Measures to Prevent Transmission of MRSA to Patients with Bedsores during Mobile Bathing Service Visits

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  • OGURA Masamichi
    Nagoya City University Graduate School of Nursing Department of Infection Control and Prevention Nursing
  • YANO Hisako
    Nagoya City University Graduate School of Nursing Department of Infection Control and Prevention Nursing
  • MURABATA Mayumi
    Nagoya City University Graduate School of Nursing Department of Infection Control and Prevention Nursing
  • OKADA Shinobu
    Chiba University School of Nursing Department of Theoretical Nursing
  • WADA Junko
    Nagoya City University Hospital Department of Central Clinical Laboratory
  • TERASHIMA Hiroshi
    Nagoya City University Hospital Department of Central Clinical Laboratory
  • OKAMOTO Noriko
    Nagoya City University Hospital Department of Central Clinical Laboratory
  • WAKIMOTO Yukio
    Nagoya City University Hospital Department of Central Clinical Laboratory
  • SHIMODURU Noriyuki
    Asuwahinoki Care Planning Center
  • FURUKAWA Hiroshi
    Asahi Sun Clean Corporation
  • OKUZUMI Katsuko
    Dokkyo University School of Medicine Hospital Department of Medical Safety Administration
  • MIZOKAMI Masashi
    Nagoya City University Hospital Department of Central Clinical Laboratory
  • SUZUKI Kanzoh
    Nagoya City Midori Health Center

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Other Title
  • 訪問入浴における褥瘡患者のＭＲＳＡ伝播予防策の検討
  • ホウモン ニュウヨク ニ オケル ジョクソウ カンジャ ノ MRSA デンパ ヨボウサク ノ ケントウ

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Abstract

The rapid aging of society is predicted to cause an increase in users of mobile bathing services. Since mobile bathing service equipment is cleaned and then reused, the possibility of cross-contamination depends on microbial contamination of the bathing equipment or the hands of bathing service providers. To assess infection prevention measures based on evidence from home bathing, this study investigated MRSA contamination of the hands of bathing service providers and the bathing equipment used with 10 bedridden patients who had bedsores. MRSA was detected from the bathing equipment before bathing and after cleaning in 4.3% (4/92) and 5.2% (6/115) of cases, respectively. MRSA was detected from the hands of bathing service providers (palm and brachial region) before bathing assistance and after hand washing in 1.2% (2/168) and 4.0% (2/50) of cases, respectively. Pulsed-field gel electrophoresis (PFGE) analysis of the detected MRSA showed the strain of MRSA attached to the palms of the bathing service providers before bathing assistance corresponded to the strain of MRSA detected from the stretcher net after bathing assistance, suggesting that microbes are transmitted via the mobile bathing service. Therefore, contamination of the bathing equipment or hands of the bathing service provider as a result of inadequate washing carries the risk of transmission of MRSA and other microbes between mobile bathing service users who have bedsores via the bathing service. Bathing service providers must be trained in appropriate prevention measures, such as introduction of alcohol-based hand rubs and effective methods of washing bathing equipment.

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