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Comparative Study
. 2011 Mar;39(2):104-11.
doi: 10.1016/j.ajic.2010.06.007. Epub 2010 Sep 25.

Comparison of hand contamination rates and environmental contamination levels between two different glove removal methods and distances

Joanna Y F Lai  1 , Y P Guo, Peggy P L Or, Yi Li
Affiliations
Comparative Study

Comparison of hand contamination rates and environmental contamination levels between two different glove removal methods and distances

Joanna Y F Lai et al. Am J Infect Control. 2011 Mar.

Abstract

Background: Gloves are a necessary contact precaution to prevent transmission of infectious pathogens that spread by direct or indirect contact with an infected person or a contaminated environment. This article reports a study investigating hand and environmental contamination levels when health care workers (HCWs) followed two different methods of removing gloves at two distances from the rubbish bin.

Methods: Fifty HCWs performed a personal or causal glove removal method (pretest) and a Centers for Disease Control (CDC)-recommended glove removal method (posttest) at distances of 2 feet and 3 feet from the rubbish bin after the application of fluorescent solution (the simulated contaminant) onto their gloved hands.

Results: The incidence of the small patch of fluorescent stain (<1 cm(2)) on the front of the doffed gloves was significantly lower in the posttest than in the pretest. The incidence of small and large patches (>1 cm(2)) on the front of the doffed gloves and on the cover of the rubbish bin was significantly lower at 3 feet than at 2 feet. Health care assistants had significantly higher levels of contamination than other HCWs in the pretest but not in the posttest. There was no significant difference in hand contamination rate between pretest and posttest based on distance from the rubbish bin and type of HCW.

Conclusion: The impact of the glove removal procedure and the distance to the bin in which used gloves are discarded should be taken into consideration on a daily basis, along with the supervision of infection control measures by minor staff.

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Figures

Fig 1
Fig 1
FPs on the edge of the rubbish bin cover (A) and on the rubbish bin cover (B).
Fig 2
Fig 2
Fluorescent solution (10 mL) sprayed on a subject’s palms.
Fig 3
Fig 3
Flowchart of the study procedure.
Fig 4
Fig 4
Small patches of fluorescent stain (A) and HCW rankings (B) on the front of the cloth for pretest and posttest of the CDC glove removal demonstration. NS, not significant. ∗P < .05; ∗∗P = .01.
Fig 5
Fig 5
Glove removal times for the pretest and posttest periods. ∗∗∗P < .001.
See this image and copyright information in PMC

Comment in

References

    1. Liang W., Zhu Z., Guo J., Liu Z., He X., Zhou W. Severe acute respiratory syndrome, Beijing, 2003. Emerg Infect Dis. 2004;10:25–31. - PMC - PubMed
    1. Health Canada Cluster of severe acute respiratory syndrome cases among protected health care workers—Toronto. Can Commun Dis Rep. 2003;29:93–97. - PubMed
    1. Seto W.H., Tsang D., Yung R.W.H., Ching T.Y., Ng T.K., Ho M. Effectiveness of precautions against droplets and contact in prevention of nosocomial transmission of severe acute respiratory syndrome (SARS) Lancet. 2003;361:1519–1520. - PMC - PubMed
    1. Stein A.D., Makarawo T.P., Ahmad M.F. A survey of doctors’ and nurses’ knowledge and compliance with infection control guidelines in Birmingham teaching hospitals. J Hosp Infect. 2003;54:68–73. - PubMed
    1. World Health Organization . World Health Organization; Geneva, Switzerland: 2003. Hospital infection control guidance for severe acute respiratory syndrome (SARS)

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