Infection prevention
to protect the patient from the EPP is especially important. There are separate recommendations for
EPPs undertaken in various settings including Emergency Medicine, Surgery, Dental, and Obstetrics and Gynaecology. For EPP, it is vital that gloves of sufficient quality are selected. High Consequence Infectious Diseases (HCID)
are a range of infectious diseases classified by the UK Government acute infectious disease because they cause acute infectious diseases, typically has a high case-fatality rate, may not have effective prophylaxis or treatment, are often difficult to recognise and detect rapidly, have an ability to spread in the community and within healthcare settings, and require an enhanced individual, population and system response to ensure it is managed effectively, efficiently and safely. There are two broad classifications of HCID: those spread by contact or airborne routes. Higher levels of PPE are required when caring for a patient with a suspected or confirmed HCID, which typically required two or more layers of gloves. As with EPP, it is vital to ensure the gloves of sufficient quality are selected for HCID applications. When choosing gloves for a specific application, it is very important to ensure that they have been tested and certified to the relevant standards to ensure their quality and suitability for the intended use.
Conclusion: promoting best practice with glove use Gloves have the potential to enhance patient and healthcare provider safety in health and care settings. To realise this potential, it is imperative not only to adhere strictly to best practices in glove utilisation but also to prioritise the procurement of gloves of the suitable quality for the task at hand. Supporting healthcare providers to make
FREE Webinar
Jon Otter will discuss many of the key issues highlighted in his White Paper in a FREE webinar, titled: ‘Maximising Staff Safety and Reducing Waste: The Impact of Glove Quality’, hosted by CSJ and ARKA UK. In this educational webinar, taking place on 16th
December, Jon will outline the use-cases for gloves; provide an overview of factors directing the choice of gloves; discuss the downsides associated with the overuse of gloves; outline how consideration of glove quality should influence choice; and will provide a summary of best practices related to the use of gloves in health and care settings.
good choices about the use of gloves and other PPE will help to reduce glove use overall and reduce the risk of cross transmission. This requires careful consideration of selecting the right glove for the right application. The trend should be towards using less gloves
overall, with higher quality gloves in terms of AQL, tensile strength, and packaging and dispensing selected for higher risk applications (such as invasive procedures that do not require sterile gloves, EPP, and HCID), and more informed choice among healthcare providers about optimising glove selection to improve patient and healthcare provider safety.
CSJ
References 1 . WHO. Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care Is Safer Care. Geneva: World Health Organization; 2009. Available from: https://
www.ncbi.nlm.nih.gov/books/NBK144013/. 2009.
2. NHSE. National infection prevention and control manual (NIPCM) for England. Updated: 4 May 2023 – version 2:5. 2022.
3. De Angelis G, Murthy A, Beyersmann J, Harbarth S. Estimating the impact of healthcare- associated infections on length of stay and costs. Clinical microbiology and infection: the official publication of the European Society of Clinical Microbiology and Infectious Diseases 2010;16(12):1729-35.
https://doi.org/10.1111/ j.1469-0691.2010.03332.x.
4. Erasmus V, Daha TJ, Brug H, Richardus JH, Behrendt MD, Vos MC, et al. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infection control and hospital epidemiology 2010;31(3):283-94.
https://doi.org/10.1086/650451.
5. Wilson J, Bak A, Loveday HP. Applying human factors and ergonomics to the misuse of nonsterile clinical gloves in acute care. Am J Infect Control 2017;45(7):779-86. https://doi.
org/10.1016/j.ajic.2017.02.019.
6. Montoya A, Schildhouse R, Goyal A, Mann JD, Snyder A, Chopra V, et al. How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis. American journal of infection control 2019;47(6):693-703. https://
doi.org/10.1016/j.ajic.2018.10.017.
7. Hughes A, Brown JA, Trueba M, Trautrims A, Bostock B, Day E, et al. Global value chains for medical gloves during the COVID-19 pandemic: Confronting forced labour through public procurement and crisis. Global Networks 2023;23(1):132-49.
https://doi.org/https://doi. org/10.1111/glob.12360.
8. Douno M, Rocha C, Borchert M, Nabe I, Müller SA. Qualitative assessment of hand hygiene knowledge, attitudes and practices among healthcare workers prior to the implementation of the WHO Hand Hygiene Improvement Strategy at Faranah Regional Hospital, Guinea. PLOS Glob Public Health 2023;3(2):e0001581.
https://doi.org/10.1371/ journal.pgph.0001581.
9. Loveday HP, Wilson JA, Pratt RJ, Golsorkhi M, Tingle A, Bak A, et al. epic3: National Evidence- Based Guidelines for Preventing Healthcare- Associated Infections in NHS Hospitals in England. The Journal of hospital infection 2014;86 Suppl 1:S1-S70.
https://doi.org/10.1016/ S0195-6701(13)60012-2.
SCAN ME
About the author
Scan the QR to find out more and to register.
https://attendee.gotowebinar.com/ register/8674733769382918229
Dr. Otter has an international reputation as an active researcher in the field of infection prevention and antimicrobial resistance. He is the Director of Infection Prevention and Control at Guy’s and St. Thomas’ NHS Foundation Trust and Honorary Senior Lecturer at the National Institute for Health Research’s Health Protection Research Unit – based at Imperial College London – focusing on Healthcare Associated Infections and Antimicrobial Resistance.
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