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KMID : 1141620230350020001
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Health & Nursing
2023 Volume.35 No. 2 p.1 ~ p.7
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The Effect of Enhanced Contact Precautions on Healthcare-associated Infections: A Systematic Literature Review
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Lee Ji-Yeon
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Abstract
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Purpose: This systematic literature review aimed to assess the effect of enhanced contact precautions, including universal gloving or gowning, on the rate of healthcare-associated infections (HAIs).
Methods: A comprehensive search of articles published from 2001 to 2023 in databases including PubMed, Cochrane library, Embase and RISS was conducted using relevant key words such as ‘Inpatients’, ‘Protective Clothing’, ‘Gloves, Protective’, ‘Personal Protective Equipment’, and ‘Cross Infection’. Of 205 initially identified studies, nine studies were ultimately included in the systematic review.
Results: The findings from the systematic review were varied. While four of the selected studies demonstrated a significant reduction in HAIs, specifically MRSA, CDI, gram-positive bloodstream infections, CAUTI, and CLABI, implementing universal gloving or gowning, five other studies did not observe a significant difference in the effectiveness of HAI prevention.
Conclusion: Universal gloving or gowning may have a limited protective impact against HAIs. Variations in outcomes are influenced by factors like intervention duration, hand hygiene compliance, and patient population. Further studies should be conducted to assess the long-term effects of universal gloving or gowning and the relationship between hand hygiene compliance and HAIs while implementing universal gloving or gowning.
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KEYWORD
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Inpatients, Protective Clothing, Gloves, Protective, Personal Protective Equipment, Cross Infection
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