Reference Manual - IARC Screening Group

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Processing Surgical GlovesHOW TO STERILIZE SURGICAL GLOVESRemember: Highertemperatures and pressuresare destructive to gloves.After decontamination, cleaning and drying, gloves must be packagedprior to sterilizing by autoclaving. First, fold the cuffs of the gloves outtowards the palm so that they can be put on easily and withoutcontamination after sterilization. Next, put gauze or paper inside eachglove and under the fold of the cuff and wrap the gloves as shown inFigure F-1. (Do not tie tightly or wrap glove packs with rubber bands.)Finally, place them in a wire basket on their sides to allow optimumsteam penetration. (If gloves are stacked in piles, penetration of steamunder the cuffs may be poor.) Autoclave at 121EC (250EF) for 30minutes and at a pressure of 106 kPa (15 lb/in 2 ).Figure F-1. Preparing Gloves for Autoclaving (Steam Sterilization)Will be sterileportion of glove:must only betouched byanother sterilegloveWill be sterilefield of glovewrapperGauze or paperCuff: used topick up glovewith bare handsSource: South East Asia Office/World Health Organization 1988.Immediately after autoclaving, gloves are extremely friable and teareasily. Gloves should not be used for 24 to 48 hours to allow theelasticity to return and to prevent tackiness (stickiness) (Table F-1).F-2 Cervical Cancer Prevention Guidelines for Low-Resource Settings
Processing Surgical GlovesTable F-1. Tips to Help Avoid Glove ProblemsPROBABLE CAUSERECOMMENDED SOLUTIONPROBLEM: TACKY OR STICKY GLOVESResidual liquid soap or detergent Reduce amount of liquid soap ordetergent used when washing gloves.Heated to high temperature for toolongGloves sterilized with other goodsGloves not allowed to dry completelyafter steamingPoor powderingSurfaces of gloves touching each otherBreakdown (deterioration) of rubber(latex)Rinse gloves at least three times in cleanwater.Use 30 minutes sterilizing time at 121EC(250EF) and remove gloves fromsterilizer as soon as cycle is completed.Sterilize gloves separately.Wear “wet” within 30 minutes or allow todry for 4 to 6 hours before using.Use absorbable glove powder and followmanufacturer’s instructions to insure afilm of powder on all surfaces.Gauze or paper wicks should be insertedbetween the palm and back of hand ofeach glove and between the hand of theglove and the turned-back cuff. Thisallows steam to contact all surfacesduring sterilization and prevents surfacesfrom adhering to each other.Store in a dry, cool area. Do not store indirect sunlight.(Rubber gloves deteriorate whilestored even though they have not beenused. They become soft, sticky andunusable.)PROBLEM: EXCESSIVE TEARING OR RUPTURINGGloves used too soon followingsterilizationSource: Tomlinson 1991.Do not use gloves for 24 to 48 hours aftersterilization. This allows gloves to regaintheir elasticity before use.HOW TO HIGH-LEVEL DISINFECT SURGICAL GLOVES BY STEAMINGAfter gloves have been decontaminated and thoroughly washed, they areready for HLD by steaming (McIntosh et al 1994). (See Appendix C formore information on steaming.)STEP 1: Fold up the cuffs of the gloves so that they can be put oneasily and without contamination after HLD.Cervical Cancer Prevention Guidelines for Low-Resource Settings F-3
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Cervical Cancer PreventionGuideline
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TABLE OF CONTENTSPREFACE AND ACKNOW
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How to High-Level Disinfect Surgica
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Table C-2Figure C-1Preparing a Dilu
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PREFACE AND ACKNOWLEDGMENTSThis ref
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ONEINTRODUCTIONMAGNITUDE OF THE PRO
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IntroductionFigure 1-3. Incidence o
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Introductionprevalence areas, a sta
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Table 1-2. Reduction in Cumulative
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Introductiontheir performance was t
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Introductionlesions, or a false pos
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IntroductionCompared to other metho
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Introductionsignificantly to women
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IntroductionBelinson JL et al. 2001
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IntroductionMitchell MF et al. 1998
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IntroductionYlitalo N et al. 1999.
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TWOHUMAN PAPILLOMAVIRUS AND CERVICA
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Human Papillomavirus and Cervical C
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THREEPATHOPHYSIOLOGY OF CERVICAL CA
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With the onset of puberty, whichis
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Pathophysiology of Cervical Cancerp
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Pathophysiology of Cervical CancerP
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Pathophysiology of Cervical CancerI
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Pathophysiology of Cervical CancerR
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FOURTALKING WITH WOMEN ABOUTCERVICA
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Talking with Women About Cervical C
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FIVEPREVENTING INFECTIONS INHEALTHC
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Preventing Infections in Healthcare
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SIXCLIENT ASSESSMENT AND VIA TESTIN
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Client Assessment and VIA TestingFi
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Client Assessment and VIA TestingIN
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Client Assessment and VIA Testingst
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Client Assessment and VIA Testingsp
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Client Assessment and VIA Testingth
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SEVENTREATMENT AND FOLLOWUPBACKGROU
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Treatment and Followupregardless of
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Treatment and FollowupFigure 7-1. L
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Treatment and FollowupTable 7-6. Co
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Treatment and FollowupFigure 7-2 is
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Treatment and Followup• Regulator
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Page 111 and 112: Treatment and FollowupBerget A, B A
Page 113 and 114: APPENDIX ATESTS FOR CERVICAL CANCER
Page 115 and 116: Tests for Cervical Cancer Screening
Page 121 and 122: APPENDIX BSCREENING TEST QUALITIES
Page 123 and 124: Screening Test Qualities and Their
Page 125 and 126: APPENDIX CINFECTION PREVENTION PROC
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Page 139 and 140: APPENDIX DTECHNICAL OVERVIEW OF THE
Page 141 and 142: Technical Overview of the Cryothera
Page 143 and 144: Figure D-5. Removing Protector Tube
Page 145 and 146: Technical Overview of the Cryothera
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Page 149 and 150: APPENDIX ETROUBLESHOOTING WITH THEC
Page 151 and 152: Table E-1. Following-Up on Commonly
Page 153: APPENDIX FPROCESSING SURGICAL GLOVE
Page 157 and 158: Processing Surgical GlovesSTEP 10:
Page 159 and 160: APPENDIX GPERFORMING BREAST AND PEL
Page 161 and 162: Performing Breast and Pelvic Examin
Page 163 and 164: Figure G-2. Breast Puckering or Dim
Page 165 and 166: Figure G-5. Checking for Nipple Dis
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APPENDIX HPERCEIVED BARRIERS TO PRO
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AVAILABILITY OF BASIC SUPPLIES AND
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GLOSSARYAcetic AcidAcetowhite Chang
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PatulousSquamocolumnarJunction (SCJ
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ADDITIONAL READINGAlliance for Cerv
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Reference Manual - IARC Screening Group

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