Authors

1 Department of Medical Library and Information Sciences, School of Health Management and Medical Information, Isfahan University of Medical Sciences

2 Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan

3 Department of Medical Library and Information Sciences, School of Health Management and Medical Information, Isfahan University of Medical Sciences, Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Science, Tehran, Iran

Abstract

Introduction: During the library loan process, the printed resources can be a carrier of
pathogenic bacteria. In this study, it was tried to compare the Bacterial Contamination Rates
and their antibiotic sensitivity pattern in printed resources of a hospital and a non‑hospital
library. Methods: This is a cross‑sectional study. Returning books from the Al‑Zahra hospital
library and library of Sciences faculty of Isfahan University provides the research community.
The sample size, 96 cases, was calculated using quota sampling. For sampling sterile swab
dipped in trypticase soy broth medium and transfer trypticase soy broth medium were
used. To identify different type of isolated bacteria from Gram‑staining test and biochemical
tests such as; TSI, IMViC and etc., were used. Results: 76 (79.2%) and 20 (20.8%) of
cultured samples were negative and positive, the respectively. Of 20 positive samples,
11 samples (55%) belong to the family Enterobacteriaceae that after detecting by Differential
teste identified all 11 samples of Enterobacter that all of them were sensitive to Gentamicin
and Ofloxacin. Also the most resistance to Nitrofurantoin and Amikacin was observed. 9 cases
remained (45%) were coagulase‑negative Staphylococcus that all of them were sensitive to the
Trimethoprim‑sulfamethoxazole and Cephalexin antibiotics also the most resistance to Cefixime
was observed. Conclusion: Considering that the Enterobacter sp and coagulase‑negative
Staphylococcus were separated from the books, the books as well as other hospital and
medical equipment can transmit the infection to librarians, library users, patients and hospital
staff, and also it can produce serious infections in patients with immune deficiency.

Keywords

1. Uneke CJ, Ijeoma PA. The potential for nosocomial infection
transmission by white coats used by physicians in Nigeria:
Implications for improved patient‑safety initiatives. World Health
Popul 2010;11:44‑54.
2. Nobahar M, Vafaei A. Investigation of bacterial agents, hand‑washing
evaluation in nursing personnel and its role in the prevention of
nosocomial infection. Iran J Infect Dis Trop Med 2004;9:1‑6.
3. Brady RR, McDermott C, Graham C, Harrison EM, Eunson G,
Fraise AP, et al. A prevalence screen of MRSA nasal colonisation
amongst UK doctors in a non‑clinical environment. Eur J Clin
Microbiol Infect Dis 2009;28:991‑5.
4. Naderinasab M, Ghabouli M, Naderi H, Zarif R, Gholoobi A,
Hedayati ES, et al. Nasal carriage of Staphylococcus aureus and its
relation to hand contamination of the staff of Imam Reza hospital.
Iran J Otorhinolaryngol 2009;21:95‑9.
5. Tambic A, Power EG, Tambic T, Snur I, French GL. Epidemiological
analysis of methicillin‑resistant Staphylococcus aureus in a
Zagreb Trauma Hospital using a randomly amplified polymorphic
DNA‑typing method. Eur J Clin Microbiol Infect Dis 1999;18:335‑40.
6. Jalalpoor S, Kasra‑Kermanshahi R, Nouhi A, Zarkesh‑Esfahani H.
Frequency of â‑lactamase enzyme and antibiogram pattern in
bacterial flora isolated from staffs hands. Zahedan J Res Med Sci
2011c; 13:44‑9.
7. Jalalpour S, Kermanshahi RK, Nouhi AS, Zarkesh‑Esfahani H.
Surveying the frequency of β‑lactamase enzyme and antibiotic
sensitivity pattern in isolated pathogen bacteria from low and high
hospital contact surfaces. Pajoohandeh J 2010;15:77‑82.
8. Wiener‑Well Y, Galuty M, Rudensky B, Schlesinger Y, Attias D,
Yinnon AM. Nursing and physician attire as possible source of
nosocomial infections. Am J Infect Control 2011;39:555‑9.
9. Dohmae S, Okubo T, Higuchi W, Takano T, Isobe H, Baranovich Tet al. Bacillus cereus nosocomial infection from reused towels in
Japan. J Hosp Infect 2008;69:361‑7.
10. Creamer E, Humphreys H. The contribution of beds to
healthcare‑associated infection: The importance of adequate
decontamination. J Hosp Infect 2008;69:8‑23.
11. Zobeiri M, Karami‑Matin B. Determining of microbial contamination
and its related factors in hands of ICU staff in the hospitals of
Kermanshah (2002). J Kermanshah Univ Med Sci 2005;9:52‑57.
12. Aslani Y, Saadat M, Etemadifar S, Afzali M. Survey of microbial
contamination of Shahre Kord Haajar education and treatment
centre different hospital. Equip Sci J Hamadan Nurs Midwifery Fac
2009;17:19‑23.
13. Arab M, Abbas‑Zadeh A, Ahmad Rajabi R, Shakibaei M. Bacterial
contamination of equipment, staff and determine antibiotic
resistance in Imam Khomeini and Mahdieh hospitals of Bam Razi
faculty J Nurs Midwifery 2008;8:8‑15.
14. Panagea S, Panagea S, Winstanley C, Walshaw MJ, Ledson MJ,
Hart CA. Environmental contamination with an epidemic strain of
Pseudomonas aeruginosa in a Liverpool cystic fibrosis centre, and
study of its survival on dry surfaces. J Hosp Infect 2005;59:102‑7.
15. Embil JM, Zhanel GG, Plourde PJ, Hoban D. Scissors: A potential
source of nosocomial infection. Infect Control Hosp Epidemiol
2002;23:147‑51.
16. Bernard L, Kereveur A, Durand D, Gonot J, Goldstein F, Mainardi JL,
et al. Bacterial contamination of hospital physicians’ stethoscopes.
Infect Control Hosp Epidemiol 1999;20:626‑8.
17. Koneman EW, Allen SD, Janda WM, Schreckenberger PC, Winn WC.
Color Atlas and Textbook of Diagnostic Microbiology. 4th ed.
Philadelphia: J.B. Lippincott Company 1992. p. 496.
18. Chadeganipour M, Ojaghi R, Rafiei R, Afshar M, Hashemi ST.
Bio‑deterioration of library materials: Study of fungi threatening
printed materials of libraries in Isfahan University of Medical
Sciences in 2011. Jundishapur J Microbiol 2013;6:127‑31.
19. Akbari M, Davodzadeh M, Rozbahani H, Tarrahi MJ, Baiat A,
Radsari E. Study of different kinds of pathogens isolated from gowns
of Shohadaye‑Ashayer hospital personnel’s during 2002‑2003 time
period. Yafteh 2005;7:11‑6.
20. Alighardashi M, Aeini M, Naeinian F, Mohamadi H. The amount and
type of microbial contamination on cell phones of medical staff in
Shahid Beheshti Hospital, Hamadan, Iran. J Health Syst Res 2012;7:1‑9.
21. Brook SJ, Brook I. Are public library books contaminated by
bacteria? J Clin Epidemiol 1994;47:1173‑4.
22. Hashemian F, Yousefi Mashoof R, Mani Kashani K. Prevalence of
bacterial contamination of operating rooms and some related factors
in educational hospitals, Hamedan University of Medical Sciences
in 1375. Sci J Hamadan Univ Med Sci Health Serv 2003;8:39‑42.
23. Ghazi‑saeedi K, Nasab FF, Vatani S, Mohamadi M, Ghaemi E.
Bacterial mastitis in lactating women attending Mirzakochackkhan
hospital during 2003‑2004 and the sensitivity pattern of the involved
bacteria. J Kerman Univ Med Sci 2007;14:1‑8.
24. El‑Dars FM, Hassan WM. A preliminary bacterial study of Egyptian
paper money. Int J Environ Health Res 2005;15:235‑9.