Donning Gloves After Hand-Washing Prevents More Infections Among Preemies — Physician’s First Watch
Donning Gloves After Hand-Washing Prevents More Infections Among Preemies
By Amy Orciari Herman
Bloodstream infections among premature infants are halved when healthcare personnel wear gloves in addition to standard hand hygiene, a JAMA Pediatrics study finds.
Some 120 newborns (<29 weeks' gestation or weighing <1000 g) admitted to the neonatal ICU were randomized to one of two groups: in one, healthcare personnel washed their hands and then put on nonsterile gloves before all direct patient, bed, and catheter contact; in the other, personnel simply washed their hands.
Late-onset Gram-positive bloodstream infections occurred less often in the glove group than in the hand-hygiene-alone group (15% vs. 32%), as did possible central-line-associated bloodstream infections (3.4 vs. 9.4 per 1000 central-line days).
Editorialists applaud the researchers but caution: "Because most of these episodes did not meet the traditional Centers for Disease Control and Prevention definition of a [bloodstream infection] (owing to single positive blood cultures for skin commensal organisms), the interpretation of this finding is likely to generate debate."