Manual for Male Circumcision under Local Anaesthesia

Male circumcision under local anaesthesia
Version 3.1 (Dec09)
immediately after caring for a patient. Gloves should not be used for the care
of more than one patient.
Change or remove gloves in the following situations: during patient care if
moving from a contaminated body site to a clean body site within the same
patient; after patient contact before touching another patient.
In countries with a high prevalence of hepatitis B, hepatitis C and HIV
infection, wearing two pairs of gloves (double gloving) may be appropriate for
surgical procedures lasting more than 30 minutes or involving contact with
large amounts of blood or body fluids. This situation is not likely to apply with
properly screened patients undergoing clinic-based circumcision.
Table 8.1 Gloving requirements for common tasks in a male circumcision
service
Activity
Checking blood pressure or temperature, giving an
injection
Drawing blood and testing for HIV
Handling and cleaning instruments, handling
contaminated waste, cleaning spills of blood or other
body fluid
Surgery
Type of gloves
No gloves required
Examination
Utility
Sterile surgical
Keep in mind the following:
• Wear gloves of the correct size, particularly for surgery.
• Use water-soluble (non-fat-containing) hand lotions and moisturizers, to
prevent skin from drying, cracking, and chapping. Avoid oil-based hand
lotions and creams, because they can damage latex rubber surgical and
examination gloves.
• Keep fingernails short: they should not extend beyond the fingertip.
Bacteria and other microorganisms that cause disease can collect under
long nails. Long nails also tend to puncture gloves more easily.
• Store gloves in an area where they are protected from extremes of
temperature.
• Glove reprocessing is strongly discouraged and should be avoided. There
is currently no standardized, validated and affordable procedure for
reprocessing gloves.
• Using gloves when they are not necessary represents a waste of
resources.
Masks, caps and protective eyewear
Masks protect the mucous membranes of the mouth and nose from possible
infections, as well as reduce the risks of transmission of infections from the
health care worker. They should be worn by anyone undertaking a procedure
Prevention of Infection Chapter 8-8