The Committee to Reduce Infection Deaths (RID) announces it is calling on all hospitals in the
“You see them everywhere: nurses, doctors and medical technicians in scrubs or white coats,” says Betsy McCaughey, PhD, chairman of RID. “They shop in them, take buses and trains in them, go to restaurants in them, and wear them home. What you can’t see on these garments are the bacteria that could kill you.” RID makes the following points:
1. Just because uniforms look clean doesn’t mean that they are clean.
RID says that one-third of medical personnel don’t wash their uniforms before wearing them to work, and that they begin their shifts already contaminated with pathogenic microorganisms such as drug-resistant Enterococcus, Staphylococcus or Clostridium difficile. "At the
“Nurses and nursing students pose additional risks,” McCaughey adds. “Often nursing students own only one uniform because they can’t afford to buy more. Nursing students will tell you they take the bus or subway to the hospital to do a clinical rotation (bathe patients, take vital signs, etc.), then wear their uniform out of the hospital into restaurants, home and back to the hospital again later in the week. Hospitals will say that dangerous germs aren’t being carried on medical uniforms because doctors and nurses are required to gown before seeing patients with these germs, but compliance with gowning is poor. In addition, most patients carrying MRSA and other superbugs are not in isolation.”
2. Dirty uniforms endanger patients but research shows that clean uniforms can reduce the spread of infections.
“Healthcare workers habitually touch their own uniforms,” McCaughey says. “The more bacteria there are on garments, the higher the risk these bacteria will be carried to the patient and cause infection.”
St Mary’s Health Center in St. Louis reduced infections after Cesarean births by more than 50 percent by providing all caregivers with hospital-laundered scrubs, as well as requiring caregivers to double-glove. Stamford Hospital in Connecticut recently banned wearing of scrubs outside the hospital, given the surge in C. diff. cases, a new superbug threat.
3. Many U.S. hospitals ignore the dangers of contaminated uniforms but in the UK, health officials are a step ahead.
“They are ordering physicians to wear short-sleeved shirts because long-sleeved lab coats spread germs,” McCaughey says. “Nurses are issued hospital-laundered ‘smart scrubs’ with short sleeves. Americans deserve the same protection from contaminated hospital clothing. To be sure, providing laundered uniforms for workers and a place to change will cost money, but little compared to the cost of hospital-acquired infections, which are adding more than $30.5 billion a year to the nation’s health tab.”
4. The danger to the public is increasing.
“An even more compelling reason for clean uniforms is the growing danger from a germ called Clostridium difficile,” McCaughey says. “C. diff is raging though hospitals, increasing by nearly 25 percent a year and infecting hundreds of thousands of patients. This suberbug is unusual because people are sickened by it when the germ is ingested. The germ contaminates virtually every surface, from bedrails and over-bed tables to nurses’ uniforms. More than 20 percent of nurses’ uniforms had C. diff on them at the end of a shift, reported one study. Precautions are needed to prevent healthcare workers from carrying C. diff into restaurants and home to their families. C. diff isn’t killed by laundry detergents or most cleaners. Researchers at Case Western Reserve and the
Source: Committee to Reduce Infection Deaths
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