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Am J Infect Control. 2017 Sep 1;45(9):990-994. doi: 10.1016/j.ajic.2017.03.023. Epub 2017 May 11.

Bathing hospitalized dependent patients with prepackaged disposable washcloths instead of traditional bath basins: A case-crossover study.

Author information

1
Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI. Electronic address: etmartin@umich.edu.
2
Detroit Medical Center, Detroit, MI.
3
Assaf Harofeh Medical Center, Zrifin, Israel.
4
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI.

Abstract

BACKGROUND:

Basins used for patient bathing have been shown to be contaminated with multidrug-resistant organisms (MDROs) and have prompted the evaluation of alternatives to soap and water bathing methods.

METHODS:

We conducted a prospective, randomized, open-label interventional crossover study to assess the impact of replacing traditional bath basins with prepackaged washcloths on the incidence of hospital-associated infections (HAIs), MDROs, and secondarily, rates of skin deterioration. Unit-wide use of disposable washcloths over an 8-month period was compared with an 8-month period of standard care using basins.

RESULTS:

A total of 2,637 patients were included from 2 medical-surgical units at a single tertiary medical center, contributing 16,034 patient days. During the study period, there were a total of 33 unit-acquired infections, the rates of which were not statistically different between study phases (incidence rate ratio, 1.05; 95% confidence interval [CI], 0.50-2.23; P = .88). However, occurrence of skin integrity deterioration was significantly less in the intervention group (odds ratio, 0.44; 95% CI, 0.22-0.88; P = .02).

CONCLUSIONS:

Although we were unable to demonstrate a significant reduction in HAI or MDRO acquisition, we found a decrease in skin deterioration with the use of disposable washcloths and confirmed earlier findings of MDRO contamination of wash basins.

KEYWORDS:

Bathing; Hospital-associated infections; Skin integrity; Washcloths

PMID:
28502637
PMCID:
PMC5581711
DOI:
10.1016/j.ajic.2017.03.023
[Indexed for MEDLINE]
Free PMC Article

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