Background:udThe use of non-sterile gloves (NSG) has become routine in the delivery of health care, often for procedures for which they are not required; their use may increase the risk of cross contamination and is generally not integrated into hand hygiene audit. This paper describes a small-scale application and validation of an observational audit tool devised to identify inappropriate use of NSG and potential for cross contamination.ud udMethods:udTwo observers simultaneously observed the use of NSG during episodes of care in an acute hospital setting. The inter-rater reliability (IRR) of the audit tool was measured corrected for chance agreement using Kappa.ud udResults:udA total of 22 episodes of care using NSG were observed. In 68.6% (24/35) of procedures there was no contact with blood/body fluid; in 54.3% (19/35) NSG-use was inappropriate. The IRR was 100% for eight of 12 components of the tool. For hand hygiene before and after NSG removal it was 82% (Kappa = 0.72) and 95% (Kappa = 0.87).ud udConclusions:udIn this small-scale application of a glove-use audit tool we demonstrated over-use and misuse of NSG and potential for cross transmission on gloved hands. The audit tool provides an effective mechanism for integrating glove use into the audit of hand hygiene behaviour.
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机译：背景：在医疗服务中，非无菌手套（NSG）的使用已成为日常工作，通常用于不需要的操作；使用它们可能会增加交叉污染的风险，通常不会纳入手部卫生审核中。本文描述了一种观察性审计工具的小规模应用和验证，该工具旨在识别NSG的不当使用和交叉污染的可能性。 ud udMethods： ud两名观察员同时观察了急性医院护理期间的NSG使用情况设置。 ud ud结果： ud使用NSG总共观察到22次护理，评估了审计工具的评估者间可靠性（IRR），以确保偶然性。在68.6％（24/35）的程序中，没有接触血液/体液；在54.3％（19/35）中，使用NSG不合适。该工具的12个组件中有8个的IRR为100％。对于去除NSG前后的手卫生，分别为82％（Kappa = 0.72）和95％（Kappa = 0.87）。 ud ud结论： ud在手套使用审核工具的这种小规模应用中，我们证明了过度使用以及滥用NSG以及戴手套的双手交叉传播的可能性。审核工具提供了一种有效的机制，可将手套的使用纳入手卫生行为的审核中。
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