alexa Compliance with routine use of gowns by healthcare workers (HCWs) and non-HCW visitors on entry into the rooms of patients under contact precautions.


Occupational Medicine & Health Affairs

Author(s): Manian FA, Ponzillo JJ

Abstract Share this page

Abstract BACKGROUND: Modified contact precautions (MCP), defined as routine donning of isolation gowns (along with routine gloving) on entry into the rooms of patients under contact precautions, regardless of the likelihood of direct exposure to the patient or their immediate environment, were instituted at our medical center to reduce nosocomial transmission of common hospital pathogens. OBJECTIVES: To study compliance with MCP policy regarding routine gowning in intensive care units (ICUs) and general wards and to determine the relationship between gown and glove use in the care of patients under MCP in ICUs. DESIGN: Prospective observational study from February 20, 2004, through January 8, 2005, involving 2,110 persons (1,504 healthcare workers [HCWs] and 606 non-HCW visitors). SETTING: A 900-bed tertiary care teaching community hospital. RESULTS: Overall compliance with routine gown use was observed for 1,542 persons (73\%), including 1,150 HCWs (76\%) and 392 visitors (65\%) (odds ratio [OR], 1.8 [95\% confidence interval {CI}, 1.4-2.2]; P<.001). Visitors in the ICUs (186 [91\%] of 204) were more likely than visitors in the general wards (202 [51\%] of 398) to comply with gown use (OR, 10 [95\% CI, 6.0-17.0]; P<.001). In logistic regression analysis, independent predictors of gown compliance among HCWs were female sex (OR, 2.3 [95\% CI, 1.8-3.0]; P<.001) and ICU setting (OR, 2.2 [95\% CI, 1.7-2.9]; P<.001). In the ICUs, gown use was highly predictive of glove use among HCWs (positive predictive value, 95\%). CONCLUSION: Improvement in compliance with gown use at our medical center will require more-intensive educational efforts targeted at male HCWs and at HCWs and visitors on general wards. In the care of ICU patients under MCP, HCW compliance with gown use may be used as a proxy for their compliance with glove use. This article was published in Infect Control Hosp Epidemiol and referenced in Occupational Medicine & Health Affairs

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

  • 6th International Conference and Exhibition on Occupational Health & Safety

    September 13-14, 2017 Dallas, Texas, USA
  • Global Experts Meeting on Public Health and Nutrition
    October 09-11, 2017 Dubai, UAE
  • 13th International Conference on Occupational Toxicology and Industrial Health
    October 16-17, 2017 Dubai,UAE
  • 38th International Conference on Nursing & Healthcare
    October 16-18,2017 New York, USA
  •  46th Global Nursing and Healthcare Conference
    Dec 06-07, 2017 Sao Paulo, Brazil

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version