Gram-Positive Bacteria
Enterococcus (hirae & faecalis)
Description: Gram-positive cocci; endogenous in soil, food, water and plants; associated with both community and hospital-acquired infections; opportunistic agents
Modes of Transmission: Direct contact; endogenous; HAI-VRE
Common Infections: Urinary tract infections; bloodstream infections; wound infections; endocarditis; intra-abdominal/pelvic wounds; surgical site infections
Environments: Enterobacters reside in the digestive tracts of animals and humans, as well as soil, water, decaying vegetation, and sewage. It is a contaminant of dairy products. Involved in hospital acquired infections of the blood, wounds, surgical incisions, and urinary tratcs of immunocompromised patients
Survival Time on Hard Surfaces: 5 days - 4 months
Inhibited by Microban®: Yes
Listeria monocytogenes
Description: Gram-positive rod; found in soil and vegetable matter; may colonize GI tract; most likely to sicken pregnant women and their newborns, adults aged 65+ and people with weakened immune systems
Modes of Transmission: Food borne (raw milk, soft cheeses, vegetables and ready-to-eat meats); perinatal transmission; direct contact; contaminated equipment
Common Infections: Perinatal listeriosis (may be intrauterine infection) or meningitis; adults may develop meningoencephalitis, bacteremia, endocarditis and focal infections
Environments: Commonly found in refrigerated foods. Listeriosis is a serious infection usually caused by eating food contaminated with the bacterium Listeria monocytogenes
Survival Time on Hard Surfaces: 1 day - months
Inhibited by Microban®: Yes
Staphylococcus aureus
Description: Gram-positive cocci in grape-like clusters
Modes of Transmission: Endogenous; direct contact; unwashed hands; contaminated foods and equipment
Common Infections: Abscess; pneumonia; empyema; osteomyelitis; sepsis; bacteremia; endocarditis; strains with acquired resistance to Methicillin (MRSA) common in hospitals; enteroxins; toxic shock syndrome (TSS)
Environments: S. aureus is commonly found on moist skin folds. It grows in the upper respiratory, gastrointestinal and urogenital tracts of humans. S. aureus is transmitted through direct contact between individuals, as well as via fomites such as contaminated clothing, bed sheets, medical instruments, food contact surfaces and foods
Survival Time on Hard Surfaces: 7 days - 7 months
Inhibited by Microban®: Yes
Gram-Negative Bacteria
Campylobacter
Description: Gram-negative V&S-shaped rod; enteric; found in pigs, poultry, birds, cats and dogs
Modes of Transmission: Contact with contaminated feces, soil, water and food; sexually transmitted
Common Infections: Gastroenteritis; sepsis; meningitis; abscesses; urinary tract infections; peritonitis; pancreatitis
Environments: Campylobacters are frequently isolated from from surface water and water supplies. Humans acquire the bacterium by consuming contaminated food, milk, or water contaminated with infected animal feces. The most common source of infection is contaminated poultry
Survival Time on Hard Surfaces: Up to 6 days
Inhibited by Microban®: Yes
Enterobacter aerogenes
Description: Gram-negative; facultative anaerobic rod; enteric
Modes of Transmission: Unwashed hands; contaminated medical devices and instrumentation; commonly consumed in food and water; endogenous
Common Infections: Urinary tract infections; wound; bloodstream infections; pneumonia; neonatal meningitis; neurologic complications; opportunistic infections in patients exposed frequently to antibiotics, invasive procedures and indwelling
Environments: Enterobacters reside in the digestive tracts of animals and humans, as well as soil, water, decaying vegetation, and sewage. It is a contaminant of dairy products. Involved in hospital acquired infections of the blood, wounds, surgical incisions, and urinary tracts of immunocompromised patients
Survival Time on Hard Surfaces: Highly persistent
Inhibited by Microban®: Yes
Escherichia coli (E. coli)
Description: Gram-negative; facultative anaerobic rod; enteric; ubiquitous in humans; presence in water considered indication of fecal contamination; reservoir; GI and female GU tracts; opportunistic pathogen
Modes of Transmission: Fecal-oral route; raw milk, fruits and vegetables contaminated with ruminant feces; person to person contact; waterborne transmission of neonatal infections through maternal genital tract
Common Infections: Urinary tract infections; septicemia; neonatal meningitis; 5 major GI infections including infantile diarrhea
Environments: E. coli is the most common and most important bacteria found in the intestinal tract of animals, humans, in soil, and on plants and decaying vegetation. Its presence is indicative of fecal contamination in the environment
Survival Time on Hard Surfaces: 1.5 hours - 16 months
Inhibited by Microban®: Yes
Klebsiella pneumoniae
Description: Aerobic Gram-negative rod; normal flora intestinal genital tracts
Modes of Transmission: Contact with ulcerative genital lesions; endogenous
Common Infections:Lobar pneumonia; lung abscess; urinary tract infections; bacteremia, enteritis and meningitis; wound infections; rhinoscleroma
Environments: Normally found in the human intestines,here they do not cause disease). They are also found in human stool (feces). In healthcare settings, Klebsiella infections commonly occur among sick patients who are receiving treatment for other conditions. Klebsiella bacteria can be spread through person-to-person contact or, less commonly, by contamination of the environment. Patients in healthcare settings also may be exposed to Klebsiella when they are on ventilators (breathing machines), or have intravenous (vein) catheters or wounds (caused by injury or surgery). Unfortunately, these medical tools and conditions may allow Klebsiella to enter the body and cause infection. Klebsiella is a common contaminant in dairy facilities
Survival Time on Hard Surfaces: 2 hours - >30 months
Inhibited by Microban®: Yes
Pseudomonas aeruginosa
Description: Enteric, aerobic Gram-negative rod; worldwide distribution in water, soil, plants
Modes of Transmission: Contaminated water, solutions; foods; exposure to contaminated equipment
Common Infections: Community-acquired infections in nonimmuno compromised; folliculitis acquired in swimming pools, water slides. whirpools and hot tubs; swimmer's ear, more severe ear infections in diabetics and elderly with temporal bone and basilar skull osteomyelitis; meningitis; eye infections associated with contact lens use; endocarditis in intravenous-drug users; leading cause of healthcare-acquired respiratory tract infections; UTI, wound infections, peritonitis in persons on chronic ambulatory peritoneal dialysis and bacteremia particularly in burn patients; an unusual "mucoid" phenotype chronically infects 70-80% of adolescents with cystic fibrosis
Environments: Ubiquitous in the environment but most problematic in healthcare environments; found in aqueous solutions, sink traps, hydrotherapy, and respiratory equipment
Survival Time on Hard Surfaces: 6 hours - 16 months
Inhibited by Microban®: Yes
Salmonella (enterica & typhimurium)
Description: enteric, facultative anaerobic Gram-negative rod
Modes of Transmission: Fecal-oral, sources include: contaminated milk, water, reptiles, amphibians, eggs, ice cream, meringue, shellfish, undercooked chicken, fish and pork
Common Infections: Salmonellosis; typhoid fever; mild enteritis; food-poisoning or gastroenteritis; rapidly fatal septicemia; Category B bioterrorism agent
Environments: Surfaces in food environments, with most infections in humans resulting from the consumption of food contaminated with animal feces; S. typhi only found in humans; non-typhi forms found in pet turtles, chickens and uncooked eggs
Survival Time on Hard Surfaces:Salmonella enterica, 1 day; Salmonella typhimurium, 6 hours - 4.2 years
Inhibited by Microban®: Yes
Shigella dysenteriae
Description: Enteric, facultative anaerobic Gram-negative rod
Modes of Transmission: Fecal-oral; ingestion of contaminated food and water; food handlers; sexual transmission; contact
Common Infections: Shigellosis; bloody diarrhea (dysentery) and nonbloody diarrhea, fever, abdominal cramps; complications include hemolytic uremic syndrome (HUS) and Reiter's disease; Category B bioterrorism agent
Environments:Shigella is primarily associated with poor personal hygiene and ineffective sewage treatment. People become infected primarily by ingesting bacteria on their own hands and secondarily by consuming contaminated food
Survival Time on Hard Surfaces: 2 days - 5 months
Inhibited by Microban®: Yes
Mold & Yeast
Aspergillus niger
Description: mold; found in soil, natural debris, air handling systems, indoor and outdoor air; worldwide
Modes of Transmission: contact; trauma; inhalation; ingestion
Common Infections: opportunistic infections; allergic reactions
Environments: Commonly found in the air and on surfaces in antique shops, greenhouses, saunas, farms, mills, construction areas, flower shops, and summer cottages
Survival Time on Hard Surfaces: Will survive where there is cellulose, moisture, and warm temperature
Inhibited by Microban®: Yes
Aureobasidium pullulans
Description: Yeast-like mold; worldwide
Modes of Transmission: Contact
Common Infections: Rare infections; hypersensitivity pneumonitis or "humidifier lung" characterized by shortness of breath, cough, fever, chest infiltrates, and acute inflammatory reaction; catheter-related septicemia
Environments: Ubiquitous organism found in plant debris, soil, wood, textiles, and indoor air environment
Survival Time on Hard Surfaces: Can survive for extended periods because it is highly adaptable to stressful environmental conditions
Inhibited by Microban®: Yes
Candida albicans
Description: yeast; normal gastrointestinal, oral, skin flora; worldwide
Modes of Transmission: contact; endogenous
Common Infections: opportunistic; IV and central line infections; thrush; vaginitis; skin and nail infections; meningitis
Environments: Candidiasis is among the most frequent hospital acquired infection worldwide, leading to immense financial implications
Survival Time on Hard Surfaces: 1-120 days, can persist for extended periods due to biofilm formation
Inhibited by Microban®: Yes
Chaetomium globosum
Description: mold; found in soil, air, plant debris; all types of climates from extremes of Himalayas to deserts
Modes of Transmission: contact
Common Infections: contaminant; cutaneous infections. brain abscesses, peritonitis
Environments: commonly found contaminating damp wood buildings throughout North America and Europe. Also found on wet tiles
Survival Time on Hard Surfaces: will survive where there is cellulose, moisture, and warm temperature
Inhibited by Microban®: Yes
Penicillium species
Description: mold (room temperature) and yeast (body temperature) phases; found in soil, plant material, indoor air; Southeast Asia and China; over 30 species
Modes of Transmission: contact; soil exposure; trauma; inhalation
Common Infections: keratitis; endocarditis; pulmonary and skins infections
Environments: species of Penicillium are ubiquitous soil fungi preferring cool and moderate climates, commonly present wherever organic material is available. They are among the main causes of food spoilage. Penicillium species are present in the air and dust of indoor environments, such as homes and public buildings. The fungus can be readily transported from the outdoors, and grow indoors using building material or accumulated soil to obtain nutrients for growth. Penicillium growth can still occur indoors even if the relative humidity is low, as long as there is sufficient moisture available on a given surface. A British study determined that Aspergillus- and Penicillium-type spores were the most prevalent in the indoor air of residential properties, and exceeded outdoor levels.Even ceiling tiles can support the growth of Penicillium (if the relative humidity is 85% and the moisture content of the tiles is greater than 2.2%)
Survival Times on Hard Surfaces: will survive where there is cellulose, moisture, and warm temperature
Inhibited by Microban®: Yes
Trichoderma viride
Description: mold; found in soil, plant materials; prefers climates with moderate temperatures
Modes of Transmission: inhalation
Common Infections: lung infections
Environments: occur worldwide in soil and decaying organic matter
Survival Times on Hard Surfaces: can survive for extended periods because it is highly adaptable to stressful environmental conditions
Inhibited by Microban®: Yes
Antibiotic Resistant Bacteria
Special
Algae
Symptoms of Infection: many types of algae can form blooms. Freshwater harmful algal blooms have the ability to produce toxins that are dangerous to other organisms such as humans, dogs, and livestock
Environments: Algae are a diverse group of aquatic organisms that have the ability to conduct photosynthesis. Certain algae are familiar to most people; e.g. seaweeds (such as kelp or phytoplankton), pond scum or the algal blooms in lakes. Algae can affect water characteristics in two ways: (1) algae can alter organoleptic properties and (2) certain cyanobacteria can produce toxins that can cause diarrhea as an acute effect and cancer in the ultimate instance
Survival Time on Hard Surfaces: harmful algal blooms will remain as long as there are favourable conditions, including warmth, sunlight and low flow rates. Blooms can last from weeks to months and it is difficult to predict when they will clear
Inhibited by Microban®: Yes
Bed Bugs
Symptoms of Infestation: bites on the skin are a poor indicator of a bed bug infestation. Bed bug bites can look like bites from other insects (such as mosquitoes or chiggers), rashes (such as eczema or fungal infections) or even hives. Some people do not react to bed bug bites at all
Environments: Bed Bugs like to hide in small cracks and crevices close to a human environment. They can be found behind baseboards, wallpaper, upholstery, and in furniture crevices
Survival Times on Hard Surfaces: when living in warm conditions, bed bugs will usually try to feed at regular intervals. Adult bed bugs can survive for about five months without a blood meal
Inhibited by Microban®: Yes
Dust Mites
Symptoms of Infestation: allergy symptoms: sneezing, runny nose, itchy/red, watery eyes, nasal congestion, itchy nose, roof of mouth or throat, postnasal drip, cough, facial pressure or pain
Environments: dust mites are tiny microscopic relatives of the spider and live on mattresses, bedding, upholstered furniture, carpets and curtains.These tiny creatures feed on the flakes of skin that people and pets shed daily and they thrive in warm and humid environments
Survival Times on Hard Surfaces: adult dust mites live for about a month and female dust mites live for about 8 to 10 weeks
Inhibited by Microban®: Yes