Observational studyAmerican journal of infection control2017
Transmission of methicillin-resistant Staphylococcus aureus to health care worker gowns and gloves during care of residents in Veterans Affairs nursing homes.
Observational study in American journal of infection control, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01350479 (Gown and Glove Use to Prevent the Spread of Infection in VA Community Living Centers), which is not on this map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Gown and Glove Use to Prevent the Spread of Infection in VA Community Living Centers
Who cites it
20 citing papers in PubMed, 36 citations in OpenAlex.
- Methicillin-resistant Staphylococcus aureus.Nature reviews. Disease primers · 2026Review
- Multidrug-resistant organism (MDRO) contamination of nursing home staff hands and forearms when entering the breakroom or going home.Infection control and hospital epidemiology · 2026Article
- Transmission pathways during high-contact care activities in nursing homes: a high-fidelity simulation study with surrogate markers.Infection control and hospital epidemiology · 2026Article
- A multidrug-resistant organism tracking and alert system is associated with lower MRSA and CP-CRE infection rates at Veterans Affairs Medical Centers.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Epidemiology and transmission dynamics of multidrug-resistant organisms in nursing homes within the United States.Nature communications · 2025Article
- Impact of sterile gloving during proximal manipulation of central line catheter hub: the multicenter observational study CleanHandPROX.Antimicrobial resistance and infection control · 2024Observational
- Molecular concordance of methicillin-resistantInfection control and hospital epidemiology · 2023Article
- Article
- Targeted gown and glove use to preventInfection control and hospital epidemiology · 2021Article
- Presence of Methicillin-ResistantTropical medicine and infectious disease · 2021Review
- Risk factors for transmission of carbapenem-resistant Enterobacterales to healthcare personnel gloves and gowns in the USA.The Journal of hospital infection · 2021Observational
- Synergistic Effect of Combination Interventions for Methicillin-ResistantAntibiotics (Basel, Switzerland) · 2021Article
- Lessons learned - Outbreaks of COVID-19 in nursing homes.American journal of infection control · 2020Article
- Patient to healthcare personnel transmission of MRSA in the non-intensive care unit setting.Infection control and hospital epidemiology · 2020Article
- Optimizing Contact Precautions to Curb the Spread of Antibiotic-resistant Bacteria in Hospitals: A Multicenter Cohort Study to Identify Patient Characteristics and Healthcare Personnel Interactions Associated With Transmission of Methicillin-resistant Staphylococcus aureus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019Article
- Prevalence and predictors of MRSA carriage among employees in a non-outbreak setting: a cross-sectional study in an acute care hospital.Journal of occupational medicine and toxicology (London, England) · 2019Article
- Development and Validation of a Clinical Prediction Rule to Predict Transmission of Methicillin-Resistant Staphylococcus aureus in Nursing Homes.American journal of epidemiology · 2019Article
- Patient contact is the main risk factor for vancomycin-resistant Enterococcus contamination of healthcare workers' gloves and gowns in the intensive care unit.Infection control and hospital epidemiology · 2018Article
- Transmission of Resistant Gram-Negative Bacteria to Health Care Worker Gowns and Gloves during Care of Nursing Home Residents in Veterans Affairs Community Living Centers.Antimicrobial agents and chemotherapy · 2017Observational
- Clostridium difficile Colonization of Nursing Home Residents.Infection control and hospital epidemiology · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundThis was an observational study designed to estimate the frequency of methicillin-resistant Staphylococcus aureus (MRSA) transmission to gowns and gloves worn by health care workers (HCWs) interacting with Veterans Affairs Community Living Center (VA nursing home) residents to inform MRSA prevention policies.
methodsParticipants included residents and HCWs from 7 VA nursing homes in 4 states and Washington, DC. Residents were cultured for MRSA at the anterior nares, perianal skin, and wound (if present). HCWs wore gowns and gloves during usual care activities. After each activity, a research coordinator swabbed the HCW's gown and gloves. Swabs were cultured for MRSA.
resultsThere were 200 residents enrolled; 94 (46%) were MRSA colonized. Glove contamination was higher than gown contamination (20% vs 11%, respectively; P < .01). Transmission varied greatly by type of care from 0%-19% for gowns and 7%-37% for gloves. High-risk care activities (odds ratio [OR] > 1.0, P < .05) for gown contamination included changing dressings (eg, wound), dressing, providing hygiene (eg, brushing teeth), and bathing. Low-risk care activities (OR < 1.0, P < .05 or no transmission) for gown contamination included glucose monitoring, giving medications, and feeding.
conclusionsMRSA transmission from colonized residents to gloves was higher than transmission to gowns. Transmission to gloves varies by type of care, but all care had a risk of contamination, demonstrating the importance of hand hygiene after all care. Transmission to gowns was significantly higher with certain types of care. Optimizing gown and glove use by targeting high-risk care activities could improve resident-centered care for MRSA-colonized residents by promoting a home-like environment.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.