Misuse of gloves: the foundation for poor compliance with hand hygiene and potential for microbial transmission?
J Hosp Infect
; 57(2): 162-9, 2004 Jun.
Article
en En
| MEDLINE
| ID: mdl-15183248
Improvement in hand hygiene compliance is important for reducing cross-infection by micro-organisms. The objective of this prospective observational study was to measure how the improper use of gloves limits compliance to hand hygiene and exposes patient's to infection. The study was conducted in five wards (three intensive care units and two medical wards) in a French university hospital. Staff-patient and staff-environment contacts were observed in 120 healthcare workers caring for patients colonized or infected with pathogenic bacteria. Hand hygiene was not undertaken due to improper gloving in 64.4% (95%CI, 64.1% to 65.1%) of instances. Possible microbial transmission might have occurred in 18.3% (95%CI, 17.8% to 18.8%) of all contacts because used gloves were not removed before performing care activities that necessitated strict aseptic precautions. Failure to change or remove contaminated gloves was a major component in the poor compliance with hand hygiene and carried a high-risk of microbial transmission. Improving hand hygiene compliance will require changing healthcare workers behaviour towards glove use.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Desinfección de las Manos
/
Higiene
/
Infección Hospitalaria
/
Guantes Protectores
/
Transmisión de Enfermedad Infecciosa de Profesional a Paciente
/
Adhesión a Directriz
/
Unidades Hospitalarias
Tipo de estudio:
Etiology_studies
/
Observational_studies
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Hosp Infect
Año:
2004
Tipo del documento:
Article
País de afiliación:
Francia
Pais de publicación:
Reino Unido