Hand Hygiene Before Non-sterile Glove Use

Hand Hygiene Clinical Trial

Official title:

The Utility of Hand Hygiene Before Non-sterile Glove Use

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01571778
• Other study ID #: HP-00051378
• Status: Completed
• Phase: N/A
• Start date: April 2012
• Est. completion date: June 2012

Study information

• Verified date: March 2022
• Source: University of Maryland, Baltimore
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 230
• Est. completion date: June 2012
• Est. primary completion date: June 2012
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Hand Hygiene

Intervention

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.

Locations

Country	Name	City	State
United States	University of Maryland Medical Center	Baltimore	Maryland

Sponsors (1)

Lead Sponsor	Collaborator
University of Maryland, Baltimore

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Difference in Total Aerobic Colony Counts	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	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).
Secondary	Pathogen Identification	Gloves will be sampled from both groups after donning and evaluation for important hospital pathogens will be performed	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).