Ick! What's Living in Your Tie, Doc?

Ever wonder if you are given a choice to seekbacteria around from one patient to another. Each
physician advice for your health, which doctor willencounter might leave microbes on those strips
you prefer to meet? The ones who dressof fabric.
casually in open neck shirts? The one who wearsThe study compared the ties of 42 male medical
sneakers and jeans or rather the one in a whitestaffs which include physicians, physician assistants
coat and wearing neckties? Most of us prefer theand medical students with those of 10 security
latter obviously. Could this be a right choice?guards.
Unfortunately the answer is NOT, Researchers atThe study shows 20 out of 42 ties (47%) worn
New York Medical Center of Queens recentlyby medical staffs were infected with a
reported interesting findings about neckties at thenon-pathogenic Alcaligenes faecalis bacteria and
meeting of the American Society of Microbiology.seven ties infected by organisms which pose a
Earlier studies have found bacteria on everythingthreat to the elderly or others weakened by
from doctors' stethoscopes, pagers, cell phones,illness or medication, including Pseudomonas
and even pens. Following those finding Doctors areaeruginosa, Acinetobacter baumannii, Alcaligenes
aware and know how to clean those itemsfaecalis, Pantoea agglomerans (which turned up on
frequently. Shirts and white lab coats are washedthree ties) and Klebsiella pneumoniae which cause
more frequent, sometimes as often as everya life threathening pneumonia and toxic shock.
time they worn. But how often do they clean theStaphylococcus aureus, five gram-negative
tie, do they realize that neckties might carrybacteria that is often associated with
germs as well?food-poisoning, was found in 33% of neckties (12
"Most people don't clean or wash the tie thatties) worn by medical staff, but only one of the
every time they wear it," told one of theneckties worn by security guards.
researchers, Steve Nurkin. "You come home and''While there is no direct evidence to implicate
throw the tie on your tie rack and a week or soneckties in the transmission of infection to
later, you wear it again. It's rarely clean."patients, the link between contaminated necktie
Neckties worn by doctors can and do carryand the potential for transmission must be
dangerous pathogens which means a bedside visitconsidered,'' says Nurkin.
by a well-dressed physician could be hazardous toHe also said the study was meant to raise
your health.awareness of a potential risk and help provide
Doctors may wash their hands, some more thanbetter quality care.
others, but often adjust and straighten theirSo should doctors stop wearing a necktie and
neckties after they have washed their hands.toss away their ties? Well maybe they should. For
While examining patients, they might lean over,sure, they certainly need to pay more attention
and their neckties would swing and touches theto their hygiene considering about 5 to 10 percent
bedding or brushes against patients' skin duringof all hospital patients acquiring an infection in the
examinations, and they get sneezed on andhospital where they receive treatment!
coughed on by patients, spreading bugs and