1696. Are you wearing your gown correctly? An assessment of proper gowning when entering a contact isolation room
Session: Poster Abstract Session: Role of the Healthcare Environment in HAIs
Saturday, October 5, 2013
Room: The Moscone Center: Poster Hall C
Posters
  • IDweek_42583.pdf (1.0 MB)
  • Background:

    Contact precautions, with donning of gown and gloves, is associated with a 60% reduction in methicillin-resistant Staphylococcus aureus (MRSA) acquisition. Studies have also shown that multidrug resistant organisms (MDRO) can contaminate healthcare workers’ gowns and gloves after 5 minutes in the patient room emphasizing the need to not only wear gowns, but to wear gowns correctly. We assessed the compliance with the donning of gowns correctly prior to entering a room in contact isolation.

    Methods:

    A cross-sectional observational study was performed at a public safety net hospital. Using a standard form, infection preventionists noted the following information for healthcare workers entering a contact isolation room: healthcare personnel type, location (floor, unit type, emergency department) and method of wearing the gown. The definition of compliance was wearing the gown tied at both the top and bottom.

    Results:

    Of 113 observations, only 21.2% (n = 24) healthcare workers correctly donned the gown when entering a contact isolation room. The 89 non-compliant healthcare workers wore the gown in a variety of fashions including tied at the top only (13.3%, n = 15), tied at the bottom only (30.1%, n = 34), not tied at all (16.8%, n = 18) and backwards (1.8%, n = 2). Nineteen (16.8% healthcare workers did not wear a gown at all when entering the room. The improper gown use was observed in every type of patient care area that was studied: 100% (n = 6) in the Emergency Department; 73.7% (n = 19) in the intensive care units; and 76.1% (n = 88) in the acute care units. Proper gown use was highest among the 15 custodians observed (25%) and lowest among the 17 observed physicians (4.5%).

    Conclusion:

    The dismal rate of proper gown use is of major concern. Evidence supports the donning of gowns when entering rooms of patients infected with a MDRO prevents spread amongst patients. Studies that assess efficacy of gown and glove use for control of MDROs need to incorporate evaluations of compliance with proper donning of the gowns.

    Sara Reese, PhD1, Heather Young, MD2 and Connie Price, MD2, (1)Infection Prevention, Denver Health and Hospital Authority, Denver, CO, (2)Denver Health Medical Center, Denver, CO

    Disclosures:

    S. Reese, None

    H. Young, None

    C. Price, None

    Findings in the abstracts are embargoed until 12:01 a.m. PST, Oct. 2nd with the exception of research findings presented at the IDWeek press conferences.