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Prevention of MRSA spread in the neurosurgical field Masami FUJII 1 , Shinko YASUHARA 1 , Yoshinori OHMOTO 1 , Shuichi SUGIYAMA 1 , Yoshio NAGATSUGU 1 , Shoichi KATOH 1 , Tetsuo YAMASHITA 1 , Hideharu ITO 1 , Shigeharu OIE 2 , Akira KAMIYA 2 1Departments of Neurosurgery, University of Yamaguchi School of Medicine 2Departments of Pharmacy, University of Yamaguchi School of Medicine Keyword: MRSA(methicillin-resistant Staphylococcus aureus) , prevention , neurosurgical field , environment disinfectant pp.241-245
Published Date 1996/3/10
DOI https://doi.org/10.11477/mf.1436901173
  • Abstract
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We investigated the distribution of MRSA (methicil-lin-resistant Staphylococcus aureus) on and around six patients with MRSA infection in our neurosurgical ward. All patients had a disturbance of consciousness and had sputum colonization of MRSA. Samples were obtained from 11 sites (patients' hands, attendances'hands, floors, sidetables, bedclothes, chairs, walls, cur-tains, door knobs, faucets and disposable gloves) in the patients'rooms by the wiping method. High counts of MRSA were detected on horizontal planes such as floors, sidetables and chairs, but MRSA was not de-tected on vertical planes such as curtains and walls.planes was due to a fall of MRSA spread from sputum in the air. These findings indicate that the disinfection of horizontal planes is important for preventing the spread of MRSA. We also evaluated what disinfectant was useful for floor disinfection and concluded that 0.5% chlorhexidine digluconate (Hibitane®) and 0.5% benzalkonium chloride (Osvan®) were more effective than the other usually-used disinfectants such as alkyl-diaminoethyl glycine (Tego-51®).


Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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