Effectiveness of hand-cleansing agents for removing methicillin-resistant Staphylococcus aureus from contaminated hands.

OBJECTIVE: The effectiveness of hand-cleansing agents in removing a hospital strain of methicillin-resistant Staphylococcus aureus from artificially contaminated hands of five volunteers was studied. DESIGN: The products used were plain liquid soap, ethyl alcohol 70% (by weight), 10% povidone-iodine liquid soap (PVP-I), and chlorhexidine gluconate (4%) detergent. The experiments were performed using a Latin square statistical design, with two 5x4 randomized blocks. The removal rates of S aureus cells from contaminated fingertips were estimated by analysis of variance, the response variable being the log10 reduction factor (RF), ie, log10 of the initial counts minus log10 of the final counts. In the first and second blocks, the fingertips of the volunteers were contaminated in mean with 3.76 log10 colony-forming units ([CFU] light-contamination hand) and 6.82 log10 CFU (heavy-contamination hand), respectively. RESULTS: In the first block, there were significant differences between treatments (P<.05). The 10% PVP-I (RF, 3.76) and 70% ethyl alcohol (RF, 3.51) had significantly higher removal rates than plain liquid soap (RF, 1.96) and 4% chlorhexidine (RF, 1.91). In the second block, 10% PVP-I (RF, 4.39) and 70% ethyl alcohol (RF, 3.27) also were significantly more effective than plain liquid soap (RF, 1.77) and 4% chlorhexidine (RF, 1.37; P<.05). Plain liquid soap was significantly more effective than chlorhexidine (4%) detergent. CONCLUSIONS: The results suggest that 10% PVP-I and 70% ethyl alcohol may be the most effective hand-cleansing agents for removing methicillin-resistant S aureus strain from either lightly or heavily contaminated hands.

[Endoparasite prevalence in truck farmers and in the vegetables of Feira do Produtor de Maringá, Paraná]. / Prevalência de enteroparasitas em horticultores e hortaliças da Feira do Produtor de Maringá, Paraná.

Few studies have assessed the contamination of vegetables at Brazilian production sites. From April 1996 to December of 1997, the sanitary conditions of raw consumed vegetables sold in the Feira do Produtor de Maringá were investigated. We based the analyses on the contamination of vegetables, of the producers (stool samples and material under the fingernails) and of the water used for irrigation. It was observed that 16.6% of 144 samples of five different types of vegetables were contaminated with intestinal parasites. Forty three of 163 individuals (26%) were infected with one or more parasites. Only three of the 49 samples of material under the fingernails analyzed were positive for intestinal parasites. Analysis of samples of the water used for vegetable irrigation showed that the water did not satisfy bacteriological standards of potability. We conclude that in the investigated area the contamination of vegetables occurred during the production phase and that a sanitary education campaign directed at the producers is needed.

[Culicidae of Itaipu lake, in the Paraná river, southern Brazil]. / Culicídeos do lago de Itaipu, no rio Paraná Sul do Brasil.

Mosquito catches were made in Guaíra county, Paraná State, southern Brazil, in the vicinity of Itaipu dam, from January to December 1991. The catches were made with a Shannon light trap and human bait. The Shannon light trap was installed beside the highway that used, formerly, to lead to the Sete Quedas cataracts and the human bait was used in the urban area. Data about the Culicidae fauna were obtained as to predominant species, seasonal variation, time of highest density and affinity with human host. Forty-one species were identified as belonging to the Anopheles, Aedes, Aedomyia, Coquillettidia, Culex, Mansonia, Psorophora and Uranotaenia genera. With the Shannon light trap 21,280 mosquitoes were caught and with human bait 1,010. In the catches made with the Shannon light trap, Coquillettidia shannoni, Mansonia humeralis, Anopheles trianulatus, Aedes scapularis and Anopheles albitarsis accounted for 82.78% of all mosquitoes taken. In the catches made on human bait the highest densities of these mosquitoes occurred between 7 p.m. and 9 p.m. Aedes scapularis, Mansonia humeralis and Anopheles albitarsis represented 91.21% of all mosquitoes caught with human bait. The highest densities of Aedes scapularis, on human bait, were found between 8 p.m. and 9 p.m. and those of Mansonia humeralis and Anopheles albitarsis between 6 p.m. and 7 p.m. Among the genera caught with the Shannon light trap Coquillettidia shannoni, Mansonia humeralis and Anopheles albitarsis were most frequent in April, Anopheles triannulatus in January and Aedes scapularis in February.