Improved hand hygiene compliance after eliminating mandatory glove use from contact precautions-Is less more?

Cusini, Alexia; Nydegger-Brechbühl, Doris; Kaspar, Tanja; Schweiger, Alexander; Kuhn, Rolf; Marschall, Jonas (2015). Improved hand hygiene compliance after eliminating mandatory glove use from contact precautions-Is less more? American journal of infection control, 43(9), pp. 922-927. Elsevier 10.1016/j.ajic.2015.05.019

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BACKGROUND Guidelines recommend that health care personnel (HCP) wear gloves for all interactions with patients on contact precautions. We aimed to assess hand hygiene (HH) compliance during contact precautions before and after eliminating mandatory glove use. METHODS We assessed HH compliance of HCP in the care of patients on contact precautions in 50 series before (2009) and 6 months after (2012) eliminating mandatory glove use and compared these results with the hospital-wide HH compliance. RESULTS We assessed 426 HH indications before and 492 indications after the policy change. Compared with 2009, we observed a significantly higher HH compliance in patients on contact precautions in 2012 (52%; 95% confidence interval [95% CI], 47-57) vs 85%; 95% CI, 82-88; P < .001). During the same period, hospital-wide HH compliance also increased from 63% (95% CI, 61-65) to 81% (95% CI 80-83) (P < .001). However, the relative improvement (RI) of HH compliance during contact precautions was significantly higher than the hospital-wide relative improvement (RI, 1.6; 95% CI, 1.49-1.81 vs 1.29; 95% CI, 1.25-1.34), with a relative improvement ratio of 1.27 (95% CI, 1.15-1.41). CONCLUSION Eliminating mandatory glove use in the care of patients on contact precautions increased HH compliance in our institution, particularly before invasive procedures and before patient contacts. Further studies on the effect on pathogen transmission are needed before revisiting the current official guidelines on the topic.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Infectiology
04 Faculty of Medicine > Service Sector > Institute for Infectious Diseases

UniBE Contributor:

Cusini, Alexia; Nydegger-Brechbühl, Doris; Kaspar, Tanja; Schweiger, Alexander; Kuhn, Rolf and Marschall, Jonas

Subjects:

600 Technology > 610 Medicine & health
500 Science > 570 Life sciences; biology

ISSN:

0196-6553

Publisher:

Elsevier

Language:

English

Submitter:

Annelies Luginbühl

Date Deposited:

30 Jul 2015 09:18

Last Modified:

24 Apr 2018 10:11

Publisher DOI:

10.1016/j.ajic.2015.05.019

PubMed ID:

26122873

Uncontrolled Keywords:

Contact precautions, Glove use, Hand hygiene

BORIS DOI:

10.7892/boris.70128

URI:

https://boris.unibe.ch/id/eprint/70128

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