Table 3

Overall assessments of the certainty of evidence

Conclusion from MHS IVStrength of evidence
Universal gloving has a small effect in reducing MDRO infections (mostly in the ICU setting)Low
Contact precautions have mixed evidence for effect in reducing MDRO infectionsLow
Cohorting may be part of an effective strategy to reduce MDRO infections in the setting of an outbreakLow
Environmental decontamination may reduce MDRO infectionsLow
Patient decolonisation can reduce MDRO infections in certain populationsModerate
Bundled infection prevention and control practices in long-term care facilities have at most a small effect on rates of MDRO infections in the endemic settingLow
Infective isolation makes little difference to psychological outcomes, but where it does make a difference this is primarily negativeLow
Non-infectious adverse events may be higher in patients in infective isolation compared with patients who are not isolatedVery Low
  • ICU, Intensive care unit; MDROs, multidrug-resistant organisms; MHS, Making Healthcare Safer.