診察手袋は,臨床実務における手による汚染の障壁として用いられる
JAMA
|July 21, 1993
まとめ
ラテックス・グローブは,病院の処置中のビニール・グローブよりも,グラム陰性生物と腸球による手指の汚染からより良い保護を提供します. 漏れがある場合でも,手袋は汚染を大幅に軽減しますが,手洗いは依然として重要です.
科学分野:
- 感染予防対策の対策です.
- 微生物学 微生物学とは
- ヘルスケア エピデミオロジー
背景:
- 医療関連感染症は依然として大きな懸念事項です.
- 手の汚染は,病院での病原体感染の主な経路です.
- 個人用防具のバリア効果を評価することは極めて重要です.
研究 の 目的:
- 手の汚染を防ぐために,ビニールとラテックスの手袋の有効性を比較する.
- グローブの完全性と,そのバリア機能への影響を評価する.
- 病院の例行処置中に手による汚染の頻度を測定する.
主な方法:
- 手の汚染の可能性のある137の手順を対象とした前向きな研究.
- 医療従事者の手 (処置前および処置後) と外用グローブ表面の定量培養.
- ASTMの防水基準を用いた中古手袋のリークテスト.
主要な成果:
- グラムネガティブな生物や腸球菌は,使用した手袋の86%で発見されました.
- 曝露の13%で,ラテックス (1/44) グローブよりも,ビニール (10/42) グローブで手指の汚染が顕著に発生しました.
- ビニール・グローブはラテックス (6/70) よりもリーク率が高い (26/61) であったが,リークがあった場合でも,グローブは77%の汚染を防止した.
結論:
- 手袋は,漏れによって損なわれても,手による汚染に対する効果的な障壁として機能します.
- ラテックス手袋は,漏れが少なく,手への汚染が少なく,優れた性能を示しました.
- 医療従事者が手袋の漏れを検出できないため,患者との接触後の手の手衛生を日常的に行う必要があります.
関連する概念動画
Hand hygiene
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
Handwashing I: Introduction and Types of Equipment
Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional 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.
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 I: Donning
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
PPE Use in Healthcare Settings II: Doffing
The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
Standard Precaution
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
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...
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 III: During the Procedure and Post-Procedure Steps
To wash hands properly, follow these steps:


