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

Objective: To assess the rate and burden of bacterial contamination on unused, nonsterile gloves found in glove boxes in three different specialty intensive care units (ICUs). Design: Descriptive, cross-sectional study Setting: A burn, trauma/surgical, and medical ICU in a 412-bed tertiary care hosp...

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Main Authors: Matthew Hall, Urvish Trivedi, Kendra Rumbaugh, Sharmila Dissanaike
Format: Article
Language:English
Published: Southwest Respiratory and Critical Care Chronicles 2014-01-01
Series:Southwest Respiratory and Critical Care Chronicles
Subjects:
Online Access:http://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/106
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author Matthew Hall
Urvish Trivedi
Kendra Rumbaugh
Sharmila Dissanaike
author_facet Matthew Hall
Urvish Trivedi
Kendra Rumbaugh
Sharmila Dissanaike
author_sort Matthew Hall
collection DOAJ
description Objective: To assess the rate and burden of bacterial contamination on unused, nonsterile gloves found in glove boxes in three different specialty intensive care units (ICUs). Design: Descriptive, cross-sectional study Setting: A burn, trauma/surgical, and medical ICU in a 412-bed tertiary care hospital. Subjects: Convenience sample of 90 non-sterile vinyl exam glove pairs Methods: Thirty occupied rooms in each ICU were utilized for collection of glove pair samples. Gloves from opened glove boxes placed in wall-mounted racks for use by healthcare staff were donned by one investigator in a routine, aseptic fashion. The surfaces of both gloves were swabbed, plated onto a contact agar plate and incubated for 48 hours. Resulting colony forming units (CFUs) were counted and recorded for each glove pair sample. Results: Bacterial contaminants were cultured from 73 of 90 (81.1%) glove pairs sampled across all ICUs. Contamination rates of glove samples from the BICU, SICU and MICU were 66.7%, 86.7% and 90.0% respectively. The differences in contamination rate among units was statistically significant (p=0.044). The average contamination burden was 5.83 CFU per glove pair and was not significantly different among units. Conclusions: Despite differences in infection control practices and the composition of pathologies managed in each ICU, the average bioburden of gloves left exposed in the environment was not significantly different. Further research is needed to assess for an association of glove bioburden with nosocomial infection rates and the effects of different infection control practices on the reduction of glove bioburdens.
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spelling doaj.art-a301c1894746457794b9262396f91a732022-12-21T23:25:09ZengSouthwest Respiratory and Critical Care ChroniclesSouthwest Respiratory and Critical Care Chronicles2325-92052014-01-012531098Contamination of Unused, Nonsterile Gloves in the Critical Care Setting: A Comparison of Bacterial Glove Contamination in Medical, Surgical and Burn Intensive Care UnitsMatthew HallUrvish TrivediKendra RumbaughSharmila DissanaikeObjective: To assess the rate and burden of bacterial contamination on unused, nonsterile gloves found in glove boxes in three different specialty intensive care units (ICUs). Design: Descriptive, cross-sectional study Setting: A burn, trauma/surgical, and medical ICU in a 412-bed tertiary care hospital. Subjects: Convenience sample of 90 non-sterile vinyl exam glove pairs Methods: Thirty occupied rooms in each ICU were utilized for collection of glove pair samples. Gloves from opened glove boxes placed in wall-mounted racks for use by healthcare staff were donned by one investigator in a routine, aseptic fashion. The surfaces of both gloves were swabbed, plated onto a contact agar plate and incubated for 48 hours. Resulting colony forming units (CFUs) were counted and recorded for each glove pair sample. Results: Bacterial contaminants were cultured from 73 of 90 (81.1%) glove pairs sampled across all ICUs. Contamination rates of glove samples from the BICU, SICU and MICU were 66.7%, 86.7% and 90.0% respectively. The differences in contamination rate among units was statistically significant (p=0.044). The average contamination burden was 5.83 CFU per glove pair and was not significantly different among units. Conclusions: Despite differences in infection control practices and the composition of pathologies managed in each ICU, the average bioburden of gloves left exposed in the environment was not significantly different. Further research is needed to assess for an association of glove bioburden with nosocomial infection rates and the effects of different infection control practices on the reduction of glove bioburdens.http://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/106contaminationICUStaphylococcimethicillin resistance
spellingShingle Matthew Hall
Urvish Trivedi
Kendra Rumbaugh
Sharmila Dissanaike
Contamination of Unused, Nonsterile Gloves in the Critical Care Setting: A Comparison of Bacterial Glove Contamination in Medical, Surgical and Burn Intensive Care Units
Southwest Respiratory and Critical Care Chronicles
contamination
ICU
Staphylococci
methicillin resistance
title Contamination of Unused, Nonsterile Gloves in the Critical Care Setting: A Comparison of Bacterial Glove Contamination in Medical, Surgical and Burn Intensive Care Units
title_full Contamination of Unused, Nonsterile Gloves in the Critical Care Setting: A Comparison of Bacterial Glove Contamination in Medical, Surgical and Burn Intensive Care Units
title_fullStr Contamination of Unused, Nonsterile Gloves in the Critical Care Setting: A Comparison of Bacterial Glove Contamination in Medical, Surgical and Burn Intensive Care Units
title_full_unstemmed Contamination of Unused, Nonsterile Gloves in the Critical Care Setting: A Comparison of Bacterial Glove Contamination in Medical, Surgical and Burn Intensive Care Units
title_short Contamination of Unused, Nonsterile Gloves in the Critical Care Setting: A Comparison of Bacterial Glove Contamination in Medical, Surgical and Burn Intensive Care Units
title_sort contamination of unused nonsterile gloves in the critical care setting a comparison of bacterial glove contamination in medical surgical and burn intensive care units
topic contamination
ICU
Staphylococci
methicillin resistance
url http://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/106
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