Journal article
Association between universal gloving and healthcare-associated infections: A systematic literature review and meta-analysis
Infection control and hospital epidemiology, Vol.40(7), pp.755-760
07/2019
DOI: 10.1017/ice.2019.123
PMID: 31099327
Abstract
Healthcare-associated infections (HAIs) are a significant burden on healthcare facilities. Universal gloving is a horizontal intervention to prevent transmission of pathogens that cause HAI. In this meta-analysis, we aimed to identify whether implementation of universal gloving is associated with decreased incidence of HAI in clinical settings.
A systematic literature search was conducted to find all relevant publications using search terms for universal gloving and HAIs. Pooled incidence rate ratios (IRRs) and 95% confidence intervals (CIs) were calculated using random effects models. Heterogeneity was evaluated using the Woolf test and the I2 test.
In total, 8 studies were included. These studies were moderately to substantially heterogeneous (I2 = 59%) and had varied results. Stratified analyses showed a nonsignificant association between universal gloving and incidence of methicillin-resistant Staphylococcus aureus (MRSA; pooled IRR, 0.94; 95% CI, 0.79-1.11) and vancomycin-resistant enterococci (VRE; pooled IRR, 0.94; 95% CI, 0.69-1.28). Studies that implemented universal gloving alone showed a significant association with decreased incidence of HAI (IRR, 0.77; 95% CI, 0.67-0.89), but studies implementing universal gloving as part of intervention bundles showed no significant association with incidence of HAI (IRR, 0.95; 95% CI, 0.86-1.05).
Universal gloving may be associated with a small protective effect against HAI. Despite limited data, universal gloving may be considered in high-risk settings, such as pediatric intensive care units. Further research should be performed to determine the effects of universal gloving on a broader range of pathogens, including gram-negative pathogens.
Details
- Title: Subtitle
- Association between universal gloving and healthcare-associated infections: A systematic literature review and meta-analysis
- Creators
- Nai-Chung N Chang - Department of Epidemiology, College of Public Health,University of Iowa, Iowa City,IowaAshley E Kates - Division of Infectious Disease, Department of Medicine, School of Medicine and Public Health,University of Wisconsin-Madison,Madison, WisconsinMelissa A Ward - Department of Internal Medicine, Carver College of Medicine,University of Iowa,Iowa City, IowaElizabeth J Kiscaden - Hardin Library for the Health Sciences,University of Iowa,Iowa City, IowaHeather Schacht Reisinger - Iowa City Veterans Affairs (VA) Health Care System, Center for Comprehensive Access & Delivery Research and Evaluation (CADRE), Iowa City,IowaEli N Perencevich - Iowa City Veterans Affairs (VA) Health Care System, Center for Comprehensive Access & Delivery Research and Evaluation (CADRE), Iowa City,IowaMarin L Schweizer - Department of Epidemiology, College of Public Health,University of Iowa, Iowa City,IowaCDC Prevention Epicenters Program
- Resource Type
- Journal article
- Publication Details
- Infection control and hospital epidemiology, Vol.40(7), pp.755-760
- DOI
- 10.1017/ice.2019.123
- PMID
- 31099327
- NLM abbreviation
- Infect Control Hosp Epidemiol
- ISSN
- 1559-6834
- eISSN
- 1559-6834
- Publisher
- United States
- Grant note
- U54 CK000448 / NCEZID CDC HHS
- Language
- English
- Date published
- 07/2019
- Academic Unit
- Epidemiology; Center for Social Science Innovation; Internal Medicine
- Record Identifier
- 9984001182102771
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