消毒剂多次洗涤后手套完整性的评价

W. Chai, Z. Yusof, J. Marhazlinda, C. N. Shim, M. Y. Lee, P. Nambiar
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引用次数: 0

摘要

背景:在学术环境中,由于财政限制,在非外科手术过程中,牙科学生和临床导师在病人之间或接触未受污染的物体时用消毒剂洗手并不罕见。这种做法是否会导致手套变质,并使临床医生和患者暴露于传染性微生物中,这是一个值得关注的问题。目的:本研究的目的是探讨用消毒剂多次清洗戴手套的手对手套完整性的影响。方法:对某牙科学校常用的3种手套,用消毒液多次清洗后进行泄漏检测。每种类型的30双手套分别用消毒液洗涤0、1、5、10、20和30次,每次洗涤间隔5分钟。每个洗涤周期结束后,将手套注满1L水,悬挂2分钟,观察是否有漏水的迹象。结果:手套种类和洗涤次数与泄漏率有显著相关性(p<0.001)。手套清洗5次以上至少6倍以上发生渗漏(OR=6.23, 95% CI=2.14 ~ 18.08)。在所有洗涤中,有粉手套的泄漏率几乎是无粉手套的13倍(OR=12.78, 95% CI= 4.40-37.14),当洗涤超过5次时,泄漏率几乎是无粉手套的25倍(OR= 24.92, 95% CI= 5.79 - 107.21)。结论:用消毒液洗手会破坏手套的完整性。
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EVALUATION OF GLOVE INTEGRITY AFTER MULTIPLE WASHES WITH DISINFECTANT
Background: In an academic setting due to financial constrain, it is not uncommon during non-surgical procedures dental students and clinical supervisors wash their gloved hands with disinfectants in between patients or when touching on non-contaminated objects. Whether this practice could cause any deterioration of the glove and expose clinicians and patients to infectious micro-organisms was a concern. Aim: The aim of this study was to investigate the effect of multiple washes of gloved hands with a disinfectant on the integrity of the gloves. Methods: Three brands of commonly used gloves in a dental school were tested for leaks after multiple washes with a disinfectant. Thirty pairs of each type of gloves were subjected to 0, 1, 5, 10, 20 and 30 washes with a disinfectant solution at a 5-minute interval between each wash. After each washing cycle, the gloves were filled with 1L of water and hanged for 2 minutes to observe any signs of water leaks. Results: The results showed that the type of gloves and number of washes were significantly associated with the leakage rates (p<0.001). Washing of gloves for more than 5 times were at least 6 times higher to suffer from leakage (OR=6.23, 95% CI=2.14–18.08). Powdered gloves were almost 13 times higher to leak in all washes (OR=12.78, 95% CI= 4.40–37.14) and were almost 25 times more likely to leak when washed for more than 5 times (OR = 24.92, 95% CI = 5.79 – 107.21) when compared to the non-powdered gloves. Conclusion: The practice of washing gloved hands with a disinfectant deteriorates the integrity of the gloves.
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