Contamination of Unused, Nonsterile Gloves in the Critical Care Setting: A Comparison of Bacterial Glove Contamination in Medical, Surgical and Burn Intensive Care Units

Hall, Matthew; Trivedi, Urvish; Rumbaugh, Kendra P.

doi:10.12746/swrccc.v2i5.106

Cited by 6 publications

(8 citation statements)

References 10 publications

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“…This clinical practice requires the frequent presence and attention of the mothers for breastfeeding and health care worker, thus increasing the unit occupancy density, traffic and human activities [15,24]. Different contamination rate had been reported in other similar studies, in Maiduguri, Nigeria, 62.5% and 26.9% was reported adult ICU [22,23] and 38% in neonatal ICU [22], 67.8% in NICU in Ilorin [19], 17.8%in Iraq [18], while 81% contamination rate from unused nonsterile gloves in ICU [26], and no bacterial contamination rate recorded in ICU in Labhore, Pakistan [25].…”

Section: Discussionmentioning

confidence: 92%

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Bacterial Contamination of Intensive Care Units at a Tertiary Hospital in Bauchi, Northeastern Nigeria

Yusuf¹,

Okwong²,

Mohammed³

et al. 2017

AJIM

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Bacterial contamination of intensive care units is of clinical concern because it is one of the major risk factors of ICU -acquired infections and centre point of multidrug resistant (MDR) pathogens. Periodic surveillance is an early warning signal to non-adherence of basic standard infection control procedures and emergence of MDR pathogens. This study evaluated the bacterial contamination, bacterial pathogens isolated and their antimicrobial susceptibility pattern in the ICU units. The units sampled were adult and neonatal intensive care units, accordingly to previously described methods and analyzed by standard microbiological methods. A total of 113 samples were collected, overall, 71(62.8%) yielded positive bacterial growth, 15(21.1%) detected by open-plate and 14(19.7%) by swabbing in adult intensive care unit and 20(28.2%) and 22(31.0%) in neonatal care unit. Bacillus spp,Staphylococcus aureus and coagulase negative staphylococci spp predominated in both units 24(33.8%), 19(26.8%), 14(19.7%), Other pathogens 19%, clinically relevant pathogens isolated were Eschericia coli (1%), Klebsiella pneumonia(4%) and Streptococcus pneumonia (3%) respectively. High indoor contamination was recorded in both units, 51.7% (n=15) in AICU and 47.6% (n=20) in NICU and inanimate items/equipments. Clinically relevant pathogens were recovered from routinely used equipment and critical sites. High resistance to commonly prescribed and administered agents, cotrimoxazole, amoxicillin and ampicillin was observed. Though the findings has provided a baseline information for furthered surveillance, but the high indoor contamination within both units signify increased traffic, ventilation system problem and inadequate cleaning procedures.

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Section: Discussionmentioning

confidence: 92%

“…Sampling was carried out immediately after the daily routine activities. Swabbing and Open plate methods was employed as previously described [25]. The inanimate items/equipments in each units were pre-identified, and the point for openplate spots were pre-designated accordingly and documented in the study questionnaire.…”

Section: Methodsmentioning

confidence: 99%

Bacterial Contamination of Intensive Care Units at a Tertiary Hospital in Bauchi, Northeastern Nigeria

Yusuf¹,

Okwong²,

Mohammed³

et al. 2017

AJIM

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“…Previous studies have investigated the contamination rates of unused non-sterile gloves contained in an open box in different hospital settings (Ferreira et al, 2011;Hall et al, 2014;Diaz et al, 2008). It was documented that unused non-sterile gloves exposed to the hospital environment are contaminated and have a serious role in transmitting infections.…”

Section: Medical Science L Research Articlementioning

confidence: 99%

Contamination level of unused gloves in King Saud University dental clinics

Helmi¹,

Albagieh²,

Alrasheed³

et al. 2022

Medical Science

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Objective: The present study aims to measure the contamination level of gloves contained in an open box during dental procedures in the clinics of King Saud University, Dental Hospital, Riyadh, Saudi Arabia. Methods: a prospective invitro study for evaluating the contamination level of unused non-sterile latex gloves in dental clinics. Distance between the glove box and the dental chair was measured and grouped into two categories. The boxes were numbered and swabbed before opening. Two additional swabs were collected from the unused gloves at the beginning and end of each clinical session. The sample was then evaluated to identify type of bacteria and number of colonies.Results: 57.5% of contaminated second gloves were within 135cm distance while 70.83% of non-contaminated second gloves were located further than 135cm of the dental chair. For any given second glove placed more than 135cm, there is a decrease of 1.34cfu/ml compared to second gloves placed within 135cm. Conclusion: the study findings necessitate the importance of placing exposed glove boxes no less than 135cm from the source of aerosols to reduce the risk contaminating unused gloves.

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“…Microbiological assessments in SG and NSG are necessary to improve the control of biosafety during clinical care, maintaining the aseptic chain and preventing cross-infections (Ferreira et al, 2011;Hall et al, 2014;Luckey et al, 2006;Moran & Heuertz, 2017). Due to the lack of literature regarding this issue, the aim of the present study was to evaluate the presence of contamination in different brands of SG and NSG, as well as the possibility of these gloves being contaminated during the different stages of a root canal treatment.…”

Section: Introductionmentioning

confidence: 98%

“…NSG can be contaminated and impair asepsis control during treatment. Such a situation can happen due to the glove's exposure to the clinical environment, in transport and in the form of storage in the professional office (Hall et al, 2014;Moran & Heuertz, 2017).…”

Section: Introductionmentioning

confidence: 99%

Microbiological analysis of sterile and nonsterile gloves before and during root canal treatment procedures

Barroso

Silva²,

Soares³

et al. 2022

RSD

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Objective: To evaluate the microbiological contamination of sterile (SG) and non-sterile (NSG) gloves before and during different stages of endodontic treatment. Methodology: Five brands (n = 10 per brand) of NSG (Supermax, UniGloves, Lemgruber, Nugard and Embramac) and four brands (n = 10 per brand) of SG (Sensitex, Sanro, Mucambo, Madeitex) were analyzed. Microbiological collections were performed at 3 different time-points: immediately after opening the packages (S1); after performing rubber dam placement (S2); and at the end of root canal treatment (S3). In the NSG group, to assess possible contamination by exposure to the clinical environment, samples were also collected within 24 hours (S4) and 7 days (S5) after opening the packages. After smearing the gloves with sterile swabs, the samples were immediately placed in test tubes containing specific BHI culture medium. These samples were incubated for 24 and 48h and the turbidity of the medium was evaluated. For turbid samples, bacterial identification was performed through culture and biochemical tests. Results: At S1, only the NSG UniGloves and Nugard brands showed contamination, while no contamination was observed in the SG. After S2 and S3 all brands showed contamination. In the NSG assessments, 24h after opening the packaging (S4) only the UniGloves brand showed no contamination, but this was not observed after 7 days (S5). The most observed species were Staphylococcus aureus, Staphylococcus ssp, Staphylococcus intermedius, Neisseria ssp, Escherichia coli and Pseudomonas aeroginosa. Conclusion: The NSG can be contaminated after opening the packaging and their exposure to the dental office environment can make it contaminated. SG are sterile but can also become contaminated during procedures. In the trans-operative period of root canal treatment, both NSG and SG can be contaminated by Gram-positive and Gram-negative bacteria.

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Contamination of Unused, Nonsterile Gloves in the Critical Care Setting: A Comparison of Bacterial Glove Contamination in Medical, Surgical and Burn Intensive Care Units

Cited by 6 publications

References 10 publications

Bacterial Contamination of Intensive Care Units at a Tertiary Hospital in Bauchi, Northeastern Nigeria

Bacterial Contamination of Intensive Care Units at a Tertiary Hospital in Bauchi, Northeastern Nigeria

Contamination level of unused gloves in King Saud University dental clinics

Microbiological analysis of sterile and nonsterile gloves before and during root canal treatment procedures

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