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Biomedical subjects

D M Korniewicz

Publications and source records attributed to D M Korniewicz.

26 records · Page 2Linked to original sources

Effectiveness of glove barriers used in clinical settings.

Gloves are the most common barrier used to prevent the transmission of microorganisms between patients and nurses, and clinicians should be familiar with factors that affect glove choice, including the type of unit, exposure to bloodborne pathogens, tasks performed, and personal safety. In addition to selecting the proper gloves for clinical practice, nurses can play an important role in the evaluation, quality control, and development of new effective barriers for hand protection.

Gloves, Surgical↗

In-use comparison of latex gloves in two high-risk units: surgical intensive care and acquired immunodeficiency syndrome.

This study was designed to compare use patterns and leakage of gloves from two high-risk units: a surgical intensive care unit (SICU) and an acquired immunodeficiency syndrome (AIDS) unit. During a 3-month interval, the use of gloves during clinical procedures by nursing personnel was observed and recorded. A total of 2900 latex examination gloves were collected and tested in the laboratory by the watertight leakage test: 59% (1714) were from the SICU and 41% (1186) from the AIDS unit. Twenty-four percent (700) of all gloves leaked: 29% (500/1714) leaked when worn by staff in the SICU as compared with 17% (200/1186) leakage rate in the AIDS unit (chi-square = 57.32, p less than 0.05). This difference could be attributed in part to higher levels of stress to the gloves and longer wearing time in the SICU.

Acquired Immunodeficiency Syndrome↗

Leakage of virus through used vinyl and latex examination gloves.

A total of 480 examination gloves (240 vinyl and 240 latex) were stressed by using manipulations designed to mimic patient care. At the highest use level, 38 (63%) of 60 vinyl gloves leaked bacteriophage phi X174 compared with 4 (7%) of 60 latex gloves. At lower use levels, there was no statistically significant difference in leakage.

Bacteriophage phi X 174↗

Integrity of vinyl and latex procedure gloves.

In a series of experiments the integrity of vinyl and latex procedure gloves were tested under in-use conditions. Both types of gloves were tested by three methods: watertight (645 samples), bacterial penetration (50), and dye exclusion (90). Results of the watertight test demonstrated visible defects in 4.1% of vinyl and 2.7% in latex gloves. Twenty percent of latex gloves and 34% of vinyl gloves which had passed the watertight test allowed penetration of Serratia marcescens when worn by volunteers. A series of manipulations designed to simulate approximately 15 minutes of clinical activity in an intensive care unit resulted in failure rates as high as 66%. Using the dye penetration test, there was a statistically significant difference between vinyl and latex procedure gloves with full manipulations, with failure rates of 53% and 3%, respectively. Both types of gloves provided some barrier protection. However, latex gloves performed better when stressed.

Adult↗