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A crossover trial comparing contamination of healthcare personnel during removal of a standard gown versus a modified gown with increased skin coverage at the hands and wrists

  • Zeina Hajar (a1), Thriveen S. C. Mana (a2), Myreen E. Tomas (a3), Heba Alhmidi (a4), Brigid M. Wilson (a3) and Curtis J. Donskey (a2) (a3)...

Abstract

In a crossover trial, a gown designed to increase skin coverage at the hands and wrists significantly reduced contamination of personnel during personal protective equipment (PPE) removal, and education on donning and doffing technique further reduced contamination. Simple modifications of PPE and education can reduce contamination during PPE removal.

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Corresponding author

Author for correspondence: Curtis J. Donskey MD, Geriatric Research, Education, and Clinical Center, Cleveland Veterans Affairs Medical Center, 10701 East Boulevard, Cleveland, OH 44106. Email: Curtis.Donskey@va.gov

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Authors of equal contribution.

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References

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1. Tomas, ME, Kundrapu, S, Thota, P et al. Contamination of the skin and clothing of healthcare personnel during removal of personal protective equipment. JAMA Intern Med 2015;175:19041910.
2. Kwon, JH, Burnham, CD, Reske, KA, et al. Assessment of healthcare worker protocol deviations and self-contamination during personal protective equipment donning and doffing. Infect Control Hosp Epidemiol 2017;13:17.
3. Osei-Bonsu, K, Masroor, N, Cooper, K, et al. Alternative doffing strategies of personal protective equipment to prevent self-contamination in the health care setting. Am J Infect Control 2019;47:534539.
4. Alhmidi, H, Gonzalez-Orta, M, Cadnum, JL, et al. Contamination of healthcare personnel during removal of contaminated gloves. Am J Infect Control 2019. pii: S0196–6553(18)31147-7. doi: 10.1016/j.ajic.2018.12.003.
5. Mana, TSC, Tomas, ME, Cadnum, JL, Jencson, AL, Piedrahita, CT, Donskey, CJ. A randomized trial of two cover gowns comparing contamination of healthcare personnel during removal of personal protective equipment. Infect Control Hosp Epidemiol 2018;39:97100.
6. Sequence for donning and removing personal protective equipment. Centers for Disease Control and Prevention website. http://www.cdc.gov/hai/pdfs/ppe/PPE-Sequence.pdf. Published 2014. Accessed July 15, 2019.
7. Tomas, ME, Cadnum, JL, Mana, TS, Jencson, AL, Donskey, CJ. Seamless suits: reducing personnel contamination through improved personal protective equipment design. Infect Control Hosp Epidemiol 2016;37:742744.
8. Plut, WJ, Ormond, TH. Handware that improves protective apparel doffing. US Patent 7246382 2007:120. http://www.freepatentsonline.com/7246382.html.
9. Gleser, M, Schwab, F, Solbach, P, Vonberg, RP. Modified gloves: a chance for the prevention of nosocomial infections. Am J Infect Control 2018;46:266269.
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A crossover trial comparing contamination of healthcare personnel during removal of a standard gown versus a modified gown with increased skin coverage at the hands and wrists

  • Zeina Hajar (a1), Thriveen S. C. Mana (a2), Myreen E. Tomas (a3), Heba Alhmidi (a4), Brigid M. Wilson (a3) and Curtis J. Donskey (a2) (a3)...

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