Gown and Glove Use to Prevent the Spread of Infection in VA Community Living Centers

VA Office of Research and Development

Status: Completed

Conditions: Methicillin-Resistant Staphylococcus Aureus

Study type: Observational

Funder types: Other U.S. Federal agency

Identifiers

NCT01350479

IIR 10-154

Details and patient eligibility

About

Methicillin-resistant S. aureus (MRSA) infections are a common cause of morbidity and mortality in nursing home residents. MRSA is predominantly spread from patient-to-patient by health care workers. The use of gowns, gloves and hand washing prevents this spread; however, their use detracts from a patient-centered, home-like environment which is an important priority for nursing homes. The goal of this project is to determine when it is most important for health care workers to wear gowns and to wash their hands when caring for MRSA colonized Veterans in community living centers.

Full description

Methicillin-resistant S. aureus (MRSA) infections are a common cause of morbidity and mortality in nursing home residents. MRSA is predominantly spread from patient-to-patient by health care workers. The use of gowns, gloves and hand washing prevents this spread; however, their use detracts from a patient-centered, home-like environment which is an important priority for nursing homes. The goal of this project is to determine when it is most important for health care workers to wear gowns and to wash their hands when caring for MRSA colonized Veterans in community living centers. To meet this goal, the investigators will enroll ~400 MRSA-colonized residents and health care workers from VA community living centers in four states and the District of Columbia. Additionally, the investigators will enroll some non-MRSA colonized residents as control subjects. Each enrolled resident will be followed for 6-25 episodes of care observations over 30 days. During each observation, the investigators will have health care workers wear disposable gowns and gloves during each care activity (e.g. wound dressing) that occurs during the study visit. At the end of each care activity, the investigators will swab the gown and gloves prior to disposing of them. Each swab will be tested for MRSA to determine if MRSA from the resident was transferred to the healthcare worker's gown or gloves during that episode of care. The results of the investigators' analysis will be used to develop new infection control guidelines which balance patient safety and a home-like, patient-centered environment.

Enrollment: 203 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Resident:

• Age 18 years
• Reside in a participating LTCF for rehabilitation, skilled nursing or maintenance care
• Expected length of stay of >4 weeks from enrollment
• Written informed consent from participant, or written informed consent from legally authorized representative (LAR) with assent from participant

Health Care Worker:

• Has direct interaction with participating residents at participating VA Long Term Care Facility (LTCF)
• Verbal informed consent

Exclusion criteria

Residents:

• None

Health Care Worker:

• Unable or unwilling to wear protective gown or gloves during healthcare workers (HCW)-resident interaction

Trial design

203 participants in 2 patient groups

MRSA colonized

Description:

Residents with history of MRSA in the past year

Not MRSA colonized

Description:

Residents without history of MRSA in the past year