Impact of Universal Gowning and Gloving on Health Care Worker Clothing Contamination

Williams, C.T.; McGraw, Patty; Schneck, Elyse; LaFae, Anna; Jacob, Jesse T; Moreno, Daniela; Reyes, Katherine; Cubillos, G Fernando; Kett, Daniel H.; Estrella, Ronald; Morgan, Daniel J.; Harris, Anthony D.; Drees, Marci

doi:10.1017/ice.2014.75

Cited by 21 publications

(16 citation statements)

References 35 publications

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“…Table 1 summarizes characteristics of the 23 included studies. Worldwide distribution was recorded with most studies (n = 12) conducted in America [8][9][10][11][12][13][14][15][16][17][18][19], six-in Asia [20][21][22][23][24][25], four-in Europe [26][27][28][29] and one-in Africa [30]. Eighteen studies were cross-sectional, two were randomized controlled trials and one each of the remaining were a prospective cohort trial, a multisite prospective observational trial and a prospective cross-over trial.…”

Section: Study Characteristicsmentioning

confidence: 99%

Presence of Methicillin-Resistant Staphylococcus aureus (MRSA) on Healthcare Workers’ Attire: A Systematic Review

et al. 2021

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Contaminated healthcare workers’ (HCW) clothing risk transferring methicillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities. We performed a systematic review in Pubmed and Scopus for 2000–2020 according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines to analyze evidence of MRSA on HCW attire. The primary study outcome was MRSA isolation rates on HCW clothing in healthcare settings. Out of 4425 articles, 23 studies were included: 18 with 1760 HCWs, four with 9755 HCW–patient interactions and one with 512 samples. There was a notable variation in HCWs surveyed, HCW attires, sampling techniques, culture methods and laundering practices. HCW attire was frequently colonized with MRSA with the highest rates in long-sleeved white coats (up to 79%) and ties (up to 32%). Eight studies reported additional multidrug-resistant bacteria on the sampled attire. HCW attire, particularly long-sleeved white coats and ties, is frequently contaminated with MRSA. Banning certain types and giving preference to in-house laundering in combination with contact precautions can effectively decrease MRSA contamination and spread.

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Section: Study Characteristicsmentioning

confidence: 99%

Presence of Methicillin-Resistant Staphylococcus aureus (MRSA) on Healthcare Workers’ Attire: A Systematic Review

et al. 2021

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“…Several studies have demonstrated that gowning and gloving decrease health care worker clothing contamination. One study found that the use of gloves and gowns for all patient encounters in intensive care units correlated with a 70% reduction in the acquisition of common pathogenic bacteria from the clothing of health care workers 29 . In the Benefits of Universal Glove and Gown trial, a subgroup analysis of 20 intensive care units concluded that there was a reduction in the incidence of methicillin‐resistant Staphylococcus aureus infection in units that used universal gowning and gloving 30 …”

Section: Discussionmentioning

confidence: 99%

Neuraxial Anesthesia and the Use of Sterile Gowning

Aleman-Ortega¹,

Lee²,

Shambo³

et al. 2017

AORN Journal

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Epidural or spinal anesthesia-related infections cause serious and devastating morbidity and mortality. The possible infectious complications of neuraxial anesthesia have become better understood in the past 10 years. We assessed information from published case series, studies, randomized controlled trials, and retrospective cohort studies to determine the rate of neuraxial infection and to evaluate iatrogenic causes of infection. The use of sterile gowning appears to be a factor associated with the decreased infection rates noted in some studies. A review of the literature demonstrated that personnel in interdisciplinary specialties use gowns for invasive procedures to prevent infection, and national and international multidisciplinary health care professionals appear to be increasing their use of sterile gowning to prevent infections. We undertook this literature review to explore the incidence of neuraxial infection, provide additional insight into multidisciplinary standards, and evaluate whether the use of sterile gowns while performing neuraxial anesthesia decreases infection rates.

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“…The gloves and gowns of HCP frequently become contaminated with pathogens while providing care to patients on contact precautions. Recently, Williams et al 18 reported that HCP frequently contaminated their clothing despite wearing gloves and gowns for patient care. Casanova et al 19 , 20 assessed the ability of standard PPE (ie, gloves, gowns, respirator, and goggles) to protect against contamination of skin and clothes by dotting the outside of the PPE with bacteriophage MS2, a nonenveloped, nonpathogenic RNA virus.…”

Section: Preventing Ebola Acquisition By Hcpmentioning

confidence: 99%

Protecting Healthcare Personnel from Acquiring Ebola Virus Disease

Weber

Fischer

Wohl

et al. 2015

Infect. Control Hosp. Epidemiol.

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Impact of Universal Gowning and Gloving on Health Care Worker Clothing Contamination

Abstract: Nearly 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.

Cited by 21 publications

References 35 publications

Presence of Methicillin-Resistant Staphylococcus aureus (MRSA) on Healthcare Workers’ Attire: A Systematic Review

Presence of Methicillin-Resistant Staphylococcus aureus (MRSA) on Healthcare Workers’ Attire: A Systematic Review

Neuraxial Anesthesia and the Use of Sterile Gowning

Protecting Healthcare Personnel from Acquiring Ebola Virus Disease

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