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Research Letter
May 2016

Multidrug-Resistant Organisms on Patients’ HandsA Missed Opportunity

Author Affiliations
  • 1Department of Pathology, University of Michigan Medical School, Ann Arbor
  • 2Veterans Affairs Healthcare System, Geriatric Research, Education, and Clinical Center, Ann Arbor, Michigan
  • 3Division of Geriatric and Palliative Medicine, University of Michigan Medical School, Ann Arbor
  • 4School of Public Health, University of Michigan, Ann Arbor
JAMA Intern Med. 2016;176(5):705-706. doi:10.1001/jamainternmed.2016.0142

Multidrug-resistant organisms (MDROs) are increasingly prevalent in post–acute care (PAC) facilities.1,2 Increased contact between health care workers, the environment, and patients in PAC facilities can increase the risk of MDRO cross-transmission3,4 because PAC patients may need assistance with activities of daily living and are encouraged to be mobile outside of their room for rehabilitation, dining, and other recreational activities. Much more than other anatomic sites, patients’ hands are more likely to come in contact with environmental surfaces, health care workers’ hands, and other patients in PAC facilities. Our objective was to evaluate baseline, new acquisition, and duration of MDRO hand carriage among patients newly admitted to PAC facilities from acute care hospitals.

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