Providing care to patients in contact isolation: is the systematic use of gloves still indicated?

Détails

Ressource 1Télécharger: smw_152_w30110 (1).pdf (661.98 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY-NC-SA 4.0
ID Serval
serval:BIB_E9695802AAF2
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Providing care to patients in contact isolation: is the systematic use of gloves still indicated?
Périodique
Swiss medical weekly
Auteur⸱e⸱s
Bellini C., Eder M., Senn L., Sommerstein R., Vuichard-Gysin D., Schmiedel Y., Schlegel M., Harbarth S., Troillet N.
ISSN
1424-3997 (Electronic)
ISSN-L
0036-7672
Statut éditorial
Publié
Date de publication
31/01/2022
Peer-reviewed
Oui
Volume
152
Pages
w30110
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Résumé
This article reviews the available evidence on the effectiveness of gloves in preventing infection during care provided to patients under contact precautions, and analyses the risks and benefits of their systematic use. Although hand hygiene with alcohol-based handrub was shown to be effective in preventing nosocomial infections, many publications put the effectiveness and usefulness of gloves into perspective. Instead, literature and various unpublished experiences point towards reduced hand hygiene compliance and increased risk of spreading pathogens with routine glove use. Therefore, hospitals should emphasise hand hygiene in their healthcare staff and, instead of the routine use of gloves when caring for patients under contact precautions, limit their use to the indications of standard precautions, i.e., mainly for contact with body fluids. Wide and easy access to alcohol-based handrub and continual teaching are essential. If such conditions are met and adherence to hand hygiene is excellent and regularly assessed, the routine use of gloves for patients under contact precautions seems no longer indicated.
Mots-clé
Cross Infection/prevention & control, Gloves, Protective, Guideline Adherence, Hand Hygiene, Health Personnel, Humans, Infection Control
Pubmed
Open Access
Oui
Création de la notice
19/02/2022 12:46
Dernière modification de la notice
01/10/2023 7:17
Données d'usage