Safe removal of gloves from contact precautions: The role of hand hygiene.

Abstract:

BACKGROUND:Routine hand hygiene effectively removes methicillin-resistant Staphylococcus aureus (MRSA) and/or vancomycin resistant Enterococcus (VRE) from the ungloved hands of healthcare workers (HCWs) who are caring for patients under contact precautions, when exposure to bodily fluids is not expected. METHODS:HCWs' ungloved hands were cultured after hand hygiene with alcohol-based hand rub (ABHR) or soap-and-water wash after routine clinical care of patients known to be colonized or infected with MRSA or VRE. RESULTS:Two hundred forty samples from 40 HCWs were tested and found to be culture negative for either MRSA or VRE after contact with patients when 3 pumps of ABHR (0/80) or plain soap-and-water wash (0/80) were used. No VRE was observed in any of the 120 samples collected. Two plates (2/40) grew 1 colony-forming unit of MRSA after 2 pumps of ABHR. Two HCWs with positive plates were cultured negative on retesting. CONCLUSION:We showed that appropriate hand hygiene was effective in removing MRSA and VRE even when gloves were not used for routine clinical care, despite contact with patients known to be colonized with MRSA or VRE. A modified approach to glove use for dry contact with patients on contact precautions might improve patient safety within healthcare settings.

journal_name

Am J Infect Control

authors

Jain S,Clezy K,McLaws ML

doi

10.1016/j.ajic.2018.01.013

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

764-767

issue

7

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(18)30034-8

journal_volume

46

pub_type

杂志文章
  • Pseudomonas aeruginosa infections in a neonatal intensive care unit.

    abstract::This report describes a cluster of nosocomial infections with Pseudomonas aeruginosa in a neonatal intensive care nursery. All 5 cases of P aeruginosa infection were clustered in September 1999. Aggressive infection control measures were instituted, including installation of a user-friendly handwashing soap and enviro...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1067/mic.2002.121153

    authors: Zafar AB,Sylvester LK,Beidas SO

    更新日期:2002-11-01 00:00:00

  • Risk factors for postoperative endophthalmitis caused by Pseudomonas aeruginosa: possible role of environment.

    abstract::This article describes an investigation to identify risk factors for postoperative endophthalmitis caused by Pseudomonas aeruginosa. A retrospective case-control study, including 8 cases and 24 controls operated from 2005 to 2009, was undertaken. The risk factors associated with P aeruginosa infection were a particula...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.01.042

    authors: Luz RA,Padoveze MC,Falabella P,Morais Lde C,Ghirelli W,Cvintal T

    更新日期:2013-12-01 00:00:00

  • Varicella vaccine safety, incidence of breakthrough, and factors associated with breakthrough in Taiwan.

    abstract:BACKGROUND:Varicella vaccine was first available in Taiwan in 1997. The aims of this study were to investigate varicella vaccine safety and occurrence of breakthrough in Taiwan during the first 3 years. The adverse events, incidence of breakthrough, and factors associated with breakthrough were analyzed. METHODS:A per...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1067/mic.2003.58

    authors: Tseng HF,Tan HF,Chang CK

    更新日期:2003-05-01 00:00:00

  • Frequency of outbreak investigations in US hospitals: results of a national survey of infection preventionists.

    abstract:BACKGROUND:A survey of infection preventionists was conducted to determine the frequency of outbreak investigations in US hospitals. METHODS:A 2-part electronic survey was sent to Association for Professionals in Infection Control and Epidemiology, Inc, members in US hospitals in January 2010. Part 1 of the survey too...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2011.10.003

    authors: Rhinehart E,Walker S,Murphy D,O'Reilly K,Leeman P

    更新日期:2012-02-01 00:00:00

  • Listeria monocytogenes cross-contamination in a nursery [corrected].

    abstract::Molecular evidence of Listeria monocytogenes cross-contamination in a nursery is presented. Listeria monocytogenes serotype 4b was isolated from the blood and the conjunctiva of a baby with neonatal sepsis who was born after septic amnionitis and premature rupture of membrane. Nine days later, the same bacterium was i...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1067/mic.2003.25

    authors: Colodner R,Sakran W,Miron D,Teitler N,Khavalevsky E,Kopelowitz J

    更新日期:2003-08-01 00:00:00

  • Intestinal microbiome disruption in patients in a long-term acute care hospital: A case for development of microbiome disruption indices to improve infection prevention.

    abstract:BACKGROUND:Composition and diversity of intestinal microbial communities (microbiota) are generally accepted as a risk factor for poor outcomes; however, we cannot yet use this information to prevent adverse outcomes. METHODS:Stool was collected from 8 long-term acute care hospital patients experiencing diarrhea and 2...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2016.01.003

    authors: Halpin AL,de Man TJ,Kraft CS,Perry KA,Chan AW,Lieu S,Mikell J,Limbago BM,McDonald LC

    更新日期:2016-07-01 00:00:00

  • Mechanisms of antimicrobial resistance in bacteria.

    abstract::The treatment of bacterial infections is increasingly complicated by the ability of bacteria to develop resistance to antimicrobial agents. Antimicrobial agents are often categorized according to their principal mechanism of action. Mechanisms include interference with cell wall synthesis (eg, beta-lactams and glycope...

    journal_title:American journal of infection control

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajic.2006.05.219

    authors: Tenover FC

    更新日期:2006-06-01 00:00:00

  • Societal willingness to pay to avoid mortality and morbidity from Clostridioides difficile and carbapenem-resistant Enterobacteriaceae infections in the United States.

    abstract:BACKGROUND:Clostridioides difficile infection (CDI) is among the most common health care-associated infections in the United States and is increasingly affecting the elderly. Although carbapenem-resistant Enterobacteriaceae (CRE) infections are still relatively uncommon, there are reported increases in the rate of infe...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.11.008

    authors: Sertkaya A,Wong HH,Ertis DH,Jessup A

    更新日期:2019-05-01 00:00:00

  • Risk factors for development of methicillin-resistant Staphylococcus aureus-positive clinical culture in nasal carriers after decolonization treatment.

    abstract:BACKGROUND:Active surveillance systems are effective in reducing health care-associated infections caused by methicillin-resistant Staphylococcus aureus (MRSA). Nonetheless, some patients develop MRSA infection despite control measures. We tried to identify risk factors related to the appearance of MRSA at sites other ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2014.03.011

    authors: Hernández-Porto M,Castro B,Ramos MJ,Arias A,Aguirre-Jaime A,Lecuona M

    更新日期:2014-07-01 00:00:00

  • Attitudes toward HIV-infected individuals and infection control practices among a group of dentists in Mexico City--a 1999 update of the 1992 survey.

    abstract:BACKGROUND:The teaching of infection control (IC) was introduced at dental schools in Mexico during the 1990s. A 1992 survey indicated that some dentists had limited access to current IC standards. Deficient knowledge of bloodborne pathogens may influence dentists' attitudes about infected individuals and reduce compli...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1067/mic.2002.117042

    authors: Maupomé G,Borges-Yáñez SA,Díez-De-Bonilla FJ,Irigoyen-Camacho ME

    更新日期:2002-02-01 00:00:00

  • Efficacy of laundering and tumble-drying in reducing microbial contamination of wastewater treatment plant worker coveralls.

    abstract:BACKGROUND:Evidence implicates textiles in health care as potential reservoirs of pathogens. No similar data exist for the wastewater treatment plant (WWTP) industry. We investigated if coveralls worn by WWTP workers could present occupational infection risk. METHODS:We enumerated heterotrophic plate counts (HPCs), to...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.11.007

    authors: Maal-Bared R

    更新日期:2019-05-01 00:00:00

  • Influenza vaccination among health care personnel in California: 2010-2011 influenza season.

    abstract:BACKGROUND:Influenza vaccination among health care personnel (HCP) is a key measure to prevent influenza infection and transmission in health care settings. This study described influenza vaccination coverage among employees in various health care settings in California and examined factors associated with HCP influenz...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2012.10.014

    authors: Lee SJ,Harrison R,Rosenberg J,McLendon P,Boston E,Lindley MC

    更新日期:2013-08-01 00:00:00

  • Persistent nasal carriers of Acinetobacter baumannii in long-term-care facilities.

    abstract:BACKGROUND:Acinetobacter baumannii and Staphylococcus aureus have persisted as 2 major pathogens worldwide. AIM:We designed a prevalence study to investigate the prevalence of nasal carriage of S aureus and A baumannii in long-term-care facilities (LCTFs) and their collaborative community hospitals. In addition, we ai...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2017.02.005

    authors: Liou ML,Chen KH,Yeh HL,Lai CY,Chen CH

    更新日期:2017-07-01 00:00:00

  • Use of hands-free technique among operating room nurses in the Republic of Korea.

    abstract:BACKGROUND:The recently introduced concept of hands-free technique (HFT) currently has no recommendations or formal educational program for use in the Republic of Korea. This study evaluated the level of HFT use and investigated factors related to HFT use among Korean operating room nurses. METHOD:Data were obtained t...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2008.01.013

    authors: Jeong IS,Park S

    更新日期:2009-03-01 00:00:00

  • Surgical site infection risk factors identified by multivariate analysis for patient undergoing laparoscopic, open colon, and gastric surgery.

    abstract:BACKGROUND:Surgical site infection (SSI) is an important clinical indicator of quality of patient care and infection control; therefore, we aimed to assess risk factors SSI in colon and gastric surgeries. METHODS:SSI was assessed according to the National Nosocomial Infection Surveillance (NNIS) system (1999). Risk fa...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2007.12.011

    authors: Imai E,Ueda M,Kanao K,Kubota T,Hasegawa H,Omae K,Kitajima M

    更新日期:2008-12-01 00:00:00

  • Underestimation of surgical site infection rates in obstetrics and gynecology.

    abstract:BACKGROUND:With the increasing volume of same-day operations and shortened hospital stays, it becomes more likely that a significant percentage of surgical site infections will occur after these patients' discharges. METHODS:To document the true incidence of postdischarge surgical site infection, surveillance was unde...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/0196-6553(95)90004-7

    authors: Gravel-Tropper D,Oxley C,Memish Z,Garber GE

    更新日期:1995-02-01 00:00:00

  • Challenges to sustainability of hand hygiene at a rural hospital in Rwanda.

    abstract:BACKGROUND:Many hand hygiene (HH) programs have been implemented across Sub-Saharan Africa (SSA); however, most of these have been in large, referral hospitals. Our objective was to assess the impact of HH programs aimed at improving compliance at a rural hospital, and to identify unique challenges to HH sustainability...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2017.04.006

    authors: Holmen IC,Niyokwizerwa D,Nyiranzayisaba B,Singer T,Safdar N

    更新日期:2017-08-01 00:00:00

  • The attributable cost, length of hospital stay, and mortality of central line-associated bloodstream infection in intensive care departments in Argentina: A prospective, matched analysis.

    abstract:BACKGROUND:Limited information is available on the financial impact of central venous catheter-associated bloodstream infection (BSI) in Argentina. To calculate the cost of BSIs in the intensive care department (ICU), a 5-year prospective nested case-control study was undertaken at 3 hospitals in Argentina. METHODS:We...

    journal_title:American journal of infection control

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ajic.2003.03.002

    authors: Rosenthal VD,Guzman S,Migone O,Crnich CJ

    更新日期:2003-12-01 00:00:00

  • Health care-associated infection surveillance system in Iran: Reporting and accuracy.

    abstract:BACKGROUND:Valid data are a crucial aspect of infection prevention and control programs. The aim of this study was to examine the accuracy of routine reporting in the Iranian Nosocomial Infection Surveillance System in intensive care units. METHODS:A blinded retrospective review of general intensive care unit medical ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.12.028

    authors: Seifi A,Dehghan-Nayeri N,Rostamnia L,Varaei S,Akbari Sari A,Haghani H,Ghanbari V

    更新日期:2019-08-01 00:00:00

  • Infection prevention and enhanced recovery after surgery: A partnership for implementation of an evidence-based bundle to reduce colorectal surgical site infections.

    abstract::To reduce surgical site infections (SSIs) in colorectal surgeries we introduced a bundle of care elements in partnership with the Enhanced Recovery after Surgery (ERAS) multidisciplinary team. We measured the incidence of National Healthcare Safety Network-defined SSIs, along with adherence to bundle care elements. De...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.11.004

    authors: Albert H,Bataller W,Masroor N,Doll M,Cooper K,Spencer P,Winborne D,Zierden EM,Stevens MP,Scott M,Bearman G

    更新日期:2019-06-01 00:00:00

  • An integrative care bundle to prevent surgical site infections among surgical hip patients: A retrospective cohort study.

    abstract:BACKGROUND:Surgical site infections (SSIs) following hip fracture surgeries have profound clinical and economic implications. The study aims to analyze the effect of an integrative SSI prevention care bundle on the SSI incidence among surgical hip patients. The study also aims to examine the association between SSI and...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.10.011

    authors: Mok WQ,Ullal MJ,Su S,Yiap PL,Yu LH,Lim SMM,Ker SYJ,Wang J

    更新日期:2019-05-01 00:00:00

  • Predictors of methicillin-resistant Staphylococcus aureus colonization at hospital admission.

    abstract:BACKGROUND:The best strategy for active surveillance for methicillin-resistant Staphylococcus aureus (MRSA) remains unclear. We attempted to identify a risk factor score to predict MRSA colonization at hospital admission. METHODS:Data on 9 variables reported as risk factors for MRSA colonization were analyzed, and a r...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.02.013

    authors: Torres K,Sampathkumar P

    更新日期:2013-11-01 00:00:00

  • Assessment of injection practice in primary health care facilities of Shiraz, Iran.

    abstract:BACKGROUND:Occupational risk for several bloodborne viruses is attributable to unsafe injection practices. To understand injection frequency and safety, we surveyed injection rates and factors influencing injection prescription in primary health care facilities and associated health clinics in Shiraz, Iran. METHODS:We...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.09.006

    authors: Mclaws ML,Ghahramani S,Palenik CJ,Keshtkar V,Askarian M

    更新日期:2014-03-01 00:00:00

  • A 5-year experience with influenza prevention and containment in a program of all-inclusive care for elderly adults.

    abstract:BACKGROUND:Influenza causes mortality and morbidity in the frail elderly population. Influenza prevention and mitigation models need to be developed for this population. METHODS:An observational study at a Program for All-Inclusive Care for the Elderly (PACE) during years 1999-2004. Participants were frail elderly adu...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2005.02.001

    authors: Desbiens NA

    更新日期:2005-05-01 00:00:00

  • Comparison of infection control practices in a Dutch and US hospital using the infection risk scan (IRIS) method.

    abstract:BACKGROUND:The infection risk scan (IRIS) is a tool to measure the quality of infection control (IC) and antimicrobial use in a standardized way. We describe the feasilibility of the IRIS in a Dutch hospital (the Netherlands, NL) and a hospital in the United States (US). METHODS:Cross-sectional measurements were perfo...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2019.09.020

    authors: Willemsen I,Jefferson J,Mermel L,Kluytmans J

    更新日期:2020-04-01 00:00:00

  • Impact of weather on the risk of surgical site infections in a tropical area.

    abstract::We studied the impact of average daily temperature and relative humidity on the risk of surgical site infections in 36,429 surgeries performed in a hospital in inner Brazil. Adjusted Poisson regression models found an association between surgical site infections and temperature (rate ratio [RR], 1.013; 95% confidence ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2018.07.013

    authors: Fortaleza CMCB,Silva MO,Saad Rodrigues F,da Cunha AR

    更新日期:2019-01-01 00:00:00

  • Effectiveness of improved hydrogen peroxide in decontaminating privacy curtains contaminated with multidrug-resistant pathogens.

    abstract::We tested the ability of an improved hydrogen peroxide solution to decontaminate privacy curtains in inpatient and outpatient areas. The microbial contamination of the curtains was assessed before and after the curtains were sprayed with improved hydrogen peroxide. The disinfectant reduced the microbial load on the pr...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2013.11.022

    authors: Rutala WA,Gergen MF,Sickbert-Bennett EE,Williams DA,Weber DJ

    更新日期:2014-04-01 00:00:00

  • A national task analysis of infection control practitioners, 1982. Part Two: Tasks, knowledge, and abilities for practice.

    abstract::Respondents (N = 473) from a randomized stratified sample (N = 600) of U.S. hospital ICPs in a national survey sponsored by the Certification Board of Infection Control were asked to rate specific task, knowledge, and ability statements related to infection control for frequency and importance. The questions included ...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/0196-6553(84)90096-8

    authors: Shannon R,McArthur BJ,Weinstein S,Pugliese G,Jackson MM,Lynch P,Tsinzo M,Serkey J,McGuire N

    更新日期:1984-06-01 00:00:00

  • Perioperative blood contact and exposures: a comparison of incident reports and focused studies.

    abstract:BACKGROUND:Occupational blood exposures among operating room personnel have been substantially underreported in incident reports. Recent research has indicated several common factors influencing exposure rates: surgical service (thoracic, neurosurgery, orthopedic), length of operation, and emergency status. METHODS:Th...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/0196-6553(93)90402-p

    authors: Lynch P,White MC

    更新日期:1993-12-01 00:00:00

  • Unintended consequences of infection prevention and control measures during COVID-19 pandemic.

    abstract:BACKGROUND:In the current COVID-19 pandemic, aggressive Infection Prevention and Control (IPC) measures have been adopted to prevent health care-associated transmission of COVID-19. We evaluated the impact of a multimodal IPC strategy originally designed for the containment of COVID-19 on the rates of other hospital-ac...

    journal_title:American journal of infection control

    pub_type: 杂志文章

    doi:10.1016/j.ajic.2020.10.019

    authors: Wee LEI,Conceicao EP,Tan JY,Magesparan KD,Amin IBM,Ismail BBS,Toh HX,Jin P,Zhang J,Wee EGL,Ong SJM,Lee GLX,Wang AE,How MKB,Tan KY,Lee LC,Phoon PC,Yang Y,Aung MK,Sim XYJ,Venkatachalam I,Ling ML

    更新日期:2020-11-04 00:00:00