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. 1989 Apr;102(2):231–238. doi: 10.1017/s0950268800029903

Sink flora in a long-stay hospital is determined by the patients' oral and rectal flora.

H K Van Saene 1, J C Van Putte 1, J J Van Saene 1, T W Van de Gronde 1, E G Van Warmerdam 1
PMCID: PMC2249433  PMID: 2703019

Abstract

Sinks in a new long-stay hospital (LSH) were cultured weekly during 4 consecutive months to evaluate the microbial profile before and after occupancy of the hospital. From the elderly patients admitted to the patient care rooms oral and rectal specimens were collected to examine the contribution of the patients' flora to the sink contamination. Isolates were typed biochemically, serologically and by susceptibility pattern. Before occupancy Gram-negative bacilli were not isolated. Once the elderly patients, who were highly colonized on admission, occupied their rooms identical strains gradually contaminated the sinks. Escherichia coli, Klebsiella, Pseudomonas and Acinetobacter species were the major correlating strains. The mean concentration of the correlating isolates was higher in throat and intestines compared to the mean concentration of the non-correlating strains. These strains seem to have a greater chance to be shed and then transferred via the hands of personnel to sinks. This report shows that the major route of environmental contamination is from patient carriers to sinks, and not the reverse way.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brown R. B., Hosmer D., Chen H. C., Teres D., Sands M., Bradley S., Opitz E., Szwedzinski D., Opalenik D. A comparison of infections in different ICUs within the same hospital. Crit Care Med. 1985 Jun;13(6):472–476. doi: 10.1097/00003246-198506000-00006. [DOI] [PubMed] [Google Scholar]
  2. Burnie J. P. Candida and hands. J Hosp Infect. 1986 Jul;8(1):1–4. doi: 10.1016/0195-6701(86)90099-x. [DOI] [PubMed] [Google Scholar]
  3. Garibaldi R. A., Brodine S., Matsumiya S. Infections among patients in nursing homes: policies, prevalence, problems. N Engl J Med. 1981 Sep 24;305(13):731–735. doi: 10.1056/NEJM198109243051304. [DOI] [PubMed] [Google Scholar]
  4. Harris D. M., Orwin J. M., Colquhoun J., Schroeder H. G. Control of cross-infection in an intensive care unit. J Hyg (Lond) 1969 Sep;67(3):525–532. doi: 10.1017/s0022172400041954. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Levin M. H., Olson B., Nathan C., Kabins S. A., Weinstein R. A. Pseudomonas in the sinks in an intensive care unit: relation to patients. J Clin Pathol. 1984 Apr;37(4):424–427. doi: 10.1136/jcp.37.4.424. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Maki D. G., Alvarado C. J., Hassemer C. A., Zilz M. A. Relation of the inanimate hospital environment to endemic nosocomial infection. N Engl J Med. 1982 Dec 16;307(25):1562–1566. doi: 10.1056/NEJM198212163072507. [DOI] [PubMed] [Google Scholar]
  7. Maki D. G. Control of colonization and transmission of pathogenic bacteria in the hospital. Ann Intern Med. 1978 Nov;89(5 Pt 2 Suppl):777–780. doi: 10.7326/0003-4819-89-5-777. [DOI] [PubMed] [Google Scholar]
  8. Nicolle L. E., McIntyre M., Zacharias H., MacDonell J. A. Twelve-month surveillance of infections in institutionalized elderly men. J Am Geriatr Soc. 1984 Jul;32(7):513–519. doi: 10.1111/j.1532-5415.1984.tb02236.x. [DOI] [PubMed] [Google Scholar]
  9. Nicolle L. E., McLeod J., McIntyre M., MacDonell J. A. Significance of pharyngeal colonization with aerobic gram-negative bacilli in elderly institutionalized men. Age Ageing. 1986 Jan;15(1):47–52. doi: 10.1093/ageing/15.1.47. [DOI] [PubMed] [Google Scholar]
  10. Phair J. P., Kauffman C. A., Bjornson A. Investigation of host defense mechanisms in the aged as determinants of nosocomial colonization and pneumonia. J Reticuloendothel Soc. 1978 May;23(5):397–405. [PubMed] [Google Scholar]
  11. Rockstein M. The biological aspects of aging. Gerontologist. 1968 Summer;8(2):124–125. doi: 10.1093/geront/8.2.124. [DOI] [PubMed] [Google Scholar]
  12. Tinne J. E., Gordon A. M., Bain W. H., Mackey W. A. Cross-infection by Pseudomonas aeruginosa as a hazard of intensive surgery. Br Med J. 1967 Nov 11;4(5575):313–315. doi: 10.1136/bmj.4.5575.313. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Van Saene H. K., Stoutenbeek C. P., Miranda D. R., Zandstra D. F. A novel approach to infection control in the intensive care unit. Acta Anaesthesiol Belg. 1983 Sep;34(3):193–208. [PubMed] [Google Scholar]

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