Hand Hygiene Before Non-sterile Glove Use - Full Text View

Purpose

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.

Condition	Intervention
Hand Hygiene	Behavioral: Hand Hygiene before Donning Non-sterile Gloves

Study Type:	Interventional
Study Design:	Allocation: Randomized Intervention Model: Single Group Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Prevention
Official Title:	The Utility of Hand Hygiene Before Non-sterile Glove Use

Resource links provided by NLM:

MedlinePlus related topics: Germs and Hygiene

U.S. FDA Resources

Further study details as provided by University of Maryland:

Primary Outcome Measures:

Difference in Total Aerobic Colony Counts [ Time Frame: 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). ] [ Designated as safety issue: No ]
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:

Pathogen Identification [ Time Frame: 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). ] [ Designated as safety issue: No ]
Gloves will be sampled from both groups after donning and evaluation for important hospital pathogens will be performed

Enrollment:	230
Study Start Date:	April 2012
Study Completion Date:	June 2012
Primary Completion Date:	June 2012 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Donning Gloves without Hand Hygiene 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	Behavioral: Hand Hygiene before Donning Non-sterile Gloves In the "No Intervention" arm, healthcare workers will be assigned to first perform hand hygiene before donning non-sterile gloves prior to patient contact (usual practice). 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 In the Experimental arm, they will be instructed to don gloves without washing their hands as described.
No Intervention: Hand Hygiene before donning Non-Sterile Gloves In this arm, healthcare workers will be assigned to first perform hand hygiene before donning non-sterile gloves prior to patient contact (This is usual,expected practice). 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	Behavioral: Hand Hygiene before Donning Non-sterile Gloves In the "No Intervention" arm, healthcare workers will be assigned to first perform hand hygiene before donning non-sterile gloves prior to patient contact (usual practice). 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 In the Experimental arm, they will be instructed to don gloves without washing their hands as described.

Arms

Assigned Interventions

Experimental: Donning Gloves without Hand Hygiene

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

Behavioral: Hand Hygiene before Donning Non-sterile Gloves

In the "No Intervention" arm, healthcare workers will be assigned to first perform hand hygiene before donning non-sterile gloves prior to patient contact (usual practice). 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

In the Experimental arm, they will be instructed to don gloves without washing their hands as described.

No Intervention: Hand Hygiene before donning Non-Sterile Gloves

In this arm, healthcare workers will be assigned to first perform hand hygiene before donning non-sterile gloves prior to patient contact (This is usual,expected practice). 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

Behavioral: Hand Hygiene before Donning Non-sterile Gloves

In the "No Intervention" arm, healthcare workers will be assigned to first perform hand hygiene before donning non-sterile gloves prior to patient contact (usual practice). 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

In the Experimental arm, they will be instructed to don gloves without washing their hands as described.

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Healthcare worker engaging in direct patient contact on Contact Precautions (e.g. expected glove use)
>= 18 years of age

Exclusion Criteria:

Visibly soiled hands requiring hand washing (cannot randomize)
Non-compliance with glove use as indicated for care of patient on Contact Precautions

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01571778

Locations

United States, Maryland
University of Maryland Medical Center
Baltimore, Maryland, United States, 21201

Sponsors and Collaborators

University of Maryland

More Information

No publications provided

Responsible Party:	Kerri A Thom, Assistant Professor, University of Maryland
ClinicalTrials.gov Identifier:	NCT01571778 History of Changes
Other Study ID Numbers:	HP-00051378
Study First Received:	March 29, 2012
Last Updated:	July 2, 2012
Health Authority:	United States: Institutional Review Board

Keywords provided by University of Maryland:

Hand Hygiene
Non-sterile Glove Use

ClinicalTrials.gov processed this record on May 23, 2013