Hygiena 2013, 58(2):75-78 | DOI: 10.21101/hygiena.a0968

Issues of Presence of Microorganisms on Non-sterile Examination Gloves

Petra Telekesová1, Ladislav Dzan2
1 Krajská nemocnice Liberec a. s., Oddělení klinické mikrobiologie a imunologie, Liberec
2 Krajská nemocnice Liberec a. s., Oddělení ústní, čelistní a obličejové chirurgie, Liberec

Preface and Task Objective: With respect to economic aspects of providing medical care, the issue of using sterile versus nonsterile "examination" gloves in operations verging on invasivity and in diagnostic procedures has been gaining increasing attention. This article's objective is evaluation of presence of bacterial microorganisms on the surface of nonsterile examination gloves in quantities that allow valid statistical result assessment. Two hypotheses were proposed: H0: disposable nonsterile gloves may not be considered safe for increased risk of nosocomial infection in examinations or minor surgeries in immunocompetent patients. H1: disposable nonsterile gloves may be considered safe from the point of view of possible risk of nosocomial infection in examinations or minor surgeries in immunocompetent patients. Materials and Methods Used: The microbiological surface smears of 3,000 talc-free nonsterile examination gloves were tested using common cultivation method - inoculation on culture media. Results, Arguments and Conclusions: A conventional statistical hypothesis test method on the binomial parameter distribution against a monomial alternative was applied to process the results for obligatory pathogenic microorganisms. Statistical evaluation of the results from primary cultivation microbiological examination allows to reject hypothesis H0 and validate hypothesis H1. On the other hand, the finding of obligatory pathogenic microorganism of methicillin-sensitive staphylococcus aureus grown through inoculation in a single sample of all glove samples does not any longer allow to reject hypothesis H0.

Keywords: non-sterile examination gloves, epidemiological study, microorganisms - occurence

Received: October 2012; Accepted: January 24, 2013; Published: June 1, 2013  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Telekesová P, Dzan L. Issues of Presence of Microorganisms on Non-sterile Examination Gloves. Hygiena. 2013;58(2):75-78. doi: 10.21101/hygiena.a0968.
Download citation

References

  1. Doporučení Rady ze dne 9. června 2009 o bezpečnosti pacientů včetně prevence a kontroly infekcí spojených se zdravotní péčí. Úřední věstník Evropské unie. 2009;52(C151):1-6.
  2. Diaz MH, Silkaitis C, Malczynski M, Noskin GA, Warren JR, Zembower T. Contamination of examination gloves in patient rooms and implications for transmission of antimicrobialresistant microorganisms. Infect Control Hosp Epidemiol. 2008 Jan;29(1):63-5. Go to original source... Go to PubMed...
  3. Schejbalová M, Bencko V. Historie, současné problémy a šance v prevenci nozokomiálních nákaz. Prakt Lék. 2008;88(5):293-5.
  4. Practical issues and potential barriers to optimal hand hygiene practices. In : WHO guidelines on hand hygiene in health hare. Geneva: World Health Organisation; 2009. p. 128-45.
  5. Adeyemo WL, Ogunlewe MO, Ladeinde AL, Bamgbose BO. Are sterile gloves necessary in nonsurgical dental extractions? J Oral Maxillofac Surg. 2005;63(7):936-40. Go to original source...
  6. Berthelot P, Dietemann J, Fascia P, Ros A, Mallaval FO, Lucht F, et al. Bacterial contamination of nonsterile disposable gloves before use. Am J Infect Control. 2006 Apr;34(3):128-30. Go to original source... Go to PubMed...
  7. Giglio JA, Rowland RW, Laskin DM, Grenevicki L, Roland RW. The use of sterile versus nonsterile gloves during outpatient exodontia. Quintessence Int. 1993 Aug;24(8):543-5. Erratum in: Quintessence Int. 1995 Aug;26(8):533. Go to PubMed...
  8. Šedivá V. Metodický návod - hygiena rukou při poskytování zdravotní péče. Věstník Ministerstva zdravotnictví České republiky. 2012;(5):15-21.
  9. Laskin DM. The selection of proper gloves for intraoral surgery. J Oral Maxillofac Surg. 1999 Aug;57(8):887. Go to original source...
  10. Baima J, Isaac Z. Clean versus sterile technique for common joint injections: a review from the physiatry perspective. Curr Rev Musculoskelet Med. 2008 Jun;1(2):88-91. Go to original source... Go to PubMed...
  11. Fay MF, Beck WC, Checchi L, Winkler D. Gloves: new selection criteria. Quintessence Int. 1995 Jan;26(1):25-9.
  12. Stotts NA, Barbour S, Griggs K, Bouvier B, Buhlman L, Wipke-Tevis D, et al. Sterile versus clean technique in postoperative wound care of patients with open surgical wounds: a pilot study. J Wound Ostomy Continence Nurs. 1997 Jan;24(1):10-8. Go to original source... Go to PubMed...
  13. Perelman VS, Francis GJ, Rutledge T, Foote J, Martino F, Dranitsaris G. Sterile versus nonsterile gloves for repair of uncomplicated lacerations in the emergency department: a randomized controlled trial. Ann Emerg Med. 2004 Mar;43(3):362-70. Go to original source...
  14. Faller NA. Clean versus sterile: a review of the literature. Ostomy Wound Manage. 1999 May;45(5):56-60.
  15. Fiehn NE, Westergaard J. Physical and microbiological quality of five different examination and surgical gloves before and after use in dental practise. Zentralbl Hyg Umweltmed. 1993 Nov;195(1):27-36. Go to PubMed...
  16. Rhinehart MB, Murphy MM, Farley MF, Albertini JG. Sterile versus nonsterile gloves during Mohs micrographic surgery: infection rate is not affected. Dermatol Surg. 2006 Feb;32(2):170-6. Go to original source... Go to PubMed...
  17. Chiu WK, Cheung LK, Chan HC, Chow LK. A comparison of post-operative complications following wisdom tooth surgery performed with sterile or clean gloves. Int J Oral Maxillofac Surg. 2006 Feb;35(2):174-9. Go to original source... Go to PubMed...
  18. Carapeti EA, Andrews SM, Bentley PG. Randomised study of sterile versus non-sterile urethral catheterisation. Ann R Coll Surg Engl. 1996 Jan;78(1):59-60. Erratum in: Ann R Coll Surg Engl. 1996 May;78(3 Pt 1):167. Go to PubMed...
  19. St Clair K, Larrabee JH. Clean versus sterile gloves: which to use for postoperative dressing changes? Outcomes Manag. 2002 Jan-Mar;6(1):17-21. Go to PubMed...
  20. Bruens ML, van den Berg PJ, Giard RW. Sterile gloves are not necessary in minor surgery. Ned Tijdschr Geneeskd. 2011;155(18):A2954. (In Dutch.) Go to PubMed...
  21. Cheung LK, Chow LK, Tsang MH, Tung LK. An evaluation of complications following dental ectractions using either sterile or clean gloves. Int J Oral Maxillofac Surg. 2001 Dec;30(6):550-4. Go to original source... Go to PubMed...
  22. Votava M a kol. Lékařská mikrobiologie - vyšetřovací metody. Brno: Neptun; 2010.
  23. Čapek M. Ochranné rukavice. Diagnóza. 1999;2(19):7-8.
  24. Němečková J. Volba zdravotnických rukavic. Sestra. 2007;17(6):57.
  25. Vybrané mikrobiologické metodiky používané při prevenci a výskytu nemocničních nákaz. Acta Hyg Epidemiol Microbiol. 1992;Příl. 7:1-107.
  26. Dzan L, Telekesová P. Chirurgické dokončení primárně nechirurgického stomatologického výkonu započatého v nesterilních jednorázových rukavicích. Čes Stomatol Prakt Zub Lék. V tisku.
  27. Vyhláška č. 306/2012 Sb., o podmínkách předcházení vzniku a šíření infekčních onemocnění a o hygienických požadavcích na provoz zdravotnických zařízení a ústavů sociální péče, ze dne 12. září 2012. Sbírka zákonů ČR. 2012;částka 109:3954-80.