Reference Manual - IARC Screening Group

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Processing Surgical GlovesSTEP 2: Place gloves into one of the steamer pans with holes in itsbottom. To make removal from the pan easier, the cuffsshould be facing outward toward the edge of the pan (FigureF-2). Five to fifteen pairs can be put in each pan dependingon the size (diameter) of the pans.Figure F-2. Gloves in Steamer PanSTEP 3: Repeat this process until up to three steamer pans have beenfilled with gloves. Stack the filled steamer pans on top of abottom pan containing water for boiling. A second (empty)pan without holes should be placed on the counter next to theheat source (see Step 9).STEP 4: Place lid on top pan and bring water to a full rolling boil.(When water only simmers, very little steam is formed andthe temperature may not get high enough to killmicroorganisms.)Remember: Be sure thereis sufficient water in thebottom pan for the entire20 minutes of steaming.STEP 5: Reduce heat so that water continues to boil at a rolling boil.(When water boils too violently, it evaporates quickly andwastes fuel.)STEP 6: When steam begins to come out between pans, start timer ornote time on clock and record time in the HLD log.STEP 7: Steam gloves for 20 minutes.STEP 8: Remove top steamer pan and place cover on pan remainingon the top of the stack. Gently shake excess water from thegloves in the pan just removed.Remember: Do not placepans containing gloves ona table top, counter orother surface as gloveswill be contaminated.STEP 9: Place pan containing gloves on the second (empty) pan (seeStep 3). Repeat until all pans containing gloves are restackedon this empty pan. (This step allows the gloves to cool and drywithout becoming contaminated.)F-4 Cervical Cancer Prevention Guidelines for Low-Resource Settings
Processing Surgical GlovesSTEP 10: Allow gloves to air dry in the steamer pans (4 to 6 hours)before using. 2STEP 11: Using a high-level disinfected forceps, transfer the dry glovesto a dry, high-level disinfected container 3 with a tight-fittinglid. Store for up to 1 week. (Gloves also can be stored in thestacked and covered steamer pans.)REFERENCESBagg J, S Jenkins and GR Barker. 1990. A laboratory assessment of theantimicrobial effectiveness of glove washing and re-use in dentalpractice. Journal of Hospital Infection 15(1): 73–82.Daschner F. 1993. The hospital and pollution: Role of the hospitalepidemiologist in protecting the environment, in Prevention and Controlof Nosocomial Infections, Second edition. Wenzel RP (ed). Williams &Wilkins: Baltimore, Maryland.Martin MV et al. 1988. A physical and microbial evaluation of the re-useof non-sterile gloves. British Dental Journal 165(9): 321–324.McIntosh N et al. 1994. Practical Methods for High-Level Disinfection ofSurgical Gloves. Paper presented at American Public Health AssociationAnnual Meeting. Session no. 2285, Washington, DC, October 31–November 4.Perkins JJ. 1983. Principles and Methods of Sterilization in HealthSciences, Second edition. Charles C. Thomas: Springfield, Illinois.Sorensen KC and J Luckman. 1979. Basic Nursing: A PsychophysiologicApproach, 934–938. WB Saunders Co.: Philadelphia, Pennsylvania.South East Asia Office (SEARO)/World Health Organization (WHO).1988. <strong>Manual</strong> on Infection Control in Health Facilities. SEARO RegionalHealth Papers No. 18: New Delhi, India.Tietjen LG, W Cronin and N McIntosh. 1992. Infection Prevention forFamily Planning Service Programs: A Problem-Solving <strong>Reference</strong>2 Alternatively, allow gloves to cool for 5 to 10 minutes before wearing “wet.” Gloves should be used within 30 minutes,if possible. After this time, the fingers of the gloves stick together and the gloves are hard to put on despite being damp.Gloves that have been removed from the steamer pan(s) to be worn “wet” but were not used during the clinic sessionshould be reprocessed before using.3 To prepare a high-level disinfected container, boil (if small) or fill a plastic container with 0.5% chlorine solution andsoak for 20 minutes. (The chlorine solution can then be transferred to another container and reused.) Rinse the insidethoroughly.Cervical Cancer Prevention Guidelines for Low-Resource Settings F-5
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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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Treatment and FollowupCRYOTHERAPY P
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Page 107 and 108: Treatment and FollowupNote: When CO
Page 109 and 110: Treatment and FollowupStep 5Advise
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
Page 127 and 128: Infection Prevention Processesfor m
Page 129 and 130: Infection Prevention Processeswith
Page 131 and 132: Infection Prevention ProcessesFigur
Page 133 and 134: Table C-4. Preparing and Using Chem
Page 135 and 136: Infection Prevention ProcessesStora
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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
Page 147 and 148: Figure D-11. Gas Cylinder Secured t
Page 149 and 150: APPENDIX ETROUBLESHOOTING WITH THEC
Page 151 and 152: Table E-1. Following-Up on Commonly
Page 153 and 154: APPENDIX FPROCESSING SURGICAL GLOVE
Page 155: Processing Surgical GlovesTable F-1
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
Page 181 and 182: Figure G-18. Speculum in Place with
Page 205 and 206: 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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