Abstract：
The World Health Organization and the Centers for Disease Control and Prevention (CDC) have established guidelines recommending the performance of hand hygiene routines for healthcare workers following glove removal. However, the completion of frequent hygiene routines can cause allergic and adverse skin reactions. This double-blind, randomized study aimed to address this concern by developing and evaluating a modified glove removal technique that minimizes contamination risk during routine phlebotomy procedures. Furthermore, this study used fluorescent detection to compare the frequency of contamination associated with the CDC-recommended technique and the modified technique using fluorescent detection. One hundred healthcare personnel were enrolled and divided into two groups: one group followed the CDC technique, while the other group implemented the modified technique. Participants received instructional videos and practiced under supervision. They subsequently performed blood collection using a simulation arm covered with fluorescent cream as a contamination marker. After removing gloves, hand contamination was assessed under a black light. The median time required for glove removal in the modified group was four seconds longer than that in the group that followed the CDC technique (p < 0.001). Contamination was observed in 2% (1/50) of subjects using the CDC-recommended technique, while no contamination was detected with the modified technique (p ≥ 0.05). Both the group that followed the CDC technique and the group that used modified glove removal techniques demonstrated the potential to prevent contamination during phlebotomy, thereby reducing the need for hand hygiene and the occurrence of contamination and adverse skin reactions. These findings prompt further exploration into whether proper glove removal can reduce the frequency of completing a hand hygiene routine after each glove removal, specifically within the context of phlebotomy. However, it is essential to note that hand hygiene following glove removal is still recommended to prevent contamination. Further research is warranted to validate these findings.
摘要：
世界卫生组织和疾病控制和预防中心（CDC）已经制定了指南，建议在手套摘除后，医护人员的手卫生习惯的表现。然而,完成频繁的卫生习惯会导致过敏和不良皮肤反应。这个双盲,随机研究旨在通过开发和评估一种改良的手套去除技术来解决这一问题，该技术可将常规静脉切开术过程中的污染风险降至最低。此外，这项研究使用荧光检测来比较与CDC推荐技术和使用荧光检测的改良技术相关的污染频率.招募了100名医护人员，并将其分为两组：一组遵循CDC技术，而另一组实施了修改后的技术。参与者收到教学视频并在监督下练习。随后，他们使用覆盖有荧光霜作为污染标记的模拟臂进行血液收集。取下手套后,在黑光下评估手部污染。改良组的手套移除所需的中位时间比遵循CDC技术的组长4秒(p<0.001)。使用CDC推荐的技术，在2％（1/50）的受试者中观察到污染，而改良技术未检测到污染（p≥0.05）。遵循CDC技术的小组和使用改良手套去除技术的小组都证明了在放血期间防止污染的潜力，从而减少手部卫生的需要以及污染和不良皮肤反应的发生。这些发现促使人们进一步探索正确摘除手套是否可以减少每次摘除手套后完成手部卫生习惯的频率。特别是在放血的背景下。然而,重要的是要注意，仍然建议移除手套后的手部卫生，以防止污染。需要进一步的研究来验证这些发现。
