Hand Hygiene Before Non-sterile Glove Use

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Kerri A Thom, University of Maryland
ClinicalTrials.gov Identifier:
NCT01571778
First received: March 29, 2012
Last updated: July 2, 2012
Last verified: May 2012

March 29, 2012
July 2, 2012
April 2012
June 2012   (final data collection date for primary outcome measure)
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
Same as current
Complete list of historical versions of study NCT01571778 on ClinicalTrials.gov Archive Site
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
Same as current
Not Provided
Not Provided
 
Hand Hygiene Before Non-sterile Glove Use
The Utility of Hand Hygiene Before Non-sterile Glove Use

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.

Not Provided
Interventional
Not Provided
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Prevention
Hand Hygiene
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.

  • 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
    Intervention: Behavioral: Hand Hygiene before Donning Non-sterile Gloves
  • 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
    Intervention: Behavioral: Hand Hygiene before Donning Non-sterile Gloves
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
230
June 2012
June 2012   (final data collection date for primary outcome measure)

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
Both
18 Years and older
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01571778
HP-00051378
Not Provided
Kerri A Thom, University of Maryland
University of Maryland
Not Provided
Not Provided
University of Maryland
May 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP