on blood agar, MacConkey agar, mannitol salt agar, and enterococcal broths containing 6μg/mL vancomycin for 48 h at 37oC. The bacteria were identified on the basis of colony morphology, gram staining characteristics, catalase test, coagulase test, and DNase test; Microscan (Siemens,USA) was used for the identification of enterococci.
Results: Of the 101 cellular phones, 13 were contaminated with Staphylococcus aureus (including 4 methicillinresistant S. aureus [MRSA]), 61 with coagulase-negative staphylococci (CoNS) (including 38 methicillin-resistant CoNS), 27 with Micrococcus spp., 11 with diphtheroids, 67 with Bacillus spp., and 4 with viridans streptococci. No gram-negative bacilli were isolated. Nasal swabs yielded 36 S. aureus, including 9 MRSA. Only 1 of 9 cellular phones used by the MRSA carriers was contaminated with MRSA.
Conclusion: Cellular phones used by some medical personnel were contaminated with pathogens such as S. aureus or MRSA. Although, the clinical implications of pathogens isolated from cellular phones have not been fully investigated,pathogens could be transmitted by the hands of medical personnel who are cellular phone users.

영어초록

Background: Cellular phone has become a necessary device for communicating in hospitals. Cellular phones contaminated with bacteria may serve as a fomite in the transmission of pathogens by the hands of medical personnel.
We investigated the bacterial contamination of cellular phones used by medical personnel in a tertiary hospital.
Methods: Culture swabs were obtained from 101 cellular phones and 99 anterior nasal cavities from medical personnel using cellular phones. The swabs were inoculated on blood agar, MacConkey agar, mannitol salt agar, and enterococcal broths containing 6μg/mL vancomycin for 48 h at 37oC. The bacteria were identified on the basis of colony morphology, gram staining characteristics, catalase test, coagulase test, and DNase test; Microscan (Siemens,USA) was used for the identification of enterococci.
Results: Of the 101 cellular phones, 13 were contaminated with Staphylococcus aureus (including 4 methicillinresistant S. aureus [MRSA]), 61 with coagulase-negative staphylococci (CoNS) (including 38 methicillin-resistant CoNS), 27 with Micrococcus spp., 11 with diphtheroids, 67 with Bacillus spp., and 4 with viridans streptococci. No gram-negative bacilli were isolated. Nasal swabs yielded 36 S. aureus, including 9 MRSA. Only 1 of 9 cellular phones used by the MRSA carriers was contaminated with MRSA.
Conclusion: Cellular phones used by some medical personnel were contaminated with pathogens such as S. aureus or MRSA. Although, the clinical implications of pathogens isolated from cellular phones have not been fully investigated,pathogens could be transmitted by the hands of medical personnel who are cellular phone users.

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