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Laboratory Coats As A Reservoir For Pathogen Transmission [2024 Insights]

The probability of laboratory coats as a reservoir for pathogen transmission cannot be disregarded. This silent threat on lab safety should therefore not be overlooked.

Author:Suleman Shah
Reviewer:Han Ju
Sep 06, 2024
1.4K Shares
141.2K Views
People working in scientific and medical environments must become aware of laboratory coats as a reservoir for pathogen transmission.
Nosocomial infections within hospitals and clinics remain an important topic of discussion amongst the healthcare community.
Handwashing is known to limit disease transmission in both healthcare and community settings.
However, the extent of the relationship between clothing worn by healthcare professionals and disease transmissionis still unclear.
Viable infectious organisms have been recovered from the clothes of healthcare workers, such as:
  • methicillin-resistant Staphylococcus aureus (MRSA)
  • Clostridium difficile/C. difficile
  • vancomycin-resistant Enterococcus/Enterococci (VRE)
These organisms are particularly found on:
  • sleeves
  • waist areas
  • neckties
As a result, guidelines have been established by the U.S. Centers for Disease Control (CDC) and the U.S. National Health Service (NHS)for the proper handling of clothing worn by healthcare workers.
Similar policies are not established for people in a cadaver laboratory setting.
Literature regarding the potential of anatomy student garments as a reservoir for transmission of infectious microorganisms is scant.
In the present study, a group of researchers at the American University of the Caribbean School of Medicinein Sint Maarten tested the laboratory coats of anatomy students for the presence of bacteria.

Methods And Results

In conducting the study, the authors used the following:
Analytical Profile Index (API) identification stripsMacConkey plates (MAC)
antibiotic resistance discsmannitol salt agar plates (MSA)
bile esculin azide (BEA) platesnutrient agar plates
chocolate agar platesrefrigerator
coagulase kitssaline solution
gram staining kitssheep blood agar plates (BAP)
hydrogen peroxidesterile inoculating loops
incubatorssterile swabs
Samples used in our study were obtained from laboratory coats of anatomy student volunteers.
In order to guarantee anonymity, each participant and corresponding sample were assigned a random and unique number, which was only accessible by the investigators involved in the study.
Using sterile saline moistened swabs, samples were obtained from the sleeves and front of volunteer lab coats.
Each swab was used to inoculate a:
  • sheep blood agar plate (BAP)
  • mannitol salt agar plate (MSA)
  • nutrient agar plate
  • bile esculin azide (BEA) agar plate
  • chocolate agar plate
  • MacConkey agar plate (MAC)
Each plate was then streaked for isolation using sterile disposable inoculating loops.
Sheep blood agar plates were incubated at 37°C in a candle jar in low-oxygen conditions. MSA, MAC, nutrient, chocolate agar, and BEA plates were incubated at 37°C in room air.
MSA was used to help select for Staphylococcus species. BEA was used to select for Enterococcus.
Identification of organisms was performed based upon:
  • colony morphology
  • gram stain characteristics
  • catalase and coagulase activity
  • growth and microscopic morphology
  • API Identification Strip reaction characteristics
Vancomycin and oxacillin discs were used for determination of antibiotic resistance of S. aureus organisms.

Discussion

This study demonstrates the presence of a wide range of bacteria - from normal flora to known pathogenic organisms - on garments worn in the anatomy cadaver laboratory.
Significantly, three Staphylococcus aureus isolates were recovered from student laboratory coats.
They were resistant to these two antibiotic medications:
  • vancomycin
  • oxacillin
The surfaces of the cadavers dissected by these students were sampled and those results were previously presented.
Although some similar organisms were recovered from the laboratory coats of student volunteers and the cadaver surfaces, conclusive transmission of organisms could not be established.
There were additional possible sources of the bacterial organisms found on the student laboratory coats. They include:
  • the homes of students
  • lockers
  • anatomy laboratory surfaces and equipment
  • flora from the students’ bodies

Conclusion

The detection of vancomycin and oxacillin-resistant strains of Staphylococcus aureus from the laboratory coats of anatomy students suggests that clothing may harbor pathogenic organisms.
However, because a pattern of transmission has not been determined, the role of laboratory coats in possible dissemination of pathogenic organisms remains unclear.
Nevertheless, it was established that some organisms were indeed found residing on the laboratory coats of anatomy students.
Due to the potential of laboratory coats as a reservoir for pathogen transmission, further investigation is warranted to evaluate more the possible roles of cadavers and clothing used in the anatomy laboratory in dissemination of bacteria.
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Suleman Shah

Suleman Shah

Author
Suleman Shah is a researcher and freelance writer. As a researcher, he has worked with MNS University of Agriculture, Multan (Pakistan) and Texas A & M University (USA). He regularly writes science articles and blogs for science news website immersse.com and open access publishers OA Publishing London and Scientific Times. He loves to keep himself updated on scientific developments and convert these developments into everyday language to update the readers about the developments in the scientific era. His primary research focus is Plant sciences, and he contributed to this field by publishing his research in scientific journals and presenting his work at many Conferences. Shah graduated from the University of Agriculture Faisalabad (Pakistan) and started his professional carrier with Jaffer Agro Services and later with the Agriculture Department of the Government of Pakistan. His research interest compelled and attracted him to proceed with his carrier in Plant sciences research. So, he started his Ph.D. in Soil Science at MNS University of Agriculture Multan (Pakistan). Later, he started working as a visiting scholar with Texas A&M University (USA). Shah’s experience with big Open Excess publishers like Springers, Frontiers, MDPI, etc., testified to his belief in Open Access as a barrier-removing mechanism between researchers and the readers of their research. Shah believes that Open Access is revolutionizing the publication process and benefitting research in all fields.
Han Ju

Han Ju

Reviewer
Hello! I'm Han Ju, the heart behind World Wide Journals. My life is a unique tapestry woven from the threads of news, spirituality, and science, enriched by melodies from my guitar. Raised amidst tales of the ancient and the arcane, I developed a keen eye for the stories that truly matter. Through my work, I seek to bridge the seen with the unseen, marrying the rigor of science with the depth of spirituality. Each article at World Wide Journals is a piece of this ongoing quest, blending analysis with personal reflection. Whether exploring quantum frontiers or strumming chords under the stars, my aim is to inspire and provoke thought, inviting you into a world where every discovery is a note in the grand symphony of existence. Welcome aboard this journey of insight and exploration, where curiosity leads and music guides.
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