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ICU: Wearing gowns and gloves for all ICU patients studied

Caregivers entering patient rooms in intensive care units typically use contact precautions – putting on gowns and gloves – when the patient is known to have antibiotic-resistant bacteria.  This study was a randomized trial of universal gown and glove use for adult patients in intensive care units in 2012.  Data on 1800 patients at different hospitals were studied.  The authors comment that:

  • “The observation that universal glove and gown use may result in fewer adverse events was unanticipated.  Universal glove and gown use could potentially have led to a decrease in HAIs [healthcare-associated infections] by serving as a barrier to acquiring new bacteria both through physical use of gloves and gowns as well as fewer HCW [health care worker] visits and better hand hygiene.”

Source: Croft, L.D., Harris, A.D., Pineles, L., and others. (2015, Aug. 15). The effect of universal glove and gown use on adverse events in intensive care unit patients. Clinical Infectious Diseases, 61(4), 545-553.  Click here for full text: cid.oxfordjournals.org/content/61/4/545.full.pdf  Posted by AHA Resource Center (312) 422-2003, rc@aha.org

 

HEALTH CARE ASSOCIATED INFECTIONS: Gowning and gloving needed for ALL ICU patients? Maybe not.

Whether the practice of gowning and gloving should be expanded beyond the current Centers for Disease Control recommendations to include staff caring for ALL patients in intensive care units was studied in this large-scale randomized trial.  The researchers collected data from 20 participating hospitals in 2012 to see if universal gowning and gloving would be found to reduce the acquisition of MRSA or VME (antibiotic-resistant infections).  There was no compelling statistical evidence that universal gowning and gloving should be used for all patients in ICUs to achieve this objective.

Source: Harris, A.D., Belton, B., and others.  Universal glove and gown use and acquisition of antibiotic-resistant bacteria in the ICU: a randomized trial.  JAMA, Oct. 4, 2013 [published online before print].  Click here for access to article: http://jama.jamanetwork.com/article.aspx?articleID=1746112&utm_source=Silverchair%20Information%20Systems&utm_medium=email&utm_campaign=JAMA%3AOnlineFirst10%2F04%2F2013.  There is also an editorial and a video!  Posted by AHA Resource Center (312) 422-2050, rc@aha.org