09
Apr

兇手抓到了!系列二_關於穿戴手套這件事

 

不妨想想...林保瑩醫師的提醒… 

當人們還在猜想為何最近新增的新冠肺炎確診案例,多是來自境外移入,而非本土感染時,很多人會認定感染源一定是來自那些人去過的境外國家或密閉飛機上,但我建議各位不妨想想,這位超級傳播者其實可能是「飛機上的空服員」,因為自疫情散播後,空服員也開始穿起了手套自我保護,但糟糕的是他們很可能從頭到尾都用「同一副手套」服務所有的乘客。

 

沒錯!僅管TSA(運輸安全管理局)和CDC(疾病管制署)正密切合作來減少可能接觸到乘客的高傳染性物品,例如自助登機亭(您甚至可以免除指紋檢查)、手扶梯和托盤的清潔,阻絕登機前社區傳播的可能性。為了確保飛機更加整潔,已經付出了加倍努力,不管是廁所、走道、入門口,都增加了許多新的警語和標誌等……。並也已減少常規的餐飲服務,來降低接觸乘客的機率。但就算只提供一個服務,只要空服員仍戴著手套在機艙內移動、觸摸到可能有感染源沾染的椅背,這副手套都還是有將感染源散播出去的可能性。

 

手套的主要目的是來保護提供服務的人員,這就是為何確診的案例職業別中並沒有很高的比例是空服員,但是如果空服員以同一付手套提供服務給多位客人,就很有可能成為真正的潛在傳播者,到底要怎麼做比較好呢?其實就是每位牙醫師一直都在執行的「一位患者一副手套」的觀念。

 

如果將手套用酒精消毒呢?會是好主意嗎?事實上不然,因為酒精會增加手套橡皮的破皮機會,而且會在橡皮表面上產生孔洞,降低了對穿戴手套者的保護;如果請空服員每次都要脫穿橡皮手套來完成服務,也不切實際。那什麼是最好的方法呢?就是Double Gloving:穿上雙層手套,除了原本的橡膠手套,在外層再套上類似用來吃手扒雞的薄塑膠手套,這些拋棄式的塑膠手套,可以在服務完每位乘客後被迅速的更換掉,是個方便經濟又能落實的選項。

 

在如今這個新冠病毒還很活躍的時節,如果您必須搭乘飛機或在餐廳用餐時,發現服務人員穿戴著手套的話,建議您可以主動提供拋棄式的塑膠手套給他雙層穿戴來保護自己喔!

 

Just a Thought...Dr. Paul Lin's Reminder...

The Murderer is Caught Here! (II) _Glove to Stop or to Spread?

 

Just when people are wondering why the inbound passengers carried way more confirmed COVID-19 than those from domestic contaminants, most of you might want to blame all the guilt to those countries from which they traveled or boarded.  Nevertheless, I’d like you to pay attention to the very likely super-transmitter in the airplane they took WHO ARE the flight attendants!!!  Because they are now in gloves, and what’s worse, one pair serves all!!!

 

Yes, TSA and CDC are working tightly together to reduce many high-touch objects, such as self check-in kiosk (you can even waive finger print check), escalator handrails & tray in decreasing potential for community transmission prior to boarding process.  Many efforts are endeavored to ensure that the airplanes are a lot cleaner with many new warning and instructional signs etc……. Though cut down usual services can avoid touching passenger-handled items, but as long as there is but one service or when they move around between the seats wearing the same glove touching the back of the seats one after the other, there is a good chance for spreading.

 

Gloves are used primarily to protect the service provider.  That explains why high-risk flight attendant got less infected count.  But when providing services to multiple individuals with potential hazards, glove wearers can become the spreader if they choose to stick with the same pair of gloves.  What they should do as what every dentist is doing is to implement One Pair One Patient concept.

 

Apply alcohol spray after service of each individual is not a good option for sanitizing gloves as it will increase the chance of tearing the rubber or create pinholes thus weaken the protection for the provider.  Asking flight attendants to remove the old and replace with a new pair of rubber glove before each service is not practical either.  What is best way out?  Glove the rubber glove with plastic gloves (those you wear when eating chicken wings)!!!  It’s called Double Gloving.  Disposing the plastic gloves after service of each individual is economical, efficient and practical.

 

So when you had a chance to take the flight again or dine in a restaurant noticing the service provider wearing gloves, be reminded to kindly give them a new pair of plastic gloves when serving you in this vibrant season of coronal virus.


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