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

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.

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, we will enroll ~400 MRSA-colonized residents and health care workers from VA community living centers in four states and the District of Columbia. Each enrolled resident will be followed for 6-25 episodes of care observations over 30 days. During each observation, we 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, we 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 our analysis will be used to develop new infection control guidelines which balance patient safety and a home-like, patient-centered environment.

MRSA colonized veterans residing in a participating VA Long Term Care Facility

Inclusion Criteria:

Resident:

1. Age 18 years
2. Recent MRSA colonization (defined by one positive surveillance cultures in the last year).
3. Reside in a participating LTCF for rehabilitation, skilled nursing or maintenance care
4. Expected length of stay of >2 weeks from enrollment
5. Written informed consent from participant, or written informed consent from LAR with assent from participant

Health Care Worker:

1. Has direct interaction with participating residents at participating VA LTCF

2. Verbal informed consent

   Exclusion Criteria:

   Residents:

   None

   Health Care Worker:

3. Unable or unwilling to wear protective gown or gloves during HCW-resident interaction