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Antimicrobial Resistance & Infection Control
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Open Access 01-12-2017 | Letter to the Editor

Effect of handrubbing using locally-manufactured alcohol-based handrubs in paediatric wards in Harare, Zimbabwe

Authors: Muchaneta Gudza-Mugabe, Marcelyn T. Magwenzi, Hilda A. Mujuru, Mutsa Bwakura-Dangarembizi, Valerie Robertson, Alexander M. Aiken

Published in: Antimicrobial Resistance & Infection Control | Issue 1/2017

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Abstract

We assessed bacterial contamination of hands of adults present in paediatric wards in two tertiary-care hospitals in Harare, Zimbabwe and the microbiologic efficacy of locally-manufactured alcohol-based hand rub (ABHR). During unannounced visits, samples were collected using hand-print and hand-rinse methods. Samples were collected from 152 individuals (16 nurses, 10 doctors, 28 students, 86 parents/guardians, 12 others). Contamination of hands with Gram-negative bacteria was found in 91% of adults tested with a mean of 14.6 CFU (hand-rinse method; IQR 3–65), representing a high risk for transmission of pathogens potentially leading to nosocomial infections. A single application of ABHR under controlled conditions achieved an average of 82% (or 0.72 log) reduction in detectable counts. Amongst 49 Enterobacteriaceae isolates from hands, 53% were resistant to gentamicin and 63% were resistant to cefpodoxime. Use of ABHR represents an attractive intervention for reducing nosocomial infections in this setting.
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Metadata
Title
Effect of handrubbing using locally-manufactured alcohol-based handrubs in paediatric wards in Harare, Zimbabwe
Authors
Muchaneta Gudza-Mugabe
Marcelyn T. Magwenzi
Hilda A. Mujuru
Mutsa Bwakura-Dangarembizi
Valerie Robertson
Alexander M. Aiken
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Antimicrobial Resistance & Infection Control / Issue 1/2017
Electronic ISSN: 2047-2994
DOI
https://doi.org/10.1186/s13756-016-0166-8

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