A comparison of the effect of universal use of gloves and gowns with that of glove use alone on acquisition of vancomycin-resistant enterococci in a medical intensive care unit.
Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC). San Francisco, Californa USA, 1995/09/18.
To determine the efficacy of the use of gloves and gowns compared with that of the use of gloves alone for the prevention of nosocomial transmission of vancomycin-resistant enterococci.
Epidemiologic study and controlled, nonrandomized clinical trial.
University-affiliated, 900-bed, urban teaching hospital in which vancomycin-resistant enterococci are endemic.
181 consecutive patients admitted to the medical intensive care unit for 48 hours or more.
It was determined that all hospital employees would always use gloves and gowns when attending 8 particular beds in the medical intensive care unit and would always use gloves alone when attending 8 others.
Compliance with precautions was monitored weekly.
Rectal surveillance cultures were taken from patients daily.
Cultures of environmental surfaces, such as those of bed rails, bedside tables, and other frequently touched objects in patient rooms and common areas, were taken monthly.
Pulsed-field gel electrophoresis was used for molecular epidemiologic typing of vancomycin-resistant enterococci.
The number of patients becoming colonized by vancomycin-resistant enterococci ; the number of days to acquisition of vancomycin-resistant enterococci ; and other measurements, including nosocomial infections, length of hospital stay, and mortality rates. (...)
Mots-clés Pascal : Gant, Vêtement protection, Personnel sanitaire, Unité soin intensif, Pratique professionnelle, Prévention, Bactériose, Infection, Enterococcus, Streptococcaceae, Micrococcales, Bactérie, Malade, Efficacité, Infection nosocomiale, Entérocolite, Appareil digestif pathologie, Intestin pathologie
Mots-clés Pascal anglais : Glove, Safety clothing, Health staff, Intensive care unit, Professional practice, Prevention, Bacteriosis, Infection, Enterococcus, Streptococcaceae, Micrococcales, Bacteria, Patient, Efficiency, Nosocomial infection, Enterocolitis, Digestive diseases, Intestinal disease
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0440680
Code Inist : 002B05B02F. Création : 10/04/1997.