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

Inclusion Criteria:

Resident:

- Age 18 years

- Reside in a participating LTCF for rehabilitation, skilled nursing or maintenance care

- Expected length of stay of >4 weeks from enrollment

- Written informed consent from participant, or written informed consent from legally
authorized representative (LAR) with assent from participant

Health Care Worker:

- Has direct interaction with participating residents at participating VA Long Term Care
Facility (LTCF)

- Verbal informed consent

Exclusion Criteria:

Residents:

Health Care Worker:

- Unable or unwilling to wear protective gown or gloves during healthcare workers
(HCW)-resident interaction