Related Experiment Video
Updated: Aug 24, 2026

A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
Published on: June 7, 2017
Misuse of gloves: the foundation for poor compliance with hand hygiene and potential for microbial transmission?
E Girou1, S H T Chai, F Oppein
1Infection Control Unit, Hôpital Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France. emmanuelle.girou@hmn.ap-hop-paris.fr
Abstract:
Improvement in hand hygiene compliance is important for reducing cross-infection by micro-organisms. The objective of this prospective observational study was to measure how the improper use of gloves limits compliance to hand hygiene and exposes patient's to infection. The study was conducted in five wards (three intensive care units and two medical wards) in a French university hospital. Staff-patient and staff-environment contacts were observed in 120 healthcare workers caring for patients colonized or infected with pathogenic bacteria. Hand hygiene was not undertaken due to improper gloving in 64.4% (95%CI, 64.1% to 65.1%) of instances. Possible microbial transmission might have occurred in 18.3% (95%CI, 17.8% to 18.8%) of all contacts because used gloves were not removed before performing care activities that necessitated strict aseptic precautions. Failure to change or remove contaminated gloves was a major component in the poor compliance with hand hygiene and carried a high-risk of microbial transmission. Improving hand hygiene compliance will require changing healthcare workers behaviour towards glove use.
Insights
Improper glove use significantly hinders hand hygiene compliance among healthcare workers, increasing the risk of patient infection. Changing glove practices is crucial for improving infection control in hospitals.
Area of Science:
- Infection Control
- Healthcare Epidemiology
- Microbiology
Background:
- Hand hygiene is critical for preventing healthcare-associated infections.
- The role of glove use in hand hygiene compliance requires further investigation.
Purpose of the Study:
- To assess how improper glove use impacts hand hygiene compliance.
- To determine the risk of microbial transmission due to incorrect glove management.
Main Methods:
- Prospective observational study in a French university hospital.
- Observation of 120 healthcare workers across intensive care and medical wards.
- Recording staff-patient and staff-environment contacts and hand hygiene practices.
Main Results:
- Hand hygiene was omitted in 64.4% of instances due to improper gloving.
- Potential microbial transmission occurred in 18.3% of contacts due to failure to remove used gloves.
- Contaminated glove management was a key factor in poor hand hygiene compliance.
Conclusions:
- Improper glove use is a significant barrier to effective hand hygiene.
- Changing healthcare worker behavior regarding glove use is essential for reducing microbial transmission and improving patient safety.
More Related Videos
13:39Cell Culture Techniques and Practices to Avoid Contamination by Fungi and Bacteria in the Research Cell Culture Laboratory
Published on: July 7, 2023
06:27Automated Hospital Room Disinfection Utilizing a Novel Aerosolized Hydrogen Peroxide Microdroplet Disbursing Technology
Published on: February 24, 2026
Related Concept Videos
Hand hygiene
Hand washing...
Handwashing III: During the Procedure and Post-Procedure Steps
Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Handwashing II: Pre-procedure and Initial Procedure Steps
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail paint...
Handwashing I: Introduction and Types of Equipment
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated.
PPE Use in Healthcare Settings II: Doffing