Contaminación bacteriológica en teléfonos celulares de trabajadores de la salud en ambiente clínico: revisión sistemática
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Publicado:
abr. 1, 2020
Palabras clave:
teléfono celular, personal de salud, contaminación, infección hospitalaria
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Resumen
Se realizó una revisión sistemática para identificar microorganismos reportados como agentes contaminantes en teléfonos celulares de trabajadores de la salud, que realizan actividades en ambientes clínicos. Se incluyeron publicaciones entre 2008 y 2018, mediante búsqueda en seis bases de datos usando palabras clave como “nosocomial pathogen” "healthcare workers" y "cell phone", entre otros. Dos investigadores de forma independiente realizaron la búsqueda y revisión de artículos. La calidad de los mismos se evaluó mediante lista de chequeo STROBE. Veintiún artículos fueron analizados. En todos los estudios se identificó presencia de contaminación en los celulares de los trabajadores de la salud, con una mediana de 84,3%, resaltando la presencia de Staphylococcus aureus (85,7%) y Escherichia coli (61,9%). Se concluye que el uso de los teléfonos celulares en ambiente hospitalario por parte de los trabajadores de la salud se constituye en una fuente potencial de trasmisión de microorganismos de interés clínico.
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Castellanos-Domínguez, Y. Z. ., Cruz, M. C. ., Jiménez, L. T. ., & Solano, J. A. . (2020). Contaminación bacteriológica en teléfonos celulares de trabajadores de la salud en ambiente clínico: revisión sistemática. Duazary, 17(2), 32–44. https://doi.org/10.21676/2389783X.3231
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Artículo de revisión
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Citas
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4. Chopra RC. The Association between Cellular Phone Usage and Brain Neoplasms. 2016;103-15. Disponible en: http://www.scirp.org/journal/odem
5. Hosseini R, Hosseini R, Moradi M. Evaluation of the cell phone microbial contamination in dental and engineering schools : Effect of antibacterial spray. J Epidemiol Glob Health [Internet]. 2017;1-6. Doi: https://doi.org/10.1016/j.jegh.2017.10.004
6. Loyola S, Gutierrez L, Horna G, Petersen K, Agapito J, Osada J. Extended-spectrum β-lactamase–producing Enterobacteriaceae in cell phones of health care workers from Peruvian pediatric and neonatal intensive care units. Am J Infect Control [Internet]. 2016;44(8):1-7. Doi: http://dx.doi.org/10.1016/j.ajic.2016.02.020
7. Zakai S, Mashat A, Abumohssin A, Samarkandi A, Almaghrabi B, Barradah H, et al. Bacterial contamination of cell phones of medical students at King Abdulaziz University, Jeddah, Saudi Arabia. J Microsc Ultrastruct. 2016;4(3):143-6. Disponible en: http://www.jmau.org/text.asp?2016/4/3/143/224860
8. Brady RRW, Verran J, Damani NN, Gibb AP. Review of mobile communication devices as potential reservoirs of nosocomial pathogens. J Hosp Infect [Internet]. 2009;71(4):295-300. Doi: http://dx.doi.org/10.1016/j.jhin.2008.12.009
9. Kotris I, Drenjančević D, Talapko J, Bukovski S. Identification of microorganisms on mobile phones of intensive care unit health care workers and medical students in the tertiary hospital. Med Glas. 2017;14(1):85-90. Doi: https://doi.org/10.17392/878-16
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11. Kordecka A, Cecylia Ł, Ku W. Isolation frequency of Candida present on the surfaces of mobile phones and handsx. BMC Infect Dis. 2016;16(238):1-7. Doi: https://doi.org/10.1186/s12879-016-1577-0
12. Ulger F, Dilek A, Esen S, Sunbul M, Leblebicioglu H. Review Are healthcare workers ’ mobile phones a potential source of nosocomial infections ? Review of the literature. J Infect Dev Ctries. 2015;9(10):1046-53. Doi: https://doi.org/10.3855/jidc.6104
13. Oscar BG. Revisiones sistematicas de la literatura. Rev Colomb Gastroenterol. 2005;20 (1):60-9. Disponible en: http://www.scielo.org.co/pdf/rcg/v20n1/v20n1a09.pdf
14. Donis J. Tipos de diseños de los estudios clínicos y epidemiológicos. Av en Biomed. 2013;2(2):76-99. Disponible en: http://www.redalyc.org/pdf/3313/331327989005.pdf
15. Vandenbroucke JP, Elm E Von, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the Reporting of Observational Studies in Epidemiology ( STROBE ): Explanation and elaboration *. Int J Surg [Internet]. 2014;12(12):1500-24. Doi: http://dx.doi.org/10.1016/j.ijsu.2014.07.014
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24. Muñoz-Escobedo J, Varela-Castillo L, Chávez-Romero P, Becerra-Sánchez A, Moreno-García M. Bacterias patógenas aisladas de teléfonos celulares del personal y alumnos de la Clínica Multidisciplinaria (CLIMUZAC) de la Unidad Académica de Odontología de la UAZ. Arch Venez Farmacol y Ter. 2012;31(2):23-31. Disponible: http://www.redalyc.org/articulo.oa?id=55924950005
25. Loyola S, Gutierrez L, Severino N, Tamariz J. Multidrug-resistant bacteria isolated from cell phones in five intensive care units : Exploratory dispersion analysis. Germs. 2018;8(2):85-91. . Doi: https://doi.org/10.18683/germs.2018.1135.
26. Karkee P, Sk M, Humagain P, Thaku N, Timilsina B. Mobile Phone : A Possible Vector of Bacterial Transmission in Hospital Setting. Kathmandu Uni Med. 2017;59(3):217-21. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30353896
27. Chang C, Chen S, Lu J, Chang C. Nasal colonization and bacterial contamination of mobile phones carried by medical staff in the operating room. PLoS One. 2017;12(5):e0175811. Doi: https://doi.org/10.1371/journal.pone.0175811
28. Channabasappa S, Venkatarao G, Dharmappa S. A study of microbiological contamination of mobile phones in operating room personnel and efficacy of decontamination with 2% isopropyl alcohol. J Evol Med Dent Sci. 2016;5(10):438-41. Doi: https://doi.org/10.14260/jemds/2016/100
29. Heyba M, Ismaiel M, Alotaibi A, Mahmoud M, Baqer H, Safar A, et al. Microbiological contamination of mobile phones of clinicians in intensive care units and neonatal care units in public hospitals in Kuwait. BMC Infect Dis [Internet]. 2015;15(434):1-9. Doi: http://dx.doi.org/10.1186/s12879-015-1172-9
30. Mark D, Leonard C, Breen H, Graydon R, Gorman CO, Kirk S. Mobile phones in clinical practice : reducing the risk of bacterial contamination. Int J Clin Pr. 2014;68(9):1060-4. Doi: https://doi.org/10.1111/ijcp.12448
31. Nwankwo EO, Ekwunife N, Mofolorunsho KC. Nosocomial pathogens associated with the mobile phones of healthcare workers in a hospital in Anyigba , Kogi state , Nigeria. J Epidemiol Glob Health. 2014;4:135-40. Doi: https://doi.org/10.1016/j.jegh.2013.11.002
32. Reddy S, Tapashetti S, Prasad B, Kumar V, Kallapanavar N. Microbiological Profile of Organisms Cultured from Medical Staff Mobile Phones in ICU Units at a Tertiary Care Hospital K. Indian J Public Heal Res Dev. 2013;4(4):34-7. Doi: https://doi.org/10.5958/j.0976-5506.4.4.137
33. Brady R, Chitnis S, Stewart R, Graham C, Yalamarthi S, Morris K. NHS Connecting for Health: Healthcare Professionals, Mobile Technology, and Infection Control. Telemed e-health. 2012;18(4):289-92. Doi: https://doi.org/10.1089/tmj.2011.0147
34. Mohammadi-Sichani M, Karbasizadeh V. Bacterial contamination of healthcare workers mobile phones and efficacy of surface decolonization techniques. African J Microbiol Res. 2011;5(30):5415-8. Doi: https://doi.org/10.5897/AJMR11.1062
35. Brady R, Hunt A, Visvanathan A, Rodrigues M, Graham C, Rae C, et al. Mobile phone technology and hospitalized patients : a cross-sectional surveillance study of bacterial colonization , and patient opinions and behaviours. Clin Microbiol Infect. 2011;17(6):830-5. Doi: https://doi.org/10.1111/j.1469-0691.2011.03493.x
36. Tekerekoglu M, Duman Y, Serindag A, Cuglan S, Kaysadu H, Tunc E, et al. Do mobile phones of patients, companions and visitors carry multidrug-resistant hospital pathogens ? Am J Infect Control. 2011;39(5):379-81. Doi: https://doi.org/10.1016/j.ajic.2010.10.026
37. Srikanth P, Rajaram E, Sudharsanam S, Lakshmanan A, Sivamurugan U, Mariappan S, et al. Mobile phones : emerging threat for infection control. J Infect Prev. 2010;11(3):87-90. Doi: https://doi.org/10.1177/1757177410364866
38. Sadat-Ali M, Al-Omran AK, Azam Q, Bukari H. Bacterial flora on cell phones of health care providers in a teaching institution. Am J Infect Control Epidemiol [Internet]. 2010;38(5):404-5. Doi: http://dx.doi.org/10.1016/j.ajic.2009.08.007
39. Ulger F, Esen S, Dilek A, Yanik K, Gunaydin M, Leblebicioglu H. Are we aware how contaminated our mobile phones with nosocomial pathogens ? Ann Clin Microbiol Antimicrob. 2009;8(7):1-4. Doi: https://doi.org/10.1186/1476-0711-8-7
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2. Coiera E, Aarts J, Kulikowski C. The dangerous decade. J Am Med Inf Assoc. 2012;19:2-5. Doi: https://doi.org/10.1136/amiajnl-2011-000674
3. Cedeño-Luna R, Alcívar-Vaca K, Ponce-Vásquez D. Observations about mobile devices. Dom Cien. 2017;3(4):89-103. Disponible en: http://dominiodelasciencias.com/ojs/index.php/es/index
4. Chopra RC. The Association between Cellular Phone Usage and Brain Neoplasms. 2016;103-15. Disponible en: http://www.scirp.org/journal/odem
5. Hosseini R, Hosseini R, Moradi M. Evaluation of the cell phone microbial contamination in dental and engineering schools : Effect of antibacterial spray. J Epidemiol Glob Health [Internet]. 2017;1-6. Doi: https://doi.org/10.1016/j.jegh.2017.10.004
6. Loyola S, Gutierrez L, Horna G, Petersen K, Agapito J, Osada J. Extended-spectrum β-lactamase–producing Enterobacteriaceae in cell phones of health care workers from Peruvian pediatric and neonatal intensive care units. Am J Infect Control [Internet]. 2016;44(8):1-7. Doi: http://dx.doi.org/10.1016/j.ajic.2016.02.020
7. Zakai S, Mashat A, Abumohssin A, Samarkandi A, Almaghrabi B, Barradah H, et al. Bacterial contamination of cell phones of medical students at King Abdulaziz University, Jeddah, Saudi Arabia. J Microsc Ultrastruct. 2016;4(3):143-6. Disponible en: http://www.jmau.org/text.asp?2016/4/3/143/224860
8. Brady RRW, Verran J, Damani NN, Gibb AP. Review of mobile communication devices as potential reservoirs of nosocomial pathogens. J Hosp Infect [Internet]. 2009;71(4):295-300. Doi: http://dx.doi.org/10.1016/j.jhin.2008.12.009
9. Kotris I, Drenjančević D, Talapko J, Bukovski S. Identification of microorganisms on mobile phones of intensive care unit health care workers and medical students in the tertiary hospital. Med Glas. 2017;14(1):85-90. Doi: https://doi.org/10.17392/878-16
10. Pillet S, Berthelot P, Mory O, Gay C, Viallon A, Lucht F, et al. Contamination of healthcare workers ’ mobile phones by epidemic viruses. Clin Microbiol Infect [Internet]. 2016;22(5):456.e1-456.e6. Doi: http://dx.doi.org/10.1016/j.cmi.2015.12.008
11. Kordecka A, Cecylia Ł, Ku W. Isolation frequency of Candida present on the surfaces of mobile phones and handsx. BMC Infect Dis. 2016;16(238):1-7. Doi: https://doi.org/10.1186/s12879-016-1577-0
12. Ulger F, Dilek A, Esen S, Sunbul M, Leblebicioglu H. Review Are healthcare workers ’ mobile phones a potential source of nosocomial infections ? Review of the literature. J Infect Dev Ctries. 2015;9(10):1046-53. Doi: https://doi.org/10.3855/jidc.6104
13. Oscar BG. Revisiones sistematicas de la literatura. Rev Colomb Gastroenterol. 2005;20 (1):60-9. Disponible en: http://www.scielo.org.co/pdf/rcg/v20n1/v20n1a09.pdf
14. Donis J. Tipos de diseños de los estudios clínicos y epidemiológicos. Av en Biomed. 2013;2(2):76-99. Disponible en: http://www.redalyc.org/pdf/3313/331327989005.pdf
15. Vandenbroucke JP, Elm E Von, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the Reporting of Observational Studies in Epidemiology ( STROBE ): Explanation and elaboration *. Int J Surg [Internet]. 2014;12(12):1500-24. Doi: http://dx.doi.org/10.1016/j.ijsu.2014.07.014
16. Colombia. Ministerio de Salud. Resolución 8430 de 1993 por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Bogotá. El Ministerio; 1993. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
17. Colombia. Congreso de la República. Ley Estatutaria 1581 de 2012 por la cual se dictan disposiciones generales para la protección de datos personales. Diario Oficial, 48587 (Oct. 18 2012). Disponible en: http://www.secretariasenado.gov.co/senado/basedoc/ley_1581_2012.html
18. Colombia. Ministerio de comercio, industria y turismo. Decreto 1377 de 2013 por el cual se reglamenta parcialmente la Ley 1581 de 2012. Diario Oficial, 48834 (Jun. 27 2013). Disponible en: http://wsp.presidencia.gov.co/Normativa/Decretos/2013/Documents/JUNIO/27/DECRETO%201377%20DEL%2027%20DE%20JUNIO%20DE%202013.pdf
19. Colombia. Congreso de la República. Ley 23 de 1982 sobre derechos de autor. Bogotá: El Congreso; 1982. Disponible en: http://derechodeautor.gov.co/documents/10181/182597/23.pdf/a97b8750-8451-4529-ab87-bb82160dd226
20. Colombia. Congreso de la República. Ley 44 de 1993 por la cual se modifica y adiciona la ley 23 de 1982 y se modifica la ley 29 de 1994. Diario oficial 40740 ( Feb. 5 1993). 1993. Disponible en: http://derechodeautor.gov.co/documents/10181/182597/44.pdf/7875d74e-b3ef-4a8a-8661-704823b871b5
21. García-Stuchi R, De-Almeida-Silva C, Soares B, Arreguy-Sena C. Bacterial and fungal contamination of mobile phones belonging to the health team of a hospital in minas gerais state. Cienc Cuid Saude. 2013;12(4):760-7.
22. Nirupa S, Bhabu V, Jeya M. Can mobilephones act as vehicles transmitting nosocomial infections? Int J Pharma Bio Sci Microbiol. 2013;4(1):859-64. Disponible en: https://ijpbs.net/abstract.php?article=MTk4Nw
23. Lee YJ, Yoo C, Lee C, Chung HS. Contamination Rates Between Smart Cell Phones and Non-Smart Cell Phones of Healthcare Workers. J Hosp Med. 2013;8(3):2011-4. Doi: https://doi.org/10.1002/jhm.2011
24. Muñoz-Escobedo J, Varela-Castillo L, Chávez-Romero P, Becerra-Sánchez A, Moreno-García M. Bacterias patógenas aisladas de teléfonos celulares del personal y alumnos de la Clínica Multidisciplinaria (CLIMUZAC) de la Unidad Académica de Odontología de la UAZ. Arch Venez Farmacol y Ter. 2012;31(2):23-31. Disponible: http://www.redalyc.org/articulo.oa?id=55924950005
25. Loyola S, Gutierrez L, Severino N, Tamariz J. Multidrug-resistant bacteria isolated from cell phones in five intensive care units : Exploratory dispersion analysis. Germs. 2018;8(2):85-91. . Doi: https://doi.org/10.18683/germs.2018.1135.
26. Karkee P, Sk M, Humagain P, Thaku N, Timilsina B. Mobile Phone : A Possible Vector of Bacterial Transmission in Hospital Setting. Kathmandu Uni Med. 2017;59(3):217-21. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30353896
27. Chang C, Chen S, Lu J, Chang C. Nasal colonization and bacterial contamination of mobile phones carried by medical staff in the operating room. PLoS One. 2017;12(5):e0175811. Doi: https://doi.org/10.1371/journal.pone.0175811
28. Channabasappa S, Venkatarao G, Dharmappa S. A study of microbiological contamination of mobile phones in operating room personnel and efficacy of decontamination with 2% isopropyl alcohol. J Evol Med Dent Sci. 2016;5(10):438-41. Doi: https://doi.org/10.14260/jemds/2016/100
29. Heyba M, Ismaiel M, Alotaibi A, Mahmoud M, Baqer H, Safar A, et al. Microbiological contamination of mobile phones of clinicians in intensive care units and neonatal care units in public hospitals in Kuwait. BMC Infect Dis [Internet]. 2015;15(434):1-9. Doi: http://dx.doi.org/10.1186/s12879-015-1172-9
30. Mark D, Leonard C, Breen H, Graydon R, Gorman CO, Kirk S. Mobile phones in clinical practice : reducing the risk of bacterial contamination. Int J Clin Pr. 2014;68(9):1060-4. Doi: https://doi.org/10.1111/ijcp.12448
31. Nwankwo EO, Ekwunife N, Mofolorunsho KC. Nosocomial pathogens associated with the mobile phones of healthcare workers in a hospital in Anyigba , Kogi state , Nigeria. J Epidemiol Glob Health. 2014;4:135-40. Doi: https://doi.org/10.1016/j.jegh.2013.11.002
32. Reddy S, Tapashetti S, Prasad B, Kumar V, Kallapanavar N. Microbiological Profile of Organisms Cultured from Medical Staff Mobile Phones in ICU Units at a Tertiary Care Hospital K. Indian J Public Heal Res Dev. 2013;4(4):34-7. Doi: https://doi.org/10.5958/j.0976-5506.4.4.137
33. Brady R, Chitnis S, Stewart R, Graham C, Yalamarthi S, Morris K. NHS Connecting for Health: Healthcare Professionals, Mobile Technology, and Infection Control. Telemed e-health. 2012;18(4):289-92. Doi: https://doi.org/10.1089/tmj.2011.0147
34. Mohammadi-Sichani M, Karbasizadeh V. Bacterial contamination of healthcare workers mobile phones and efficacy of surface decolonization techniques. African J Microbiol Res. 2011;5(30):5415-8. Doi: https://doi.org/10.5897/AJMR11.1062
35. Brady R, Hunt A, Visvanathan A, Rodrigues M, Graham C, Rae C, et al. Mobile phone technology and hospitalized patients : a cross-sectional surveillance study of bacterial colonization , and patient opinions and behaviours. Clin Microbiol Infect. 2011;17(6):830-5. Doi: https://doi.org/10.1111/j.1469-0691.2011.03493.x
36. Tekerekoglu M, Duman Y, Serindag A, Cuglan S, Kaysadu H, Tunc E, et al. Do mobile phones of patients, companions and visitors carry multidrug-resistant hospital pathogens ? Am J Infect Control. 2011;39(5):379-81. Doi: https://doi.org/10.1016/j.ajic.2010.10.026
37. Srikanth P, Rajaram E, Sudharsanam S, Lakshmanan A, Sivamurugan U, Mariappan S, et al. Mobile phones : emerging threat for infection control. J Infect Prev. 2010;11(3):87-90. Doi: https://doi.org/10.1177/1757177410364866
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