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Floor and environmental contamination during glove disposal

  • K.M. Munoz-Gutierrez
    Affiliations
    Environment, Exposure Science and Risk Assessment Center (ESRAC), University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, AZ, USA
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  • R.A. Canales
    Affiliations
    Environment, Exposure Science and Risk Assessment Center (ESRAC), University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, AZ, USA
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  • K.A. Reynolds
    Affiliations
    Environment, Exposure Science and Risk Assessment Center (ESRAC), University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, AZ, USA
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  • M.P. Verhougstraete
    Correspondence
    Corresponding author. Address: 1295 N. Martin Avenue, Campus PO Box 245210, Tucson, AZ 85724, USA. Tel.: +1 (520) 621 0254.
    Affiliations
    Environment, Exposure Science and Risk Assessment Center (ESRAC), University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, AZ, USA
    Search for articles by this author
Published:October 22, 2018DOI:https://doi.org/10.1016/j.jhin.2018.10.015

      Summary

      Background

      Evidence suggests that doffing and possibly disposal of used personal protective equipment (PPE) can lead to environmental contamination.

      Aim

      To ascertain the potential for site and floor contamination when medical gloves are inappropriately disposed.

      Methods

      Fifteen healthcare workers (HCWs) disposed of gloves inoculated with bacteriophage and a chemical dye into a wastebasket, located 1.22 m away. Following each trial, designated sample areas were visually inspected with a blacklight for fluorescent dye stains and swabbed with a 3M Letheen Broth sponge to quantify the bacteriophage.

      Findings

      The area closest to the participant (<0.30 m) had the highest bacteriophage concentrations (geomean: 6.9 × 103 pfu/100 cm2; range: 8.07 to 3.93 × 107 pfu/100 cm2). Bacteriophage concentrations were significantly higher (P < 0.05) in areas ≤0.61 m compared to >0.61 m from the HCWs. Although the farthest distances (1.22–1.52 m) resulted in 14% bacteriophage- and 4% fluorescent dye-positive occurrences, there was no significant difference (P = 0.069) between the tracers. The bacteriophage and chemical dye indicate highest environmental contamination nearest the HCWs and both tracers could be appropriate for PPE disposal training.

      Conclusion

      HCWs use gloves every workday and potentially could contaminate surrounding surfaces and floors, during improper disposal practices. Therefore, proper disposal techniques are required to minimize pathogen transmission by establishing industry-wide policies, adequate training, and education to HCWs.

      Keywords

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