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Reuse of same gloves after sterile and unsterile procedures by repeated use of handrubs
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Reuse of same gloves after sterile and unsterile procedures by repeated use of handrubs

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  • 1. REUSE OF SAME GLOVES AFTER STERILE AND UNSTERILE PROCEDURES BY REPEATED USE OF HANDRUBS ANITA GEORGE DEPT. OF NEUROSURGERY JPN APEX TRAUMA CENTRE, AIIMS
  • 2. INTRODUCTION
    • HANDRUB
    • Alcohol based liquid hand disinfectant
    • Kills a broad range of nosocomial pathogens
    • Active against bacteria, fungi & enveloped virus
    • Possess an excellent immediate effect
    • Excellent skin tolerability with long term use
  • 3. BACKGROUND OF THE STUDY
    • Nurses have to frequently change the gloves for
    • various procedures like suctioning and positioning
    • in the same patients as well as between different
    • patients(around 10-15 times).So there is a
    • tendency to use the same gloves and there is a
    • high chance of breach in sterility
  • 4.  
  • 5. BACKGROUND OF THE STUDY Clinical microbial rev,2004 oct:17(4):863-93 NAME AND YEAR STUDY RESULT Kampf G,Kramer A 2004 Epidemologic Background of hand hygiene & evaluation of the most important agents for rubs and scrubs The best antimicrobial activity can be achieved with ethanol(60-85%), isopropanol(60-80%) & n-propanol(60-80%) and the activity is broad and immediate.
  • 6. BACKGROUND OF THE STUDY cont. Med Princ Pract,2005 sep-oct:14(5):313-7 NAME AND YEAR STUDY RESULT Karabay O et.al. 2005 Compliance and efficacy of handrubbing during in-hospital practice. METHOD Hand cultures were taken before and after procedure. N=35 Handrubbing with alcohol based solutions significantly reduced the bacterial contaminationof the nurses more than handwashing (54 and 27%respectively). Compliance was also better in the handrubbing group than the handwashing group(72.5% and 15.4% respectively;p value=0.001)
  • 7. OBJECTIVE OF THE STUDY
    • To assess whether used gloves can remain sterile by repeated washing with handrubs .
  • 8. METHODOLOGY
    • Prospective study carried out in Neurosurgery I.C.U
    • over two month period(July-August 2011)
    N=120 EXPERIMENTAL GROUP-UNSTERILE GLOVES WITH HANDRUB(60) CONTROL GROUP-UNSTERILE GLOVES(60)
  • 9. STUDY METHOD (CONTROL GROUP)
    • Using convenient sampling, cultures of unsterile gloves were taken by washing gloves with sterile water after performing a nursing procedure(to obtain culture fluid)
  • 10. UNSTERILE GLOVES WITHOUT HANDRUB
  • 11. COLLECTION OF THE SAMPLE
  • 12. STUDY METHOD (EXPERIMENTAL GROUP)
    • Similarly,cultures of glovewashed gloves were taken after glovewashing with handrub and subsequently washing gloves with sterile water to obtain culture fluid(experimental group)
    • The culture of the glove wash was taken in MacConkey blood agar media, kept at 37° C for 24 hours.
  • 13. USED GLOVES WITH HANDRUB
  • 14. RUBBING THE USED GLOVES
  • 15. DRYING THE GLOVES
  • 16. COLLECTION OF THE SAMPLE
  • 17. DATA ANALYSIS
    • Culture reports were analyzed using Pearson Chi-Square test
  • 18. RESULTS P VALUE< 0.001 N=120 Culture negative Culture positive CONTROL GROUP(unsterile gloves) 36(60%) 24(40%) EXPERIMENTAL GROUP(unsterile gloves with handrub) 58(96.7%) 2(3.3%)
  • 19. CONCLUSION
    • .Glovewashing is highly effective in maintaining sterility of gloves
    • Therefore the study shows that it may be practical to use used gloves by glovewashing handrub.
    • This eventually can reduce the excessive use of sterile gloves which is cost effective
  • 20. IMPACT OF THE STUDY AND COST ANALYSIS
    • The use of a single pair of gloves in each shift has been practiced in TC 3 ICU since September 21 st 2011
      • TOTAL COST FOR GLOVES IN A MONTH
      • PREVIOUSLY
      • 6gloves * 3shifts * 20 patients * 30 days
      • * Rs.11.98 = Rs.129384
      • PRESENTLY
      • I glove * 3shifts * 20patients * 30 days *Rs.11.98 =Rs.21564
      • DECREASE IN COST BY 83% WITHOUT INCREASE INFECTION RATES
  • 21.