T.R. Rose, N. Shah, F. Juarez, V. Filip-Bermudez, G.J. Gomez
{"title":"一种新颖的手套箱设计,减少了手套箱表面污染和手套浪费。","authors":"T.R. Rose, N. Shah, F. Juarez, V. Filip-Bermudez, G.J. Gomez","doi":"10.1016/j.jhin.2025.05.009","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Non-sterile, disposable medical gloves are essential for reducing the risk of cross-contamination in healthcare settings. However, glove boxes and unused gloves can become contaminated during the act of glove withdrawal, potentially increasing the risk of pathogen transmission.</div></div><div><h3>Aim</h3><div>To compare glove box surface contamination and glove loss between a novel glove box, designed to better facilitate glove withdrawal, and a standard glove box.</div></div><div><h3>Methods</h3><div>In a non-blinded, non-randomized study at Medline Industries LP, 30 adult participants wore finger paint-coated gloves and withdrew gloves from both glove boxes, with two participants assigned to each box. Participants stopped after 125 glove pull attempts or as soon as all gloves had been removed from the box. Finger paint was reapplied as needed, or after every 25 glove pull attempts. Surface contamination was assessed by finger paint coverage on the box surfaces (inside, outside, total). Glove loss was measured by subtracting the total number of glove pull attempts from the total number of gloves in each box. Statistical analyses included paired Student's <em>t</em>-tests and the Wilcoxon signed-rank test, with results significant at <em>P</em> < 0.05.</div></div><div><h3>Findings</h3><div>The novel glove box had significantly less contamination on the inside (<em>P</em> = 0.0006) and total (<em>P</em> = 0.0328) box surfaces, and fewer gloves lost (<em>P</em> = 0.0009) compared to the standard glove box. No significant difference was found with respect to outside surface contamination.</div></div><div><h3>Conclusion</h3><div>This novel glove box design may help reduce glove waste and box surface contamination, potentially lowering the risk of pathogen transmission in healthcare settings.</div></div>","PeriodicalId":54806,"journal":{"name":"Journal of Hospital Infection","volume":"162 ","pages":"Pages 207-211"},"PeriodicalIF":3.1000,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A novel glove box design decreases glove box surface contamination and glove waste\",\"authors\":\"T.R. Rose, N. Shah, F. Juarez, V. Filip-Bermudez, G.J. Gomez\",\"doi\":\"10.1016/j.jhin.2025.05.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Non-sterile, disposable medical gloves are essential for reducing the risk of cross-contamination in healthcare settings. However, glove boxes and unused gloves can become contaminated during the act of glove withdrawal, potentially increasing the risk of pathogen transmission.</div></div><div><h3>Aim</h3><div>To compare glove box surface contamination and glove loss between a novel glove box, designed to better facilitate glove withdrawal, and a standard glove box.</div></div><div><h3>Methods</h3><div>In a non-blinded, non-randomized study at Medline Industries LP, 30 adult participants wore finger paint-coated gloves and withdrew gloves from both glove boxes, with two participants assigned to each box. Participants stopped after 125 glove pull attempts or as soon as all gloves had been removed from the box. Finger paint was reapplied as needed, or after every 25 glove pull attempts. Surface contamination was assessed by finger paint coverage on the box surfaces (inside, outside, total). Glove loss was measured by subtracting the total number of glove pull attempts from the total number of gloves in each box. Statistical analyses included paired Student's <em>t</em>-tests and the Wilcoxon signed-rank test, with results significant at <em>P</em> < 0.05.</div></div><div><h3>Findings</h3><div>The novel glove box had significantly less contamination on the inside (<em>P</em> = 0.0006) and total (<em>P</em> = 0.0328) box surfaces, and fewer gloves lost (<em>P</em> = 0.0009) compared to the standard glove box. No significant difference was found with respect to outside surface contamination.</div></div><div><h3>Conclusion</h3><div>This novel glove box design may help reduce glove waste and box surface contamination, potentially lowering the risk of pathogen transmission in healthcare settings.</div></div>\",\"PeriodicalId\":54806,\"journal\":{\"name\":\"Journal of Hospital Infection\",\"volume\":\"162 \",\"pages\":\"Pages 207-211\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-05-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Hospital Infection\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0195670125001574\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hospital Infection","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0195670125001574","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
A novel glove box design decreases glove box surface contamination and glove waste
Background
Non-sterile, disposable medical gloves are essential for reducing the risk of cross-contamination in healthcare settings. However, glove boxes and unused gloves can become contaminated during the act of glove withdrawal, potentially increasing the risk of pathogen transmission.
Aim
To compare glove box surface contamination and glove loss between a novel glove box, designed to better facilitate glove withdrawal, and a standard glove box.
Methods
In a non-blinded, non-randomized study at Medline Industries LP, 30 adult participants wore finger paint-coated gloves and withdrew gloves from both glove boxes, with two participants assigned to each box. Participants stopped after 125 glove pull attempts or as soon as all gloves had been removed from the box. Finger paint was reapplied as needed, or after every 25 glove pull attempts. Surface contamination was assessed by finger paint coverage on the box surfaces (inside, outside, total). Glove loss was measured by subtracting the total number of glove pull attempts from the total number of gloves in each box. Statistical analyses included paired Student's t-tests and the Wilcoxon signed-rank test, with results significant at P < 0.05.
Findings
The novel glove box had significantly less contamination on the inside (P = 0.0006) and total (P = 0.0328) box surfaces, and fewer gloves lost (P = 0.0009) compared to the standard glove box. No significant difference was found with respect to outside surface contamination.
Conclusion
This novel glove box design may help reduce glove waste and box surface contamination, potentially lowering the risk of pathogen transmission in healthcare settings.
期刊介绍:
The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience.
The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that:
provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings;
provide new insight into cleaning, disinfection and decontamination;
provide new insight into the design of healthcare premises;
describe novel aspects of outbreaks of infection;
throw light on techniques for effective antimicrobial stewardship;
describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control;
improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change;
improve understanding of the use of IT systems in infection surveillance and prevention and control.