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

Details

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State: Public
Version: Final published version
License: CC BY-NC-SA 4.0
Serval ID
serval:BIB_E9695802AAF2
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Providing care to patients in contact isolation: is the systematic use of gloves still indicated?
Journal
Swiss medical weekly
Author(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
Publication state
Published
Issued date
31/01/2022
Peer-reviewed
Oui
Volume
152
Pages
w30110
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
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 Instead, literature and various unpublished experiences point towards reduced hand hygiene compliance and increased risk of spreading pathogens with routine glove use.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.
Keywords
Cross Infection/prevention & control, Gloves, Protective, Guideline Adherence, Hand Hygiene, Health Personnel, Humans, Infection Control
Pubmed
Open Access
Yes
Create date
19/02/2022 12:46
Last modification date
01/10/2023 7:17
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