Direct Gloving vs Hand Hygiene Before Donning Gloves Study

Direct Gloving vs Hand Hygiene Before Donning Gloves Study

In the world of healthcare, the battle against infections is a constant challenge. Adherence to infection prevention practices is vital to ensure the safety of patients and healthcare personnel (HCP). A recent study has shaken up the traditional hand hygiene protocol in healthcare settings. Let's delve into the findings of this groundbreaking research, which may revolutionise infection control in healthcare settings.


The Background

Hand hygiene is at the forefront of infection prevention in healthcare. However, a prior comprehensive review revealed that adherence to hand hygiene protocols was only around 40% in healthcare settings. The demands on healthcare personnel, such as time constraints, high workload, and understaffing, are major barriers to strict adherence to hand hygiene. The use of gloves, while common and increasing, poses another hurdle to infection control.

Current guidelines require HCP to perform hand hygiene before donning nonsterile gloves. However, this practice can delay care delivery as HCP must wait for their hands to dry before putting on gloves, potentially reducing adherence. The study sought to evaluate the effectiveness of a direct-gloving policy, where hand hygiene is not required before donning gloves, in a healthcare setting.


This mixed-method, multicentre, cluster randomised clinical trial published in the Journal of American Medical Association was conducted at four academic healthcare centres in Baltimore, Maryland, and Iowa City, Iowa. The study involved 3,790 healthcare personnel across 13 hospital units. These units were randomly assigned to two groups: one that followed the traditional hand hygiene before glove donning protocol (usual care) and the other that adopted a direct-gloving strategy (intervention).


Key Findings

The study yielded some remarkable findings:

Improved Adherence: The units that adopted the direct-gloving strategy demonstrated a statistically significant 46% increase in adherence to expected infection prevention practices compared to the usual care units. Adherence in the direct-gloving units reached 87%, while it was only 41% in the usual care units.

Higher Glove Use: The direct-gloving units also reported higher glove use on entry to contact precautions rooms, with 87% adherence, compared to 67% in the usual care units.

Safety: The study showed that the direct-gloving strategy was safe and did not increase bacterial contamination on gloves in most clinical areas, except in the emergency department (ED).

Reduced Efficiency: In the ED, where overall adherence to hand hygiene and glove expectations was low, the direct-gloving strategy resulted in higher bacterial counts on gloves. This suggests that this strategy should be avoided in settings where overall adherence to infection prevention practices is low.


Implications for Healthcare

These findings have significant implications for healthcare facilities. The traditional practice of hand hygiene before donning nonsterile gloves may not be as effective as previously thought. The direct-gloving strategy, which eliminates the need for hand hygiene before glove use, can improve adherence to infection prevention practices and increase glove use, especially in areas where hand hygiene rates are generally high.

However, it's crucial to consider the specific context. The direct-gloving strategy should not be applied in settings with low adherence to infection prevention practices, as it may lead to increased bacterial contamination on gloves.

In conclusion, this research challenges the current guidelines and suggests that a direct-gloving strategy without prior hand hygiene should be considered by healthcare facilities. As the battle against infections continues, these findings offer a promising approach to improving adherence to infection prevention practices and enhancing patient and healthcare personnel safety. More studies are needed to explore this strategy's applicability in various healthcare settings and during different periods, such as the COVID-19 pandemic.

By continuing to use our site you agree to us using cookies in accordance with our Cookie Policy. Accept & Close

Others also viewed

Does closing the toilet lid when flushing reduce the spread of germs?

Discover the latest research on restroom hygiene practices in care homes, revealing the unexpected impact of toilet lid closure and the critical importance of using effective disinfectants like Soclean Antibacterial Washroom Cleaner for enhanced safety.

Feb 19, 2024
Red Sea Attacks: Shipping Updates

Red Sea Shipping Updates and what it means for our customers.

Jan 03, 2024
Why Log Reduction Matters For Surface Disinfection

The numbers associated with log reduction, such as 99.9% or 99.999%, might seem trivial, but they hold profound implications for the effectiveness of a disinfectant.

Dec 07, 2023
Understanding COSHH in Care Homes

In the dynamic environment of a care home, the safety and well-being of both residents and staff are paramount. One crucial aspect of ensuring a secure and healthy workplace is understanding and implementing COSHH

Nov 20, 2023
A Pioneering Approach to Reducing UTIs in Care Homes

In 2012/2013, urinary tract infections (UTIs) topped the charts for emergency hospital admissions. The culprit? Dehydration.

Nov 15, 2023
Fun Parachute Games For Teaching Young Children

Parachute games possess a captivating quality that can enchant young minds, spark their imaginations, and encourage delightful teamwork

Aug 15, 2023
4 Captivating World Book Day Celebrations for Teachers: Nurturing a Love for Literature

World Book Day, a time when the literary realm comes alive with endless possibilities. As a dedicated educator, you hold the key to unlocking a world of imagination and creativity for your students

Aug 11, 2023
5 Imaginative Air Dry Clay Ideas for Kids: Unleash Creativity the British Way!

Ah, the wonders of air dry clay – a magical substance that brings out the artist in every child! With its pliability and easy-to-use nature, it's a fantastic medium for kids to explore their creative instincts.

Aug 10, 2023
Unravelling Ancient Egypt - Teaching Ideas For Children

Delve into some exciting and interactive teaching ideas that can introduce students to the wonders of ancient Egypt

Jul 25, 2023
How To Make Sensory Play Fun And Engaging

Sensory play refers to activities that engage the senses, including sight, sound, touch, smell, and taste. It can take many forms, including sand and water play, playdough, painting, and music and movement activities

Dec 20, 2022