Have Gloves and Gowns had their day? An Australian and New Zealand Practice and Attitudes Survey about Contact Precautions for MRSA and VRE Colonisation

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avondale-bepress-to-dspace.facultyNursing
avondale-bepress-to-dspace.licensehttp://creativecommons.org/licenses/by/4.0/
avondale-bepress-to-dspace.peer_review_statusPeer reviewed before publication
avondale-bepress.abstract<p><h3 id="x-x-x-x-x-x-sectitle0015">Background</h3> <p id="x-x-x-x-x-x-abspara0010">‘Contact precautions,’ are recommended for hospitalised patients with known methicillin-resistant <em>Staphylococcus aureus</em> (MRSA) and vancomycin-resistant <em>Enterococci</em> (VRE) colonisation. Despite increasing observational evidence suggesting that gowns and gloves are of no added benefit over hand hygiene and environmental cleaning, guidelines continue to recommend them. <h3 id="x-x-x-x-x-x-sectitle0020">Methods</h3> <p id="x-x-x-x-x-x-abspara0015">A cross-sectional online survey of infection prevention professionals, infectious diseases physicians and microbiologists in Australian and New Zealand hospitals was conducted. The purpose was to explore variations in current approaches to known MRSA and VRE colonisation, and determine clinical equipoise for a proposed randomised control trial (RCT) to withdraw the use of gowns and gloves in this setting. <h3 id="x-x-x-x-x-x-sectitle0025">Results</h3> <p id="x-x-x-x-x-x-abspara0020">226 responses from 122 hospitals across all Australian jurisdiction and multiple regions of New Zealand were received. While most hospitals implement contact precautions for MRSA (86%) and VRE (92%), variations based on MRSA and VRE subtypes are common. There was strong interest in removing glove and gown use for MRSA (72% and 73%, respectively) and VRE (70% and 68%, respectively). 62% of surveyed hospitals expressed interest in participating in a proposed cluster RCT comparing discontinuation of gown and glove use as part of contact precautions for MRSA and VRE, with their ongoing use. <h3 id="x-x-x-x-x-x-sectitle0030">Conclusion</h3> <p id="x-x-x-x-x-x-abspara0025">The mandated use of PPE in the context of MRSA and VRE colonisation warrants further examination. An RCT is needed to definitively address this issue and to promote a widespread change in practice, if warranted.</p>
avondale-bepress.articleid1274
avondale-bepress.authorsSarah Browning
avondale-bepress.authorsJoshua Davis
avondale-bepress.authorsBrett G Mitchell
avondale-bepress.context-key35856547
avondale-bepress.coverpage-urlhttps://research.avondale.edu.au/nh_papers/268
avondale-bepress.document-typearticle
avondale-bepress.field.accepted_versionPublished Version
avondale-bepress.field.author_faculty_disciplineNursing
avondale-bepress.field.avon_earlyonline2023-04-15T00:00:00-07:00
avondale-bepress.field.comments<p>Used by permission: the author(s)</p> <p>© 2023 The Author(s).</p>
avondale-bepress.field.create_openurltrue
avondale-bepress.field.custom_citation<p>Browning, S., Davis, J. S., & Mitchell, B. G. (2023). Have gloves and gowns had their day? An Australian and New Zealand practice and attitudes survey about contact precautions for MRSA and VRE colonisation. <em>Infection, Disease and Health, 28</em>(3), 221-225. https://doi.org/10.1016/j.idh.2023.03.006</p>
avondale-bepress.field.distribution_licensehttp://creativecommons.org/licenses/by/4.0/
avondale-bepress.field.doihttps://doi.org/10.1016/j.idh.2023.03.006
avondale-bepress.field.embargo_date2024-07-22T00:00:00Z
avondale-bepress.field.field_of_education06 Health
avondale-bepress.field.for_202142 HEALTH SCIENCES
avondale-bepress.field.issn2468-0869
avondale-bepress.field.issue_number3
avondale-bepress.field.journalInfection, Disease & Health
avondale-bepress.field.page_numbers221-225
avondale-bepress.field.peer_reviewBefore publication
avondale-bepress.field.publication_date2023-08-01T00:00:00Z
avondale-bepress.field.reportable_itemsC1
avondale-bepress.field.research_centreLifestyle Medicine and Health Research Centre
avondale-bepress.field.staff_classificationPermanent
avondale-bepress.field.volume_number28
avondale-bepress.fulltext-urlhttps://research.avondale.edu.au/cgi/viewcontent.cgi?article=1274&amp;context=nh_papers&amp;unstamped=1
avondale-bepress.keywordscontact precautions
avondale-bepress.keywordsgloves
avondale-bepress.keywordspersonal protective equipment
avondale-bepress.keywordsgowns
avondale-bepress.label268
avondale-bepress.publication-date2023-08-01T00:00:00Z
avondale-bepress.publication-titleNursing and Health Papers and Journal Articles
avondale-bepress.statepublished
avondale-bepress.submission-date2023-07-23T22:38:31Z
avondale-bepress.submission-pathnh_papers/268
avondale-bepress.titleHave Gloves and Gowns had their day? An Australian and New Zealand Practice and Attitudes Survey about Contact Precautions for MRSA and VRE Colonisation
avondale-bepress.typearticle
dc.contributor.authorBrowning, Sarah
dc.date.accessioned2023-11-01T00:35:59Z
dc.date.available2023-11-01T00:35:59Z
dc.date.issued2023-08-01
dc.date.submitted2023-07-23T22:38:31Z
dc.description.abstract<p><h3 id="x-x-x-x-x-x-sectitle0015">Background</h3> <p id="x-x-x-x-x-x-abspara0010">‘Contact precautions,’ are recommended for hospitalised patients with known methicillin-resistant <em>Staphylococcus aureus</em> (MRSA) and vancomycin-resistant <em>Enterococci</em> (VRE) colonisation. Despite increasing observational evidence suggesting that gowns and gloves are of no added benefit over hand hygiene and environmental cleaning, guidelines continue to recommend them. <h3 id="x-x-x-x-x-x-sectitle0020">Methods</h3> <p id="x-x-x-x-x-x-abspara0015">A cross-sectional online survey of infection prevention professionals, infectious diseases physicians and microbiologists in Australian and New Zealand hospitals was conducted. The purpose was to explore variations in current approaches to known MRSA and VRE colonisation, and determine clinical equipoise for a proposed randomised control trial (RCT) to withdraw the use of gowns and gloves in this setting. <h3 id="x-x-x-x-x-x-sectitle0025">Results</h3> <p id="x-x-x-x-x-x-abspara0020">226 responses from 122 hospitals across all Australian jurisdiction and multiple regions of New Zealand were received. While most hospitals implement contact precautions for MRSA (86%) and VRE (92%), variations based on MRSA and VRE subtypes are common. There was strong interest in removing glove and gown use for MRSA (72% and 73%, respectively) and VRE (70% and 68%, respectively). 62% of surveyed hospitals expressed interest in participating in a proposed cluster RCT comparing discontinuation of gown and glove use as part of contact precautions for MRSA and VRE, with their ongoing use. <h3 id="x-x-x-x-x-x-sectitle0030">Conclusion</h3> <p id="x-x-x-x-x-x-abspara0025">The mandated use of PPE in the context of MRSA and VRE colonisation warrants further examination. An RCT is needed to definitively address this issue and to promote a widespread change in practice, if warranted.</p>
dc.description.versionBefore publication
dc.identifier.citation<p>Browning, S., Davis, J. S., & Mitchell, B. G. (2023). Have gloves and gowns had their day? An Australian and New Zealand practice and attitudes survey about contact precautions for MRSA and VRE colonisation. <em>Infection, Disease and Health, 28</em>(3), 221-225. https://doi.org/10.1016/j.idh.2023.03.006</p>
dc.identifier.doihttps://doi.org/10.1016/j.idh.2023.03.006
dc.identifier.issn2468-0869
dc.identifier.urihttps://research.avondale.edu.au/handle/123456789/35856547
dc.language.isoen_us
dc.rights<p>Used by permission: the author(s)</p> <p>© 2023 The Author(s).</p>
dc.rights.licensehttp://creativecommons.org/licenses/by/4.0/
dc.subjectcontact precautions
dc.subjectgloves
dc.subjectpersonal protective equipment
dc.subjectgowns
dc.titleHave Gloves and Gowns had their day? An Australian and New Zealand Practice and Attitudes Survey about Contact Precautions for MRSA and VRE Colonisation
dc.typeJournal Article
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