Tag Archives: klebsiella pneumoniae

How germs at the office just got more dangerous

Germs in the office
Yes it all LOOKS reassuring – but we’re not as safe as we think we are

Dangerous? Germs at the office?  Poppycock!

A dose of flu maybe – kid’s stuff.

You’re more likely to have an accident with the photocopier.

Except there ARE germs in the office.

And if you read your papers, you’ll understand why doing something about them suddenly got a lot more serious.

First off is the report about superbugs in our travel network.

Nasties in the Underground

Research by taxi insurers Staveley Head recently turned up 121 different types of bacteria and mould in buses, taxis and in the tube – 9 of them antibiotic resistant.

As Staveley Head’s spectacular website demonstrates, pick one of those up on the way to work, and the Doc’s miracle medicine cure suddenly doesn’t work any more, them bugs have mutated to have immunity.

And pick them up you certainly can – nasties like e.coli, MRSA and klebsiella pneumoniae. Swab tests found them lurking on hand rails, seats, doors and walls – fomites waiting for contact with human hands.

To be carried along to work with all the other hazards we’re exposed to – in the air and on the things we touch. Dust, exhaust fumes, chemicals like acetone, methyl ethyl ketone, toluene and ethyl alcohol, or substances like lead, cadmium and methylene chloride.

We can’t see them of course, they’re microscopically small. But they’re on our clothes and skin and hair. We breathe them in. Ready to transfer to all the things we touch when we get to work. And for when we breathe out. Dangerous germs, unwittingly brought in for our colleagues to catch and succumb to.

And they’re not the only ones. Things are happening in other parts of this sad old world of ours that are equally dangerous to our health.

At war with disease

Like second, war in the Middle East.

Decades of conflict that have devastated whole countries and health systems. And in their wake, epidemics of diseases not seen by doctors for more than half a century. Polio in Syria and cholera in Yemen.

Not our problem, we say to ourselves. Syria is 2,000 miles away, Yemen 3,600.

Except sadly, in this age of direct jet travel, local problems are world problems. Already, hundreds of thousands of people have been displaced, pouring into Europe or wherever they can get to. And like us tube travellers or the bloke on the No 9 bus, bringing their germs with them.

For every polio victim, how many are carriers? How many are there with the disease incubating inside them as they thankfully emerge on our streets, looking to start a new life?

Meanwhile, in Yemen, cases of cholera have already topped 167,000 and the disease is currently killing one person an hour. How many Yemenis are in Britain, heaving a heavy sigh of relief?

And how many of either have – without meaning to, or even know they’re doing it – transferred their germs to you?

Not directly, but via the grab handle in the back of a taxi, or a rush-hour strap on the Victoria Line – swabbed the worst for germs in the whole London system. Well of course, the Victoria Line runs right through incoming refugee central – King’s Cross & St Pancras AND Victoria.

Unseen, unheard, unrecognised

Worries, yes, And bigger than we think too.

Because third, American reports indicate that antibiotic-resistant superbugs are not as closely tracked in hospitals as they should be. Infection-related deaths are uncounted, greatly hindering the fight against an increasingly global health challenge.

Hopefully, protocols are more strictly adhered to here. But with the NHS in a a state of permanent overload from challenges in all directions, it is likely the same dangers exist in UK too. You peg off with a superbug that your Doc couldn’t treat when you were admitted for something else, who’s going to know?

Which comes back to how safe are you at the office?

And the unpleasant truth, not very. A fact that stems largely from our own hype about standards of hygiene. We think we’re cool.

Reality is way different from what we imagine. For instance:

All of which puts terrific dependence on how well the office itself is cleaned if we want to stay safe.

And the answer is, not very. Not when office cleaning is usually a grudge purchase at the lowest rate. A quick vacuum and wipe-down is min protection against the 10 million germs to be found on the average office desk.

Which, together with the germs we brought in off the street, make the place a lot more dangerous than we confidently kid ourselves it is.

The cost of doing nothing

Once a luxury, it is fast becoming a necessity to do something specifically about office germs. And if bosses won’t do it for staff health, maybe they’ll do it for the sheer economics.

Or “germonomics” if they choose to get serious. The thousands and thousands of pounds that can be saved – just by removing germs that threaten productivity. Push-button technology already in place to make offices sterile, safe and secure.

So how dangerous is YOUR office – because, since it affects us all, this is one of those where you CAN believe all the things you read in the newspaper?

And the answer is very easy.

Does the button get pressed every night, or not?

How under-powered disinfectants can actually create superbugs

Pointing to biohazard symbol
Make that disinfectant solution too weak – and you’ll make it antibiotic resistant, sure as anything

Kill germs. Make you safe. It’s what disinfectants are supposed to do.

But only if you let them.

Only if they’re at full strength – and applied for full contact time.

Maximum bleach, flat-out for 30 minutes. Complete exposure.

None of this diluted and sloshed around with a wet rag nonsense.

Resistance in the making

Anything less than full power and there are germ survivors.

Maybe not many of them, but they are the toughies that win through.

Hit them again and they’re less likely to succumb.

They’ve learnt how to resist, mutated to become immune.

Bacteria for instance, have in-built protein pumps that expel toxic substances from their cells. “Efflux pumps” to remove disinfectants AND antibiotics, making bugs drug-resistant.

And how dangerous is that?

OK, so there is a work surface, perhaps for food prep. Wiped down for 30 seconds with a usual 6% bleach solution, everyone thinks it’s disinfected, safe.

Instead, it’s alive with MRSA – methicillin-resistant staphylococcus aureus.

Already resistant to antibiotics, it easily resists to the under-dose of bleach.

Too weak, not long enough – did you feel a breeze, just then?

Not good enough

So now it’s resistant to bleach too – sodium hypochlorite.

Or maybe chlorhexidine – the preferred disinfectant for instruments. Which in its underpowered state can trigger resistance to colistin – an antibiotic of last resort. As discovered by researchers investigating klebsiella pneumoniae – a superbug capable of causing pneumonia, meningitis and urinary tract infections.

Uh huh. So somebody comes down with MRSA – redness, swelling, pain and high temperature.

They have to be isolated to keep others safe. Quarantined in a separate room. Only handled with gloves, apron and mask for protection.

And OK, the food prep area is suspect – so it’s done again.

More 6% solution – more thorough this time, wiped down and scrubbed for 5 minutes.

Still not enough.

MRSA still in residence – along with a few other bugs it’s passed on its immunity to.

Resistant to bleach and antibiotics too.

Last resort defences breached

Like carbapenem-resistant enterobacteriaceae (CRE) – unlikely in the everyday, but possible in hospital.

Dangerous?

Oh yes.

Carbapenem is the other group of our last-resort antibiotics. The ones to use when all else fails. If they don’t work – and colistin too – the poor patient is up a gumtree. Only clever doctors and the very best care can bring them back.

Meanwhile, that food prep area is still unsafe.

Scrubbed raw, it still contaminated with MRSA.

Still a place for other bacteria to learn how to survive first bleach, then antibiotics.

How antibiotic resisdtance happensAnd now it’s too late.

Flood the place for hours in 100% bleach solution – that MRSA still knows how to overcome it.

However strong the treatment, anything made up on that food prep area will still be contaminated. That MRSA is there for keeps.

Unless of course, you change the rules.

Game changer

After the rub and scrub, mist the place up with ionised hydrogen peroxide (iHP).

Because NO GERM can survive being ripped apart by oxygen atoms. Which is what happens in the 30 seconds that electrostatically-charged iHP particles physically grab hold of bacteria, viruses and fungi, oxidising them to oblivion.

And that’s only a 6% solution too. But ionised to hundreds of times the firepower by becoming a plasma. Releasing other antimicrobials – hydroxyl radicals, reactive oxygen species, reactive nitrogen species, ozone and ultraviolet.

No rub and scrub either – the stuff disperses in actively all directions, forced apart by that same electrostatic charge. Through the air, hard up against all surfaces, deep into cracks and crevices.

Not just disinfecting, but sterilising. Making ALL GERMS dead. 99.9999% gone – to a 6-Log Sterility Assurance Level. No bugs, no superbugs, no nothing.

Under-strength disinfectants – that’s really playing with fire.

There are enough superbugs already resistant to antibiotics. We don’t need any more.

Picture Copyright: michaklootwijk / 123RF Stock Photo and Centers for Disease Control and Prevention