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Necktie as a potential vector of infection.

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 bacteria VRE.

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Necktie as a potential vector of infection.

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  1. Dr. NikhileshTodkari Necktie as a potential vector of infection.

  2. 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 bacteria • VRE

  3. Questionnaire • 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. METHOD

  4. 1/3 (95/265) of all male doctors took part NCHDs (61%) vs Consultants (13%) RESULTS

  5. 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.

  6. 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. RESULTS

  7. 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? CONCLUSION

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