1. Computer Keyboard and Mouse as a Reservoir of Pathogens in an Intensive Care Unit.
- Author
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Bernd Hartmann, Matthias Benson, Axel Junger, Lorenzo Quinzio, and Rainer Röhrig
- Abstract
Objective. User interfaces of patient data management systems (PDMS) in intensive care units (ICU), like computer keyboard and mouse, may serve as reservoirs for the transmission of microorganisms. Pathogens may be transferred via the hands of personnel to the patient causing nosocomial infections. The purpose of this study was to examine the microbial contamination of computer user interfaces with potentially pathogenic microorganisms, compared with other fomites in a surgical intensive care unit of a tertiary teaching hospital. Methods. Sterile swab samples were received from patients bedside computer keyboard and mouse, and three other sites (infusion pumps, ventilator, ward round trolley) in the patients room in a 14 bed surgical intensive care unit at a university hospital. At the central ward samples from keyboard and mouse of the physicians workstation, and control buttons of the wards intercom and telephone receiver were obtained. Quantitative and qualitative bacteriological sampling occurred during two periods of three months each on eight nonconsecutive days. Results. In all 14 patients rooms we collected a total of 1118 samples: 222 samples from keyboards and mice, 214 from infusion pumps and 174 from the wards trolley. From the central ward 16 samples per fomites were obtained (computer keyboard and mouse at the physicians workstation and the wards intercom and telephone receiver). Microbacterial analysis from samples in patients rooms yielded 26 contaminated samples from keyboard and mouse (5.9%) compared with 18 positive results from other fomites within patients rooms (3.0%; p < 0.02). At the physicians computer terminal two samples obtained from the mouse (6.3%) showed positive microbial testing whereas the wards intercom and telephone receiver were not contaminated (p = 0.15). Conclusions. The colonization rate for computer keyboard and mouse of a PDMS with potentially pathogenic microorganisms is greater than that of other user interfaces in a surgical ICU. These fomites may be additional reservoirs for the transmision of microorganisms and become vectors for cross-transmission of nosocomial infections in the ICU setting. [ABSTRACT FROM AUTHOR]
- Published
- 2004