Hand hygiene.pdf

Key recommendations on glove use are included in Part II, Section 6. It is important that
HCWs are able to select correctly the most appropriate type of gloves to be worn and to
differentiate between specific clinical situations when gloves should be worn and changed
and those where their use is not indicated (see Figure I.20.1).
Figure I.20.1: Key recommendations on glove use
20.2 GLOVE USE IN SETTINGS WITH LIMITED RESOURCES
Infection control programmes in developing countries, when they exist, face one common
limitation: scarce resources. Although the use of gloves as part of personal protective equipment
for standard and transmission-based precautions is regularly recommended in many
infection control guidelines in developing countries, it is more often the exception that a
secure supply of necessary personal protective equipment, including gloves, is available.
Consequently, and often coupled with inadequate training, even in institutions where gloves
are available, HCWs often fail to remove their gloves between patients, thus facilitating the
spread of microorganisms 96,638-641 . In addition, barrier material such as examination gloves
is often of poor quality. Factors which contribute to glove failure are the purchase of inferior