Benefits of universal gloving on hospital-acquired infections in acute care pediatric units

Jun Yin, Marin L. Schweizer, Loreen A. Herwaldt, Jean M. Pottinger, Eli N. Perencevich

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
JournalPediatrics
Volume131
Issue number5
DOIs
StatePublished - Jan 1 2013
Externally publishedYes

Fingerprint

Cross Infection
Pediatrics
Confidence Intervals
Infection
Delivery of Health Care
Bone Marrow
Transplants
Bacteremia
Tertiary Care Centers
Pneumonia
Cohort Studies
Retrospective Studies
Incidence

Keywords

  • Barrier precautions
  • Glove
  • Hospital-acquired infection
  • Infection prevention
  • Isolation
  • Pediatric

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Benefits of universal gloving on hospital-acquired infections in acute care pediatric units. / Yin, Jun; Schweizer, Marin L.; Herwaldt, Loreen A.; Pottinger, Jean M.; Perencevich, Eli N.

In: Pediatrics, Vol. 131, No. 5, 01.01.2013.

Research output: Contribution to journalArticle

Yin, Jun ; Schweizer, Marin L. ; Herwaldt, Loreen A. ; Pottinger, Jean M. ; Perencevich, Eli N. / Benefits of universal gloving on hospital-acquired infections in acute care pediatric units. In: Pediatrics. 2013 ; Vol. 131, No. 5.
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abstract = "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.",
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AU - Yin, Jun

AU - Schweizer, Marin L.

AU - Herwaldt, Loreen A.

AU - Pottinger, Jean M.

AU - Perencevich, Eli N.

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N2 - 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.

AB - 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.

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KW - Infection prevention

KW - Isolation

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