Bacterial contamination of unused, disposable non-sterile gloves on a hospital orthopaedic ward

Hughes, Kim; Cornwall, Jon; Theis, Jean‐Claude; Brooks, Heather J. L.

doi:10.4066/amj.2013.1675

Cited by 31 publications

(24 citation statements)

References 25 publications

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“…An early study showed that gloves in boxes were not subject to significant contamination throughout duration of box use, regardless of the duration of time that the boxes were open. 152 However, researchers in an orthopedic ward in New Zealand found contamination of 13.2% of unused nonsterile gloves with potential pathogens, albeit in low numbers, 153 suggesting that hand hygiene before reaching for gloves or a different design for glove boxes may be important. 3.…”

Section: Methods For Hand Hygiene Adherence Measurementmentioning

confidence: 99%

Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

Ellingson

Haas

Aiello

et al. 2014

Infect. Control Hosp. Epidemiol.

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Previously published guidelines provide comprehensive recommendations for hand hygiene in healthcare facilities. The intent of this document is to highlight practical recommendations in a concise format, update recommendations with the most current scientific evidence, and elucidate topics that warrant clarification or more robust research. Additionally, this document is designed to assist healthcare facilities in implementing hand hygiene adherence improvement programs, including efforts to optimize hand hygiene product use, monitor and report back hand hygiene adherence data, and promote behavior change. This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA) and is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise. The list of endorsing and supporting organizations is presented in the introduction to the 2014 updates.

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Section: Methods For Hand Hygiene Adherence Measurementmentioning

confidence: 99%

Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

Ellingson

Haas

Aiello

et al. 2014

Infect. Control Hosp. Epidemiol.

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“…gloves, in open glove boxes on a hospital orthopaedic ward, were contaminated by contact with unclean healthcare worker hands. 6 Significantly more skin commensals and pathogenic bacteria, including Staphylococcus aureus in 13% of samples, were recovered from boxes 3, 6 and 9 days after opening the boxes than from samples obtained immediately after opening glove boxes.…”

Section: Introductionmentioning

confidence: 94%

Can the design of glove dispensing boxes influence glove contamination?

Assadian

Leaper

Krämer

et al. 2016

Journal of Hospital Infection

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“…Jennifer R Amos*, Ashley S Moy*, Audrey Gomez Department of Bioengineering, University of Illinois at Urbana-Champaign *equal contribution clinical setting therefore increases the potential for pathogen transmission and the subsequent risk of nosocomial infection. 2 The risk of pathogen transmission via unused, nonsterile gloves in a hospital setting has recently been demonstrated by Hughes et al, 2 who showed that unused gloves on a hospital orthopaedic ward were contaminated prior to use -likely by contact with unclean healthcare worker hands. Our aim was therefore to minimise the potential for pathogen transmission by creating a touch-free glovedispensing system that minimises exposure of the gloves in the box to air and to user handling.…”

Section: Design Of a New Non-sterile Glove-dispensing Unit To Reduce mentioning

confidence: 99%

Design of a new non-sterile glove-dispensing unit

Amos¹,

Moy²,

Gomez³

2017

AMJ

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Background Despite best efforts by healthcare providers to sterilise their hands through hand washing prior to touching medical equipment and patients, bacteria are still present and can be spread through physical contact. We aimed to reduce the spread of touch-induced and airborne bacteria and virus spreading by using a touch-free glove-dispensing system that minimally exposes gloves in the box to air. Method The team met multiple times to undertake early prototyping and present ideas for the design. We experimented with folding gloves in varying patterns, similar to facial tissuedispensing boxes, and tried several methods of opening/closing the glove box to determine the most effective way to access gloves with the least amount of physical contact. We considered the user experience and obtained user feedback after each design iteration. Results Ultimately, we decided on a vertically oriented box with optional holes for dispensing a glove on the side of the box or on the bottom by means of the pull-down drawer mechanism. This system will dispense a single glove at a time to the user with the option of using a pull-down drawer trigger to decrease the likelihood of physical contact with unused gloves. Both methods dispense a single glove. Conclusion By reducing physical contact between the healthcare practitioner and the gloves, we are potentially reducing the spread of bacteria. This glove box design ensures that gloves are not exposed to the air in the clinic or hospital setting, thereby further reducing spread of airborne germs. This could assist in decreasing the risk of nosocomial infections in healthcare settings.

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Bacterial contamination of unused, disposable non-sterile gloves on a hospital orthopaedic ward

Cited by 31 publications

References 25 publications

Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

Can the design of glove dispensing boxes influence glove contamination?

Design of a new non-sterile glove-dispensing unit

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