Association between universal gloving and healthcare-associated infections: A systematic literature review and meta-analysis
| Autor: | Melissa Ward, Eli N. Perencevich, Ashley E. Kates, Marin L. Schweizer, Nai-Chung N. Chang, Heather Schacht Reisinger, Elizabeth Kiscaden |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Methicillin-Resistant Staphylococcus aureus
Microbiology (medical) medicine.medical_specialty Epidemiology MEDLINE Intensive Care Units Pediatric medicine.disease_cause Vancomycin-Resistant Enterococci 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Intensive care Internal medicine medicine Humans 030212 general & internal medicine Gram-Positive Bacterial Infections Randomized Controlled Trials as Topic Cross Infection Infection Control business.industry Incidence (epidemiology) Staphylococcal Infections Random effects model Methicillin-resistant Staphylococcus aureus Confidence interval Infectious Diseases Systematic review Meta-analysis Gloves Protective business |
| Zdroj: | Infection Control & Hospital Epidemiology. 40:755-760 |
| ISSN: | 1559-6834 0899-823X |
| Popis: | Objective:Healthcare-associated infections (HAIs) are a significant burden on healthcare facilities. Universal gloving is a horizontal intervention to prevent transmission of pathogens that cause HAI. In this meta-analysis, we aimed to identify whether implementation of universal gloving is associated with decreased incidence of HAI in clinical settings.Methods:A systematic literature search was conducted to find all relevant publications using search terms for universal gloving and HAIs. Pooled incidence rate ratios (IRRs) and 95% confidence intervals (CIs) were calculated using random effects models. Heterogeneity was evaluated using the Woolf test and the I2 test.Results:In total, 8 studies were included. These studies were moderately to substantially heterogeneous (I2 = 59%) and had varied results. Stratified analyses showed a nonsignificant association between universal gloving and incidence of methicillin-resistant Staphylococcus aureus (MRSA; pooled IRR, 0.94; 95% CI, 0.79–1.11) and vancomycin-resistant enterococci (VRE; pooled IRR, 0.94; 95% CI, 0.69–1.28). Studies that implemented universal gloving alone showed a significant association with decreased incidence of HAI (IRR, 0.77; 95% CI, 0.67–0.89), but studies implementing universal gloving as part of intervention bundles showed no significant association with incidence of HAI (IRR, 0.95; 95% CI, 0.86–1.05).Conclusions:Universal gloving may be associated with a small protective effect against HAI. Despite limited data, universal gloving may be considered in high-risk settings, such as pediatric intensive care units. Further research should be performed to determine the effects of universal gloving on a broader range of pathogens, including gram-negative pathogens. |
| Databáze: | OpenAIRE |
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