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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

 

Sustained zero CLABSI is achievable

A study published in the Archives of Internal Medicine examined central line-associated bloodstream infection (CLABSI) data for intensive care units of hospitals located predominantly in Michigan. The hospitals all participated in a targeted quality improvement iniative known as the Comprehensive Unit-based Safety Program, or CUSP, that was implemented through the Michigan Keystone ICU Project. The researchers found that 60 percent of the 80 ICUs evaluated were infection-free for a year or more, and 26 percent achieved two years or more. In the study, smaller hospitals sustained zero infections longer than larger hospitals.

Source: Lipitz-Snyderman, A., and others. The ability of intensive care units to maintain zero central line-associated bloodstream infections. Archives of Internal Medicine. 171(9):856-858, May 9, 2011. http://archinte.ama-assn.org/cgi/content/extract/171/9/856

Posted by the AHA Resource Center, (312) 422-2050 rc@aha.org