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A New York hospital has banned
the use of artificial nails and nail enhancements by healthcare workers
who have direct contact with patients, citing the increased risk of transmitting
disease-causing microbes to patients.
Previous studies have shown
that healthcare workers with long fingernails may be more likely than
those with shorter nails to harbor bacteria that can lead to patient infections,
and that these bacteria are not easily eliminated by hand-washing.
According to the new rules
at New York Presbyterian Hospital, hospital staffers must keep fingernails
manicured, and no longer than 1/8-inch past the finger tip. Healthcare
workers with patient contact are also no longer allowed to apply artificial
enhancements to their nails, such as tips, wraps, appliques, or anything
other than polish.
Artificial nail products can
damage natural nails and increase the risk of fungal and bacterial infections.
In addition, healthcare workers
cannot sport nail polish that is chipped, which can also increase the
risk of transmitting infections to patients.
In an accompanying fact sheet
that was distributed with paychecks, healthcare workers were provided
with further information about infection risks with artificial nails.
They were told that chipped nail polish can harbor more bacteria than
unchipped polish, and that gloves can develop germ-spreading holes, and
therefore do not offer complete protection from artificial nails.
American
Journal of Infection Control June 2002;30:252-254
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