Lack of care giver hand contamination with endemic bacterial pathogens in a nursing home

Elaine Larson, Linda Bobo, Richard G Bennett, Sean Murphy, Sim Tian Seng, Jane Tay Eng Choo, Jerry Sisler

Research output: Contribution to journalArticle


Prevalences of Clostridium difficile and multiply resistant Staphylococcus aureus (MRSA) were determined in nursing staff and residents of a 233-bed long-term care facility. Twenty of 38 (52.6%) patients in the long-term care ward and three of 69 (4.3%) in the skilled-nursing ward were colonized with MRSA; 16 of 48 (33%) patients in the long-term care ward and seven of 52 (13%) in the nursing home ward were colonized with C. difficile. None of the 79 staff members whose hands were cultured had chronic C. difficile hand carriage and MRSA was present on only three of 79 (3.9%). Over a 6-month period, 128,000 pairs of gloves were worn. Since C. difficile and MRSA are rarely present on washed hands of care providers, appropriate handwashing and gloving should make a significant contribution to reducing the spread of these agents in long-term care facilities.

Original languageEnglish (US)
Pages (from-to)11-15
Number of pages5
JournalAmerican Journal of Infection Control
Issue number1
Publication statusPublished - 1992


ASJC Scopus subject areas

  • Microbiology
  • Infectious Diseases

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