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BACKGROUND: To prevent transmission, some pediatric units require
clinicians to wear gloves for all patient contacts during RSV season. We
sought to assess whether a mandatory gloving policy reduced the risk
of other health care–acquired infections (HAIs).
METHODS: This retrospective cohort study included all patients admitted
to pediatric units of a tertiary care center between 2002 and 2010.
Poisson regression models were used to measure the association between
mandatory gloving and HAI incidence. Autoregressive models
were used to adjust for time correlation.
RESULTS: During the study period, 686 HAIs occurred during 363 782
patient-days. The risk of any HAI was 25% lower during mandatory
gloving periods compared with during nongloving periods (relative
risk [RR]: 0.75; 95% confidence interval [CI]: 0.69–0.93; P = .01), after
adjusting for long-term trends and seasonal effect. Mandatory gloving
was associated with lower risks of bloodstream infections (RR: 0.63; 95%
CI: 0.49–0.81; P , .001), central line–associated bloodstream infections
(RR: 0.61; 95% CI: 0.44–0.84; P = 0.003), and hospital-acquired pneumonia
(RR: 0.20; 95% CI: 0.03–1.25; P= 0.09). The reduction was significant in the
PICU (RR: 0.63; 95% CI: 0.42–0.93; P = .02), the NICU (RR: 0.62; 95% CI: 0.39–
0.98; P = .04), and the Pediatric Bone Marrow Transplant Unit (RR: 0.52;
95% CI: 0.29–0.91, P = .02).
CONCLUSIONS: Universal gloving during RSV season was associated
with significantly lower rates of bacteremia and central line–associated
bloodstream infections, particularly in the ICUs and the Pediatric Bone
Marrow Transplant Unit.
Benefits of universal gloving on hos Source Pediatrics SO 2013 May 131 5 e1515 2.pdf
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发表于 2013-11-6 17:25
发表于 2013-11-6 21:28
发表于 2013-11-8 14:33
