Targeted Gown and Glove Use to Prevent Staphylococcus aureus Acquisition in Community-Based Nursing Homes: A pilot study

This objective of this study was to test the feasibility of targeted gown and glove use by healthcare workers caring for high risk nursing home residents to prevent Staphylococcus aureus acquisition in short stay residents. During a 2-month baseline period nursing home residents were swabbed at the nose and inguinal fold at study period start or admission to the facility. Residents were swabbed again at discharge or study period end, whichever came first. This process was repeated during a 2-month intervention period where healthcare workers wore gowns and gloves for high risk care activities while caring for residents with wounds or medical devices. Residents could be enrolled in the study more than once if they were discharged during a study period and then readmitted during that same study period, or if they were in the nursing home for both study periods.

本研究旨在验证照护高危养老护理院居民的医护人员采用针对性穿戴隔离衣与手套的方式，预防短期入住居民获得金黄色葡萄球菌（Staphylococcus aureus）感染的可行性。在为期2个月的基线阶段，研究启动时或居民入院时，需对养老护理院居民采集鼻拭子与腹股沟皱褶拭子样本；并在居民出院或研究周期结束（以先发生者为准）时再次采样。上述采样流程在为期2个月的干预阶段重复开展，此期间医护人员在照护带有伤口或医疗装置的居民时，需穿戴隔离衣与手套完成高危照护操作。若居民在某一研究周期内出院后又于同一周期内重新入院，或是在两个研究周期均有入住，则可多次纳入本研究。