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Reusable venesection tourniquets: a potential source of hospital transmission of multiresistant organisms
Abstract
OBJECTIVE: To determine the prevalence of multiresistant organism (MRO) colonisation of reusable venesection tourniquets. DESIGN AND SETTING: A prospective study in a tertiary hospital to collect and analyse reusable venesection tourniquets for the presence of MROs - methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and extended-spectrum β-lactamase and metallo-β-lactamase-producing Enterobacteriaceae - using a sensitive enrichment method. Tourniquets were collected and tested during a 10-week period between September and November 2010. MAIN OUTCOME MEASURE: Prevalence of MRO colonisation of tourniquets. RESULTS: The overall colonisation rate of 100 tourniquets randomly collected from general wards, ambulatory care areas and critical care areas was 78%. MROs were isolated from 25 tourniquets collected from a variety of hospital locations, including general wards, the intensive care unit, burns unit and anaesthetic bay. MRSA was isolated from 14 tourniquets and VRE from 19; both MRSA and VRE were isolated from nine tourniquets. There were no microorganisms isolated from 22 tourniquets. CONCLUSION: Reusable tourniquets can be colonised with MROs and may be a potential source of transmission of MROs to hospitalised patients.
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“Evidence shows that reusable tourniquets can be colonized with multiresistant microorganisms and may thus serve as a reservoir and source of transmission of various pathogens to hospitalized patients [50], [51], [52].”
From Joint EFLM-COLABIOCLI Recommendation for venous blood sampling (2018) · cites this paper as [52]
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Metadata
- Authors
- Pinto, A. N., Phan, T., Sala, G., Cheong, E. Y. L., Siarakas, S., & Gottlieb, T.
- Affiliations
- Concord Repatriation General Hospital (AU)
- Venue
- Medical Journal of Australia
- Publisher
- AMPCo
- Published
- 2011-09
- Volume
- 195
- Issue
- 5
- Pages
- 276-279
- ISSN
- 0025-729X (ISSN-L)
- 1326-5377
- OpenAlex
- W2094133918
- Cited by
- 29
- References
- 22
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 1 · 2012: 3
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- onlinelibrary.wiley.com/termsAndConditions#vor (vor, 4 d)
- doi.wiley.com/10.1002/tdm_license_1.1 (tdm)
- Locations
- The Medical Journal of Australia (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Life Sciences › Immunology and Microbiology › Microbiology › Medical Device Sterilization and Disinfection
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Nosocomial Infections in ICU
- Keywords
- nosocomial infections, methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, extended-spectrum beta-lactamase, metallo-beta-lactamase, Enterobacteriaceae, environmental contamination, nosocomial transmission, medical device reuse
- MeSH terms
- beta-Lactamases, Cross Infection, Enterobacteriaceae, Humans, New South Wales, Tourniquets, Enterococcus, Equipment Reuse, beta-Lactam Resistance, Phlebotomy, Vancomycin Resistance, Drug Resistance, Multiple, Bacterial, Methicillin-Resistant Staphylococcus aureus, Bacterial Load
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