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
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Cites background from "A Comparison of the Effect of Unive..."
...364, [746] [747] [748] [749] Isolation gowns are always worn in combination with gloves, and with other PPE when indicated....
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Cites background from "A Comparison of the Effect of Unive..."
...The proportion of VRE-colonized patients who go unrecognized in the hospital in the absence of active surveillance cultures has been large in five studies.(105,125,149,195)'(196)...
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...The recent emergence of VRSA, which has not yet been submitted to cost-effectiveness studies, will likely lead to even greater cost-effectiveness of controlling MRSA and VRE....
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...The latter agent was restricted as part of most VRE control efforts, but efforts to control the use of vancomycin alone without effective measures to prevent transmission have not resulted in the control of VRE.86,105,116 This does not mean that antibiotics were not important contributing factors....
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...Four of five other studies with epidemiologic data suggested that contact precautions with gowns and gloves worked better than gloves alone for preventing the spread of VRE.96105115135136 Additionally, a high rate of clothing contamination has been found122132134 that was prevented when gowns were worn.134 Of the various universal barrier options, universal gloving would cost the least but would be associated with a higher transmission rate than other options.96115135136 The highest cost of any universal barrier option would come from universal gown and glove isolation....
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...After 2 more years without improvement, a SHEA task force was appointed to draft this evidence-based guideline on preventing nosocomial transmission of such pathogens, focusing on the two considered most out of control: MRSA and VRE....
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References
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"A Comparison of the Effect of Unive..." refers background in this paper
...Enterococcal infections traditionally have been attributed to strains from patients' endogenous flora (4), but several recent reports have shown that enterococci can be spread by carriage on the hands of personnel (5, 6) or by equipment (7)....
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1,317 citations
"A Comparison of the Effect of Unive..." refers background in this paper
...Enterococci have emerged as a prominent cause of nosocomial infection over the past two decades (1, 2)....
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1,115 citations
"A Comparison of the Effect of Unive..." refers background in this paper
...Enterococci have emerged as a prominent cause of nosocomial infection over the past two decades (1, 2)....
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"A Comparison of the Effect of Unive..." refers background in this paper
..., Hazelwood, Missouri), the production of yellow pigment, and the 30 °C motility test (17)....
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