Murguía PJG, Pérez GG, Pérez PVM, Cuello GC

Language: Spanish
References: 20
Page: 16-21
PDF size: 247.14 Kb.

ABSTRACT

background. Increase in health-care associated infections (HAI) is one reason why health professionals have implemented different measures to abolish them. The use of current clothing, in the development of hospital activities, has been generated controversy.
Objective. To determine if health professional’s clothing is related to the hai in the hospital environment.
Material and methods. We searched for controlled clinical trials, without language restrictions or publication date, in which a direct relationship was established between the types of clothing of health professionals with hai.
Results. Three randomized controlled clinical trials with 129 participants met the selection criteria. The trials were conducted in the hospital context of first world countries. No clinical trials analyzed if there is a direct relationship between the health professional’s clothes and the HAI; however, bacterial growth in different elements of the participants’ clothing was evident, bacterial growth occurred within the first eight hours of its use. Regarding the clothing type, long ties showed a higher level of colonization compared to bow ties; between long sleeve and short sleeve coveralls, no difference was shown.
Conclusions. It is not possible to determine the type of ideal clothing for the hospital activities of health professionals, in absence of clinical trials that analyze direct relationship of different components of clothing with hai.

REFERENCES

1. Loh, W. y Holton, J., “Bacterial flora on the white coats of medical students”, J Hosp Infect, 2000, 45: 65-68.

2. Wiener-Well, Y., Galuty, Y. y Rudensky, B., “Nursing and physicion attire as possible source of nosocomial infections”, Am J Infect Control, 2011, 39: 555-559.

3. Mitchell, A., Spencer, M. y Edmiston, C., “Role of healthcare apparel and other healthcare textiles in the transmission of pathogens: a review of the literature”, J Hosp Infect, 2015, 90 (40): 285-292.

4. Tse, G., Withey, S. y Yeo, J.M., “Bare below the elbows: was the target the white coat?”, J Hosp Infect, 2015, 91 (4): 299-301.

5. Mahida, N., “The white coat, microbiology service centralization, and combined infection training: what is happening to infection prevention and control?”, J Hosp Infect, 2015, 91 (4): 289-291.

6. Norma Oficial Mexicana, NOM-045-SSA2-2005, Para la vigilancia epidemiológica, prevención y control de las infecciones nosocomiales, Diario Oficial de la Federación, 2009.

7. Liberati, A., Altman, D.G., Tetzlaff, J., Mulrow, C., Gøtzsche, P.C., Ioannidis, J.P. et al., The prisma statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration”, plos Medicine, 2009, 6 (7): e1000100.

8. Higgins, J.P.T. y Green, S. (eds.), Cochrane Handbook for Systematic Reviews of Interventions, versión 5.1.0 [actualizado en marzo de 2011], The Cochrane Collaboration, 2011. Disponible en: www.cochrane-handbook.org.

9. Abu Bakar, S., “Doctor’s attire and patient safety”, Medical J Malaysia, 2009, 64 (3): 185-186.

10. Alexander, R., Volpe, N.G., Catchpole, C., Allen, R. y Cope, S., “Are lanyards a risk for nosocomial transmission of potentially pathogenic bacteria?”, J Hosp Infect, 2008, 70 (1): 92-93.

11. Burger, A., Wijewardena, C., Clayson, S. y Greatorex, R.A., “Bare below elbows: does this policy affect handwashing efficacy and reduce bacterial colonization?”, Ann Royal Coll Surg Engl, 2011, 93 (1): 13-16.

12. Dixon, M., “Neck ties as vectors for nosocomial infection”, Intensive Care Med, 2000, 26 (2): 250.

13. Weber, R.L., Khan, P.D., Fader, R.C. y Weber, R.A., “Prospective study on the effect of shirtsleeves and ties on the transmission of bacteria to patients”, J Hosp Infect, 2012, 80 (3): 252-254.

14. Duquette-Petersen, L., Francis, M.E., Dohnalek, L., Skinner, R. y Dudas, P., “The role of protective clothing in infection prevention in patients undergoing autologous bone marrow transplantation”, Onc Nurs Forum, 1999, 26 (8): 1319-1324.

15. Rush, J., Fiorino-Chiovitti, R., Kaufman, K. y Mitchell, A., “A randomized controlled trial of a nursery ritual: wearing cover gowns to care for healthy newborns”, Birth, 1990, 17 (1): 25-30.

16. Birenbaum, H.J., Glorioso, L., Rosenberger, C., Arshad, C. y Edwards, K., “Gowning on a postpartum ward fails to decrease colonization in the newborn infant”, Am J Dis Child, 1990, 144 (9): 1031-1033.

17. Everson, N., Chambers, R.M., Tibbetts, R. y Davis, S.L., “Crossover study of silver-embedded white coats in clinical practice”, Infect Dis Clin Pract, 2014, 22 (3): 145-147.

18. Biljan, M.M., Hart, C.A., Sunderland, D., Manasse, P.R. y Kingsland, C.R., “Multicentre randomised double bind crossover trial on contamination of conventional ties and bow ties in routine obstetric and gynaecological practice”, bmj, 1993, 307 (6919): 1582-1584.

19. Burden, M., Cervantes, L., Weed, D., Keniston, A., Price, C.S. y Albert, R.K., “Newly cleaned physician uniforms and infrequently washed white coats have similar rates of bacterial contamination after an 8-hour workday: a randomized controlled trial”, J Hosp Med (Online), 2011, 6 (4): 177-182.

20. Atkins, D., Best, D., Briss, P.A., Eccles, M., Falck-Ytter, Y., Flottorp, S., Guyatt, G.H., Harbour, R.T., Haugh, M.C., Henry, D., Hill, S., Jaeschke, R., Leng, G., Liberati, A., Magrini, N., Mason, J., Middleton, P., Mrukowicz, J., O’Connell, D., Oxman, A.D., Phillips, B., Schünemann, H.J., Edejer, T., Varonen, H., Vist, G.E., Williams, J.W., Jr. y Zaza, S,. “grade Working Group. Grading quality of evidence and strength of recommendations”, bmj, 2004, 328 (7454): 1490.