Contamination of the skin and clothing of health care workers happened frequently during the removal of gloves or gowns in a simulation study published by JAMA Internal Medicine that used fluorescent lotion and black light. The study by Curtis J. Donskey, M.D., of the Cleveland Veterans Affairs Medical Center, and coauthors included health care workers at four northeast Ohio hospitals who participated in personal protective equipment (PPE) removal simulations. Other health care personnel at one medical center participated in an intervention that included education and practice in removal of contaminated PPE.
The authors report that of 435 glove and gown removal simulations, contamination of skin or clothing with fluorescent lotion happened in 200 (46 percent). The intervention reduced skin and clothing contamination during glove and gown removal (60 percent before the intervention vs. 18.9 percent after) that was sustained after one and three months.
"These findings highlight the urgent need for additional studies to determine effective strategies to minimize the risk of contamination during PPE removal, to improve PPE design and to identify optimal methods for training of personnel in PPE use," the authors write.