Impact of disinfectant-filled foot mats on mechanical transmission of bacteria in a veterinary teaching hospital.

OBJECTIVE To evaluate the efficacy of disinfectant-filled foot mats at reducing tracking of Salmonella enterica and overall bacterial contamination on floors in a veterinary teaching hospital. DESIGN Prospective study. Samples-Bacteria collected from floors before and after placement of disinfectant-filled foot mats. PROCEDURES Foot mats filled with a phenolic-based disinfectant were placed at key transition areas in common-use corridors between the large animal hospital (LAH) and small animal hospital in a veterinary medical teaching hospital. Microbiological samples were collected for total bacterial counts and for the presence of S enterica at 14 designated sample sites in the veterinary medical teaching hospital. Samples were collected at regular intervals for 7 months before mat placement and for 13 months after mat placement. RESULTS Median numbers of aerobic bacteria isolated before and after disinfectant mat placement were not significantly different for most sites sampled. For 3 of the 4 transition areas between the LAH and connecting common-use corridor, there was a significant difference in median bacterial counts on either side of the threshold. This difference was significant regardless of whether a disinfectant mat was present or not. Salmonella enterica isolates were cultured from several sites in the LAH and sites outside the LAH, irrespective of the presence of a disinfectant mat. CONCLUSIONS AND CLINICAL RELEVANCE -Disinfectant-filled mats may not be uniformly effective in reducing the bacterial load on floors or in reducing mechanical tracking of S enterica from contaminated areas in a veterinary teaching hospital. Further studies are needed to determine effective measures to reduce mechanical transmission of bacteria on footwear in veterinary hospitals.

[1]  S. Gauld,et al.  Comparison of methods to control floor contamination in an animal research facility , 2012, Lab Animal.

[2]  S. Rankin,et al.  Outbreak of salmonellosis caused by Salmonella enterica serovar Newport MDR-AmpC in a large animal veterinary teaching hospital. , 2010, Journal of veterinary internal medicine.

[3]  P. Morley,et al.  Detection and control of a nosocomial outbreak caused by Salmonella newport at a large animal hospital. , 2010, Journal of veterinary internal medicine.

[4]  Kenneth P Allen,et al.  Efficacy of footwear disinfection and shoe cover use in an animal research facility , 2010, Lab Animal.

[5]  M. Dunowska,et al.  Evaluation of the efficacy of a peroxygen disinfectant-filled footmat for reduction of bacterial load on footwear in a large animal hospital setting. , 2006, Journal of the American Veterinary Medical Association.

[6]  S. Amass,et al.  Effectiveness of using a mat filled with a peroxygen disinfectant to minimize shoe sole contamination in a veterinary hospital. , 2006, Journal of the American Veterinary Medical Association.

[7]  M. Dunowska,et al.  Evaluation of the effects of footwear hygiene protocols on nonspecific bacterial contamination of floor surfaces in an equine hospital. , 2006, Journal of the American Veterinary Medical Association.

[8]  P. Morley,et al.  Evaluation of the efficacy of disinfectant footbaths as used in veterinary hospitals. , 2005, Journal of the American Veterinary Medical Association.

[9]  S. Amass,et al.  Evaluation of current and novel protocols for disinfection of airplane passenger footwear under simulated conditions. , 2005, Preventive veterinary medicine.

[10]  J. Traub-Dargatz,et al.  Multidrug-resistant Salmonella and nosocomial infections. , 2004, The Veterinary clinics of North America. Equine practice.

[11]  R. MacKay,et al.  Risk factors associated with fecal Salmonella shedding among hospitalized horses with signs of gastrointestinal tract disease. , 2004, Journal of the American Veterinary Medical Association.

[12]  M. Ward,et al.  Risk factors for fecal shedding of Salmonella from horses in a veterinary teaching hospital. , 2003, Preventive veterinary medicine.

[13]  M. Manfrini,et al.  Hospital use of decontaminating mats. , 2003, The Journal of hospital infection.

[14]  S. Amass,et al.  Evaluation of the efficacy of a peroxygen compound, Virkon(R)S, as a boot bath disinfectant , 2001 .

[15]  S. Ewart,et al.  An outbreak of salmonellosis among horses at a veterinary teaching hospital. , 2001, Journal of the American Veterinary Medical Association.

[16]  Jason H. Stover,et al.  Evaluating the efficacy of boot baths in biosecurity protocols , 2000 .

[17]  J. Traub-Dargatz,et al.  Outbreak of Salmonella infantis infection in a large animal veterinary teaching hospital. , 1997, Journal of the American Veterinary Medical Association.

[18]  S. Mcguirk,et al.  Control of an outbreak of salmonellosis caused by drug-resistant Salmonella anatum in horses at a veterinary hospital and measures to prevent future infections. , 1996, Journal of the American Veterinary Medical Association.

[19]  A. Hambraeus,et al.  The influence of different footwear on floor contamination. , 1979, Scandinavian journal of infectious diseases.