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Impact of De-implementing Gowning and Gloving Requirements for COVID-19 on Environmental Waste Creation

Published online by Cambridge University Press:  23 June 2026

Annie Peacock
Affiliation:
Emory University
Scott Fridkin
Affiliation:
Emory Healthcare and Emory University
Lucy Witt
Affiliation:
Emory University
Jessica Howard-Anderson
Affiliation:
Emory University School of Medicine
Sujit Suchindran
Affiliation:
Emory University School of Medicine
Jesse Jacob
Affiliation:
Emory University
Lindsey Gottlieb
Affiliation:
Emory University School of Medicine
Leila Hojat
Affiliation:
Emory University Hospital Midtown

Abstract

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Background: Contact precautions were used during COVID-19 to reduce nosocomial transmission, though these practices have environmental impacts. We sought to examine the effect of de-implementing contact precautions in a regional healthcare system. Methods: We utilized the electronic medical record to identify all hospital-onset COVID-19 cases among hospitalized patients in nine regional hospitals from Results: There were 88,963 patient-days of isolation during implementation, and 23,378 patient-days of isolation after implementation. Conclusions: Despite de-implementing glove/gown use, we observed no increase in HO COVID-19; however, we benefited from a considerable decrease in both global warming potential and waste.

A table comparing global warming potential and waste created by different PPE items.

A bar graph comparing global warming potential and waste created before and after implementation.

Information

Type
COVID-19
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2026. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America