Is methicillin-resistant Staphylococcus aureus (MRSA) contamination of ward-based computer terminals a surrogate marker for nosocomial MRSA transmission and handwashing compliance?

A survey of two acute district general hospitals (A and B) was undertaken t o investigate the extent of methicillin-resistant Staphylococcus aureus ((M RSA) contamination of ward-based computer terminals. Of 25 terminals examin ed, MRSA was identified in six (24%). Environmental contamination was of a low level. Five of the MRSA positive terminals were from hospital A which h ad a significantly higher rate of MRSA transmission compared to hospital B (1.02 vs. 0.49 new inpatient MRSA cases per 100 hospital admissions for 199 9). MRSA containment and handwashing policies were similar at both hospital s, though only hospital B actively audited handwashing compliance and had a 44% higher rate of paper towel usage per hospital bed. Ward-based computer terminals pose a low risk of MRSA cross-infection. This risk can be furthe r reduced if all staff wash their hands before and after patient contact. ( C) 2001 The Hospital Infection Society.