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“If the glove fits”: Hospital-wide universal gloving is associated with improved hand hygiene and may reduce Clostridioides difficile infection

Published online by Cambridge University Press:  23 April 2021

Paritosh Prasad Open the ORCID record for Paritosh Prasad [Opens in a new window] ,
Lynne Brown ,
Shiyang Ma ,
Andrew McDavid ,
Andrew Rudmann ,
David Lent ,
Patricia Reagan-Webster ,
E. Kate Valcin ,
Paul Graman  and
Michael Apostolakos
Paritosh Prasad*
Affiliation:
University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, New York
Lynne Brown
Affiliation:
University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, New York
Shiyang Ma
Affiliation:
Department of Biostatistics, Columbia University, New York City, New York
Andrew McDavid
Affiliation:
University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, New York
Andrew Rudmann
Affiliation:
University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, New York
David Lent
Affiliation:
University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, New York
Patricia Reagan-Webster
Affiliation:
University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, New York
E. Kate Valcin
Affiliation:
University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, New York
Paul Graman
Affiliation:
University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, New York
Michael Apostolakos
Affiliation:
University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, New York
*
Author for correspondence: Paritosh Prasad, E-mail: paritosh_prasad@urmc.rochester.edu
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Abstract

Objective:

To determine whether a hospital-wide universal gloving program resulted in increased hand hygiene compliance and reduced inpatient Clostridioides difficile infection (CDI) rates.

Design:

We carried out a multiple-year before-and-after quasi-experimental quality improvement study. Gloving and hand hygiene compliance data as well as hospital-acquired infection rates were prospectively collected from January 1, 2015, to December 31, 2017, by secret monitors.

Settings:

The University of Rochester Strong Memorial Hospital, an 849-bed quaternary-care teaching hospital.

Patients:

All adult inpatients with the exception of patients in the obstetrics unit.

Interventions:

A hospital-wide universal gloving protocol was initiated on January 1, 2016.

Results:

Hand hygiene compliance increased from 68% in 2015 reaching an average of 88% by 2017 (P < .0002). A 10% increase in gloving per unit was associated with a 1.13-fold increase in the odds of hand hygiene (95% credible interval, 1.12–1.14). The rates of CDI decreased from 1.05 infections per 1,000 patient days in 2015 to 0.74 in 2017 (P < .04).

Conclusion:

A universal gloving initiative was associated with a statistically significant increase in both gloving and hand hygiene compliance. CDI rates decreased during this intervention.

Type
Original Article
Information
Infection Control & Hospital Epidemiology , Volume 42 , Issue 11 , November 2021 , pp. 1351 - 1355
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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