Are Visitors Dangerous Carriers of Pathogens in The Hospital? an Observational Study in an University Hospital in Sicily

References

• Adams, C. E., J. Smith, V. Watson, C. Robertson, and S. J. Dancer. 2017. Examining the association between surface bioburden and frequently touched sites in intensive care. J. Hosp. Infect. 95 (1):76–80. doi: 10.1016/j.jhin.2016.11.002.
   PubMed Web of Science ®Google Scholar
• Banach, D. B., G. M. Bearman, D. J. Morgan, and L. S. Munoz-Price. 2015. Infection control precautions for visitors to healthcare facilities. Expert Rev. Anti. Infect. Ther. 13(9):1047–50. doi: 10.1586/14787210.2015.1068119.
   Google Scholar
• Birnbach, D. J., I. Nevo, S. Barnes, M. Fitzpatrick, L. F. Rosen, R. Everett-Thomas, J. S. Sanko, and K. L. Arheart. 2012. Do hospital visitors wash their hands? Assessing the use of alcohol-based hand sanitizer in a hospital lobby. Am. J. Infect. Control 40(4):340–3. doi: 10.1016/j.ajic.2011.05.006.
   PubMed Web of Science ®Google Scholar
• Boyce, J. M. 2007. Environmental contamination makes an important contribution to hospital infection. J. Hosp. Infect. 65 (Suppl 2):50–4. doi: 10.1016/S0195-6701(07)60015-2.
   PubMed Web of Science ®Google Scholar
• Boyce, J. M., D. Pittet, Healthcare Infection Control Practices Advisory Committee, and HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. 2002. Guideline for hand hygiene in health-care settings. Recommendations of the healthcare infection control practices advisory committee and the HIPAC/SHEA/APIC/IDSA hand hygiene task force. Am. J. Infect. Control30 (8): S1–S46.
   PubMed Web of Science ®Google Scholar
• Dancer, S. J. 1999. Mopping up hospital infection. J. Hosp. Infect. 43(2):85–100. doi: 10.1053/jhin.1999.0616.
   PubMed Web of Science ®Google Scholar
• Dancer, S. J. 2008. Importance of the environment in meticillin-resistant Staphylococcus aureus acquisition: The case for hospital cleaning. Lancet Infect. Dis. 8(2):101–13. doi: 10.1016/S1473-3099(07)70241-4.
   PubMed Web of Science ®Google Scholar
• Dancer, S. J. 2009. The role of environmental cleaning in the control of hospital-acquired infection. J. Hosp. Infect. 73(4):378–85. doi: 10.1016/j.jhin.2009.03.030.
   PubMed Web of Science ®Google Scholar
• Dancer, S. J., and A. Kramer. 2018. Four steps to clean hospitals: Look, plan, clean and dry. J. Hosp. Infect. doi: 10.1016/j.jhin.2018.12.015.
   Google Scholar
• Dibenedetto, S. P., V. Miraglia, A. M. Ippolito, S. D'Amico, L. L. Nigro, R. Ragusa, and G. Schilirò. 1996. Reduction in the incidence of infection by hepatitis C virus in children with acute lymphoblastic leukemia after suspension of sampling from the finger. Pediatr. Infect .Dis. J. 15(3):265–6.
   Google Scholar
• European Centre for Disease Prevention and Control. 2017. Economic evaluations of interventions to prevent health-care associated infections. Stockholm: ECDC.
   Google Scholar
• Hota, B. 2004. Contamination, disinfection, and cross-colonization: Are hospital surfaces reservoirs for nosocomial infection? Clin. Infect. Dis. 39 (8):1182–9. doi: 10.1086/424667.
   PubMed Web of Science ®Google Scholar
• Huang, S. S., R. Datta, and R. Platt. 2006. Risk of acquiring antibiotic-resistant bacteria from prior room occupants. Arch. Intern. Med. 166 (18):1945–51. doi: 10.1001/archinte.166.18.1945.
   PubMed Web of Science ®Google Scholar
• Hyman, S., L. Rosenberg, and E. Larson. 2012. Frequency of patient contact with health care personnel and visitors: Implications for infection prevention. Jt. Comm. J. Qual. Patient Saf. 38 (12):560–5. doi: 10.1016/S1553-7250(12)38073-2.
   Google Scholar
• Kampf, G., and A. Kramer. 2004. Epidemiologic background of hand hygiene and evaluation of the most important agents for scrubs and rubs. Clin. Microbiol. Rev. 17 (4):863–93. doi: 10.1128/CMR.17.4.863-893.
   PubMed Web of Science ®Google Scholar
• Kang, J., D. J. Weber, B. A. Mark, and W. A. Rutala. 2014. Survey of North Carolina hospital policies regarding visitor use of personal protective equipment for entering the rooms of patients under isolation precautions. Infect. Control Hosp. Epidemiol. 35 (3):259–64. doi: 10.1086/675293.
   PubMed Web of Science ®Google Scholar
• Klevens, R. M., J. R. Edwards, C. L. Richards, Jr, T. C. Horan, R. P. Gaynes, D. A. Pollock, and D. M. Cardo. 2007. Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep. 122(2):160–6. doi: 10.1177/003335490712200205.
   PubMed Web of Science ®Google Scholar
• Kramer, A., I. Schwebke, and G. Kampf. 2006. How long do nosocomial pathogens persist on inanimate surfaces? A systematic review. BMC Infect. Dis. 6 :130. doi: 10.1186/1471-2334-6-130.
   PubMed Web of Science ®Google Scholar
• Landelle, C., L. Pagani, and S. Harbarth. 2013. Is patient isolation the single most important measure to prevent the spread of multidrug-resistant pathogens? Virulence 4(2):163–71. doi: 10.4161/viru.22641.
   PubMed Web of Science ®Google Scholar
• Marranzano, M., R. Ragusa, F. Cicciù, R. Leonardi, and S. Salvo. 2010. Evaluation of biological indicators of hygienic quality in modern dental clinics with a high perceived quality in Catania (Italy). Igiene e sanità pubblica. 66(6):757–66.
   Google Scholar
• Mitchell, A., M. Spencer, and C. Edmiston. Jr 2015. Role of healthcare apparel and other healthcare textiles in the transmission of pathogens: A review of the literature. J. Hosp. Infect. 90(4):285–92. doi: 10.1016/j.jhin.2015.02.017.
   PubMed Web of Science ®Google Scholar
• Morgan, D. J., L. Pineles, M. Shardell, M. M. Graham, S. Mohammadi, G. N. Forrest, H. S. Reisinger, M. L. Schweizer, and E. N. Perencevich. 2013. The effect of contact precautions on healthcare worker activity in acute care hospitals. Infect. Control Hosp. Epidemiol. 34(1):69–73. doi: 10.1086/668775.
   PubMed Web of Science ®Google Scholar
• Muzslay, M., G. Moore, N. Alhussaini, and A. P. Wilson. 2017. ESBL-producing Gram-negative organisms in the healthcare environment as a source of genetic material for resistance in human infections. J. Hosp. Infect. 95 (1):59–64. doi: 10.1016/j.jhin.2016.09.009.
   PubMed Web of Science ®Google Scholar
• Neely, A. N., M. P. Maley, and G. D. Warden. 1999. Computer keyboards as reservoirs for Acinetobacter baumannii in a burn hospital. Clin. Infect. Dis. 29 (5):1358–60. doi: 10.1086/313463.
   PubMed Web of Science ®Google Scholar
• Otter, J. A., S. Yezli, and G. L. French. 2011. The role played by contaminated surfaces in the transmission of nosocomial pathogens. Infect. Control Hosp. Epidemiol. 32(7):687–99. doi: 10.1016/j.jhin.2009.03.030.
   PubMed Web of Science ®Google Scholar
• Ragusa, R., A. Lombardo, A. Bruno, A. Sciacca, and L. Lupo. 2016. Environmental biodecontamination: When a procedure performed by the nursing staff has an economic impact in ICU rooms. J. Nurs. Care. 5 :4. doi: 10.4172/2167-1168.1000355.
   Google Scholar
• Ragusa, R., G. Giorgianni, L. Lupo, A. Sciacca, S. Rametta, M. La Verde, S. Mulè, and M. Marranzano. 2018. Healthcare-associated Clostridium difficile infection: Role of correct hand hygiene in cross-infection control. J. Prev. Med. Hyg. 1(2):59.
   Google Scholar
• Rutala, W. A., and D. J. Weber. 2016. Monitoring and improving the effectiveness of surface cleaning and disinfection. Am. J. Infect. Control 44 (5):e69–76. doi: 10.1016/j.ajic.2015.10.039.
   PubMed Web of Science ®Google Scholar
• Schabrun, S., and L. Chipchase. 2006. Healthcare equipment as a source of nosocomial infection: A systematic review. J. Hosp. Infect. 63 (3):239–45. doi: 10.1016/j.jhin.2005.10.013.
   PubMed Web of Science ®Google Scholar
• Suwantarat, N., L. A. Supple, J. L. Cadnum, T. Sankar, and C. J. Donskey. 2017. Quantitative assessment of interactions between hospitalized patients and portable medical equipment and other fomites. Am. J. Infect. Control. 45 (11):1276–8. doi: 10.1016/j.ajic.2017.05.003.
   PubMed Web of Science ®Google Scholar
• Weber, D. J., W. A. Rutala, M. B. Miller, K. Huslage, and E. Sickbert-Bennett. 2010. Role of hospital surfaces in the transmission of emerging health care-associated pathogens: Norovirus, Clostridium difficile and Acinetobacter species. Am. J. Infect. Control 38 (5): S25–S33. doi: 10.1016/j.ajic.2010.04.196.
   PubMed Web of Science ®Google Scholar