Impact of universal gowning and gloving on health care worker clothing contamination
| Autor: | Daniela Moreno, Daniel J. Morgan, Ronald Estrella, Daniel H. Kett, Patty McGraw, Katherine Reyes, Calvin Williams, Elyse E Schneck, Anna LaFae, Marci Drees, Anthony D. Harris, G Fernando Cubillos, Jesse T. Jacob |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty Epidemiology Cross-sectional study Clothing Protective Clothing Intensive care Environmental health Health care Enterococcus spp Medicine Humans Cross Infection biology business.industry Direct patient care Acinetobacter biology.organism_classification Universal Precautions Personnel Hospital Intensive Care Units Infectious Diseases Cross-Sectional Studies Universal precautions Emergency medicine business Gloves Protective |
| Zdroj: | Infection control and hospital epidemiology. 36(4) |
| ISSN: | 1559-6834 0899-823X |
| Popis: | OBJECTIVETo determine whether gowning and gloving for all patient care reduces contamination of healthcare worker (HCW) clothing, compared to usual practice.DESIGNCross-sectional surveys.SETTINGFive study sites were recruited from intensive care units (ICUs) randomized to the intervention arm of the Benefits of Universal Gown and Glove (BUGG) study.PARTICIPANTSAll HCWs performing direct patient care in the study ICUs were eligible to participate.METHODSSurveys were performed first during the BUGG intervention study period (July–September 2012) with universal gowning/gloving and again after BUGG study conclusion (October–December 2012), with resumption of usual care. During each phase, HCW clothing was sampled at the beginning and near the end of each shift. Cultures were performed using broth enrichment followed by selective media. Acquisition was defined as having a negative clothing culture for samples taken at the beginning of a shift and positive clothing culture at for samples taken at the end of the shift.RESULTSA total of 348 HCWs participated (21–92 per site), including 179 (51%) during the universal gowning/gloving phase. Overall, 51 (15%) HCWs acquired commonly pathogenic bacteria on their clothing: 13 (7.1%) HCWs acquired bacteria during universal gowning/gloving, and 38 (23%) HCWs acquired bacteria during usual care (odds ratio [OR], 0.3; 95% confidence interval [CI], 0.2–0.6). Pathogens identified includedS. aureus(25 species, including 7 methicillin-resistantS. aureus[MRSA]),Enterococcusspp. (25, including 1 vancomycin-resistantEnterococcus[VRE]),Pseudomonasspp. (4),Acinetobacterspp. (4), andKlebsiella(2).CONCLUSIONNearly 25% of HCWs practicing usual care (gowning and gloving only for patients with known resistant bacteria) contaminate their clothing during their shift. This contamination was reduced by 70% by gowning and gloving for all patient interactions.Infect Control Hosp Epidemiol 2014;00(0): 1–7 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|