Hand Hygiene Before Non-sterile Glove Use
- Conditions
- Hand Hygiene
- Interventions
- Behavioral: Hand Hygiene before Donning Non-sterile Gloves
- Registration Number
- NCT01571778
- Lead Sponsor
- University of Maryland, Baltimore
- Brief Summary
The importance of healthcare worker hand hygiene in decreasing bacterial transmission between patients is well documented. Healthcare workers may don non-sterile gloves in routine care of patients, particularly for those patients known or suspected to harbor epidemiologically important microorganisms. Governing bodies currently recommend performing hand hygiene prior to donning gloves and after glove removal. The importance of hand hygiene post glove removal is well shown, however few studies exist to show utility of hand hygiene prior to donning gloves. In fact, data suggests that glove use is an impediment to hand hygiene and may reduce compliance with hand washing. In light of this and the fact that no evidence exists that washing hands BEFORE glove use is important, the aim of the study is to asses the utility of routine hand hygiene prior to donning non-sterile gloves before a patient contact.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 230
- Healthcare worker engaging in direct patient contact on Contact Precautions (e.g. expected glove use)
- >= 18 years of age
- Visibly soiled hands requiring hand washing (cannot randomize)
- Non-compliance with glove use as indicated for care of patient on Contact Precautions
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Donning Gloves without Hand Hygiene Hand Hygiene before Donning Non-sterile Gloves In this arm, healthcare workers will be assigned to don non-sterile gloves prior to patient contact WITHOUT first performing hand hygiene. Samples will be obtained from hands prior to donning gloves and from the gloves after donning to determine total aerobic colony counts and to identify important hospital pathogens
- Primary Outcome Measures
Name Time Method Difference in Total Aerobic Colony Counts The total time of participation from the healthcare worker will be approximately 2-3 minutes, the time needed to perform hand hygiene and don gloves (group 1) or don gloves (group 2). The Difference in Total Aerobic Colony Counts from hands at baseline (Group 1, prior to Hand Hygiene; Group 2, prior to donning gloves) to gloves after donning
- Secondary Outcome Measures
Name Time Method Pathogen Identification The total time of participation from the healthcare worker will be approximately 2-3 minutes, the time needed to perform hand hygiene and don gloves (group 1) or don gloves (group 2). Gloves will be sampled from both groups after donning and evaluation for important hospital pathogens will be performed
Trial Locations
- Locations (1)
University of Maryland Medical Center
🇺🇸Baltimore, Maryland, United States