HAL Id: hal-02738967
https://hal.inrae.fr/hal-02738967
Submitted on 2 Jun 2020
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Clinical glove use improvement: an observational and microbiological study identifying educational priorities
Nathalie van der Mee-Marquet, Benoit Lancelin, Anthony Gaultier, Hélène Cochard, Roland Quentin, . Study Group of The Rhc
To cite this version:
Nathalie van der Mee-Marquet, Benoit Lancelin, Anthony Gaultier, Hélène Cochard, Roland Quentin,
et al.. Clinical glove use improvement: an observational and microbiological study identifying educa-
tional priorities. 9. Healthcare Infection Society International Conference 2014 (HIS 2014), Nov 2014,
Lyon, France. �hal-02738967�
Abstracts
Sunday 16 November 2014
Free Papers 1 – General, device-related infection, immunisation and antimicrobial stewardship
14:00 – 15:30, Pasteur Salon
Clinical glove use improvement: an observational and microbiological study identifying educational priorities
Nathalie van der Mee-Marquet
1, M Benoit Lancelin
2, M Anthony Gaultier
2, Mme Hélène Cochard
3, Pr Roland Quentin
4, and The Study Group of the RHC
31
Centre Hospitalier Universitaire,
2Réseau des hygiénistes du Centre, Laboratoire de Bactériologie et Hygiène, CHU Tours,
3Réseau des hygiénistes du Centre, CHU Tours,
4Laboratoire de Bactériologie et Hygiène, CHU Tours
Background
Glove-use prevents infectious risk associated with exposure of healthcare workers (HCWs) to blood and body fluids, but overuse is associated with patient-to- patient transmission.
Aim To identify (1) incorrect use of gloves, (2) contamination of gloved fingers and touched surfaces and (3) priorities for glove-use improvement.
Method
Glove-use episodes were observed. The procedure performed, duration of appropriate and incorrect glove use, items touched while wearing gloves, and why the HCWs decided to wear gloves were recorded. Glove fingers and surfaces touched were tested for microbial contamination (4 glove-use episodes/HCI). Bacterial pathogens were characterised using molecular methods.
Findings
In March 2014, 1727 glove-use episodes were observed in 62 healthcare institutions (HCIs). Gloves were used during 80% of 1130 procedures involving exposure to blood/body fluids. Non-use was significantly associated with (1) high risk procedures (73% when exposed to blood vs. 83% body fluids/mucous membranes), (2) procedures <6 minutes, (3) males and (4) older HCWs.
Removal was omitted in 20% of cases (median over- use duration 4 minutes), significantly associated with older HCWs. Gloves were used during 25% of 597
procedures when unnecessary (median duration 10 minutes). Bacterial pathogens, mostly E. coli, Enterococcus sp., P. aeruginosa and S. aureus, were identified on 44% of 215 gloved fingers and 19% of 184 environmental surfaces. Contamination varied from 18% for contact with intact skin to 63% for mucous membranes. Bacteria on fingers and touched surfaces were similar; 11 multidrug resistant bacteria were found, all associated with contact with mucous membranes.
Conclusion
Glove-overuse after patient washing was the major glove-use error. Rapid improvement is required to restrict the spread of extended spectrum beta-lactamase- and carbapenemase-producing Enterobacteriaceae.
The SHoRT Study- 6 or 3 steps to effective hand decontamination: a
randomised controlled trial of the use of alcohol hand rub in healthcare workers
Professor Jacqui Reilly
1, Dr Lesley Price
1, Dr Sue Lang
1, Professor Chris Robertson
2, Professor Francine Cheater
3, Dr Angela Chow
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