Nonsterile Glove Use

Gabrielle Brankston, Sharon Bailey
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Abstract

In acute care settings with low-risk of infection transmission, discontinuing contact precautions (i.e., gloves and gown) may result in similar rates of hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA) and may lower the risk of hospital-acquired vancomycin-resistant enterococci (VRE), compared to scenarios in which such precautions were employed. Rates of late-onset infections in a neonatal intensive care unit were similar when standard infection control precautions were used compared with universal glove use. Two guidelines recommend that nonsterile gloves should be worn for nonsterile procedures when it is anticipated that there will be contact with blood, body fluids, non-intact skin, mucous membranes, lesions, or hazardous drugs and chemicals; for environmental cleaning; and when contact precautions for infection control are in effect.
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非无菌手套使用
在感染传播风险较低的急性护理环境中,与采取此类预防措施的情况相比,停止接触预防措施(即手套和长袍)可能导致医院获得性耐甲氧西林金黄色葡萄球菌(MRSA)的发生率相似,并可能降低医院获得性耐万古霉素肠球菌(VRE)的风险。在新生儿重症监护病房,使用标准感染控制预防措施与使用通用手套相比,迟发性感染率相似。两个指南建议,当预期会接触血液、体液、未完整的皮肤、粘膜、病变或危险药物和化学品时,非无菌操作应戴非无菌手套;用于环境清洁;当感染控制的接触预防措施生效时。
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