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Download neck - Pilgrims Hospital
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Dr. Nikhilesh Todkari NECKTIE AS A POTENTIAL VECTOR OF INFECTION. Study carried out to assess Presence of potential pathogens on necktie frequency of laundering of ties attitude of doctors on not wearing a tie Potential pathogens included S.aureus Gram-negative VRE bacteria METHOD 1. Questionnaire 2. Grade and speciality Frequency of laundered necktie Preference of wearing a tie at work Incubation • • • Necktie swabbed Columbia blood agar used Incubation at 37 degrees for 48h. RESULTS 1/3 (95/265) of all male doctors took part NCHDs (61%) vs Consultants (13%) Grade Number Pathogens present Objection of not wearing a tie Intern 14 1 (7%) 5 (36%) SHO 14 4 (29%) 1 (7%) Registrar 49 8 (17%) 9 (18%) Consultant 18 4 (22%) 4 (22%) Total 95 17 (18%) 19 (20%) Pathogens Skin flora (CoNS, dipetheroids,micrococci) found on ALL ties. 10 ties - S.aureus 7 MRSA 3 MSSA 3 ties - mixture of Gram-negative bacilli and S.aureus VRE not detected on any tie NO significant association between doctor’s grade and prsence of pathogens. RESULTS 55% (52/95) NEVER laundered their tie. Only 15/95 had laundered tie in past 2 months No relationship between laundering of ties and number of pathogens. Majority of doctors 81% would be happy not to wear a tie to work. CONCLUSION Presence of skin flora on ties suggests they are handled regularly Laundering of ties has no impact on bacterial colonisation Majority of doctors surveyed had no objection to not wearing a tie. Is it time to hang the tie?
