Nursing Department, Peking University First Hospital, Beijing, China.
Emergency Department, Peking University First Hospital, Beijing, China.
BMJ Open. 2023 Mar 13;13(3):e066310. doi: 10.1136/bmjopen-2022-066310.
Disinfecting gloves during patient care has potential benefits and risks. In recent years, disinfection of disposable medical gloves for prolonged use has occurred in clinical practice. However, there is limited high-level evidence to know if this practice can prevent nosocomial infections, reduce microbial levels on the glove surface. This concept was researched using a scoping review to explore the feasibility and effectiveness of disinfecting disposable gloves for prolonged use.
The review will be conducted in accordance with the Arksey and O'Malley scoping review methodology framework. From the date of database construction to 10 February 2023, the following 16 electronic databases in English and Chinese will be searched: PubMed, Embase, CINAHL, Web of Science, Cochrane Library, ProQuest, China National Knowledge Infrastructure, Wanfang, SinoMed Database, Google Scholar, Centers for Disease Control and Prevention (CDC), European Centre for Disease Prevention and Control, WHO, China CDC, International Nosocomial Infection Control Consortium and European Medicines Agency Science Medicines Health. The screening and data extraction of the study will be carried out by two reviewers (KL and SH). Differences between the two reviewers will be handled through negotiation. If there are still differences, they will be discussed with a third reviewer. Any study, for example, intervention study or observational study, that provide insights about the disinfection of disposable medical gloves for prolonged use will be included. Data charts will be used to extract relevant data from the included studies. Results will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews, to define the scope of evaluation. A narrative summary will be completed to synthesise key research findings and background information on the disinfection of gloved hands.
Ethical approval will not be required because only publicly available data will be analysed. The findings from the scoping review will be published in a peer-reviewed journal and presented at scientific meetings. By highlighting the feasibility and effectiveness of the disinfection of gloved hands in the literature, this review will provide direction for future research and clinical guidelines.
This scoping review protocol has been registered in the Open Science Framework (registration number: 10.17605/OSF.IO/M4U8N).
在患者护理过程中对消毒手套进行消毒具有潜在的益处和风险。近年来,临床实践中已发生对一次性医用手套进行消毒以延长其使用时间的情况。然而,关于这种做法是否可以预防医院感染、降低手套表面微生物水平,目前仅有有限的高级别证据。本研究采用范围综述来探讨对一次性手套进行消毒以延长使用时间的可行性和有效性。
本综述将按照 Arksey 和 O'Malley 的范围综述方法框架进行。从数据库建立之日至 2023 年 2 月 10 日,将检索 16 个英文和中文电子数据库,包括 PubMed、Embase、CINAHL、Web of Science、Cochrane 图书馆、ProQuest、中国国家知识基础设施、万方、中国生物医学文献数据库、PubMed、美国疾病控制与预防中心、欧洲疾病预防控制中心、世界卫生组织、中国疾病预防控制中心、国际医院感染控制联盟和欧洲药品管理局科学医药健康。研究的筛选和数据提取将由两名评审员(KL 和 SH)进行。如果两名评审员之间存在分歧,将通过协商解决。如果仍然存在分歧,则与第三名评审员讨论。任何研究,例如干预研究或观察性研究,只要能提供关于一次性医用手套消毒以延长使用时间的见解,都将被纳入。将使用数据图表从纳入的研究中提取相关数据。结果将根据系统评价和荟萃分析扩展的首选报告项目进行报告,以确定评价范围。将完成叙述性总结,综合有关文献中对手套消毒的关键研究结果和背景信息。
由于仅分析公开可用的数据,因此不需要伦理批准。范围综述的结果将发表在同行评议的期刊上,并在科学会议上报告。通过在文献中强调对手套消毒的可行性和有效性的认识,本综述将为未来的研究和临床指南提供方向。
本范围综述方案已在开放科学框架(注册号:10.17605/OSF.IO/M4U8N)中注册。