Effectiveness of Gloves in the Prevention of Hand Carriage of Vancomycin-Resistant Enterococcus Species by Health Care Workers after Patient Care

Previously published guidelines provide comprehensive recommendations for hand hygiene in healthcare facilities. The intent of this document is to highlight practical recommendations in a concise format, update recommendations with the most current scientific evidence, and elucidate topics that warrant clarification or more robust research. Additionally, this document is designed to assist healthcare facilities in implementing hand hygiene adherence improvement programs, including efforts to optimize hand hygiene product use, monitor and report back hand hygiene adherence data, and promote behavior change. This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA) and is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise. The list of endorsing and supporting organizations is presented in the introduction to the 2014 updates.

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“…6,149150,206 g. After removing gloves. 147 " 149 h. After contact with blood or bodily fluids. 213,214 i.…”

Section: S E C T I O N 4 : R E C O M M E N D E D H a N D H Y G I E N mentioning

confidence: 99%

Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

Ellingson

Haas

Aiello

et al. 2014

Infect. Control Hosp. Epidemiol.

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“…78,79,94,[132][133][134][135][136][137][138][139][140][141][142] For example, in studies conducted before glove use was common among HCWs, Ayliffe and colleagues 137 found that 15% of nurses working in an isolation unit carried a median of 1x 10 4 CFU of S. aureus on their hands; 29% of nurses working in a general hospital had S. aureus on their hands (median count, 3.8 x 10 3 CFU), while 78% of those working in a hospital for dermatology patients had the organism on their hands (median count, 14.3 x 10 6 CFU). The same survey revealed that 17-30% of nurses carried Gram-negative bacilli on their hands (median counts ranged from 3.4 x 10 3 CFU to 38 x 10 3 CFU).…”

Section: Organism Transfer To Health-care Workers' Handsmentioning

confidence: 99%

“…[922][923][924][925] Although recent studies suggest that improvements have been made in the quality of gloves, 919 the laboratory and clinical studies cited above provide strong evidence that hands should still be decontaminated or washed after glove removal. 73,123,139,204,520,914 …”

mentioning

confidence: 99%

Hand Hygiene

Longtin¹,

Sax²,

Allegranzi³

et al. 2011

N Engl J Med

108

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“…Tangential support to this argument can be gleaned from the literature [11,29,34,43,70,75,84,87,89,92,100,104,125]. The hands of physicians are a known link in the transmission of nosocomial pathogens [70].…”

Section: Avoiding Dressing Changesmentioning

confidence: 99%

“…In the absence of gloves, there is a considerable increase in bacterial contamination of healthcare workers' hands after patient contact [75,87,100]. Numerous studies have investigated the rates of hand contamination after patient care, and hand contamination may occur even if gloves are worn [11,29,34,43,75,84,87,92,101,125].…”

Section: Avoiding Dressing Changesmentioning

confidence: 99%

Myths and Legends in Orthopaedic Practice: Are We All Guilty?

Tejwani

Immerman

2008

Clinical Orthopaedics &Amp; Related Research

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Over years of practice, many beliefs and practices become entrenched as tried and tested, and we subconsciously believe they are based on scientific evidence. We identified nine such beliefs by interviewing orthopaedic surgeons in which studies (or lack thereof) apparently do not support such practices. These are: changing the scalpel blade after the skin incision to limit contamination; bending the patient's knee when applying a thigh tourniquet; bed rest for treatment of deep vein thrombosis; antibiotics in irrigation solution; routine use of hip precautions; routine use of antibiotics for the duration of wound drains; routine removal of hardware in children; correlation between operative time and infection; and not changing dressings on the floor before scrubbing. A survey of 186 practicing orthopaedic surgeons in academic and community settings was performed to assess their routine practice patterns. We present the results of the survey along with an in-depth literature review of these topics. Most surgeon practices are based on a combination of knowledge gained during training, reading the literature, and personal experience. The results of this survey hopefully will raise the awareness of the selected literature for common practices.

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Effectiveness of Gloves in the Prevention of Hand Carriage of Vancomycin-Resistant Enterococcus Species by Health Care Workers after Patient Care

Cited by 186 publications

References 12 publications

Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

Hand Hygiene

Myths and Legends in Orthopaedic Practice: Are We All Guilty?

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