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At least 55 records · Page 3Linked to original sources
PubMedDate not supplied

Ease of donning surgical gloves: an important consideration in glove selection.

It is a commonly held belief among physicians that powder free surgical gloves are more difficult to don than cornstarch powdered gloves. This difficulty is supposedly enhanced when the physician's hands are wet, a situation commonly encountered when regloving during surgical procedures. This investigation dispels these beliefs by demonstrating that the forces required to don powder free gloves do not differ significantly from those required to don gloves coated in cornstarch lubricant. Moreover, Biogel, a new powder free glove with an inner hydrogel lining, is shown to don easily and safely without ripping, even with wet hands, a circumstance not encountered with other gloves.

Emergency Medicine↗
PubMed1997

Compliance with gloving in anesthesia: an observational study of gloving practice at induction of general anesthesia.

STUDY OBJECTIVE: To gather direct observational data on anesthesiologists' compliance with universal precautions' gloving standards during induction of general anesthesia. DESIGN: Prospective, observational study. SETTING: Operating theaters of an Israeli government teaching hospital. SUBJECTS: Over a four-month period, all "first case of the day" general anesthetics were observed to determine if the anesthesiologist directly administering patient care wore gloves during the period of anesthetic induction. All anesthesia department members were observed and none was aware of the ongoing study. MEASUREMENTS AND MAIN RESULTS: Resident anesthesiologists were found to be more compliant with gloving policy than their attendings (61.8% vs. 33.7%, p < 0.0001). However, the lower compliance among the attendings was entirely attributable to the most senior staff members (over age 55 years) whose compliance rate was 11.5% versus 55.6% for attending staff below age 55 years (p < 0.0001). Departmental compliance as a whole was 49.6%. Compliance in pediatric cases averaged 10% and was equally poor among all department staff. CONCLUSIONS: Although glove use remains inconsistent, in less than one and one half years since institution of a departmental gloving policy, a substantial degree of compliance was achieved. Nevertheless, further efforts are still needed to improve compliance with universal precautions. In this study, glove use was particularly deficient in pediatric cases and among senior staff aged 55 years and older. Pinpointing specific areas of greatest deficiency may prove useful in guiding additional efforts to improve compliance with universal precautions.

Age Factors↗
PubMed2001

Glove reinforcement: an alternative to double gloving.

Gloves, worn by the surgical team to prevent transmission of infections from and to patients, are prone to tears and perforations. This study was done to determine the frequency and sites of unrecognized glove perforation during surgical procedures. The percentage of glove perforation was 14%. Of the punctures, 73% occurred in one of four contiguous locations on the glove. We recommend glove reinforcement at these locations to provide better protection, as well as to reduce the burden of double gloving.

Cross Infection↗
PubMed1997

Increased awareness of glove perforation in major joint replacement. A prospective, randomised study of Regent Biogel Reveal gloves.

An intact barrier between the hands of the surgeon and the patient remains the single most important factor in protection against infection for both. Increasing the awareness of possible glove perforation without skin penetration will decrease the risk of contamination. We performed a prospective, randomised trial comparing the incidence of glove perforation using a new type of glove (Regent Biogel Reveal) and standard double-gloves in total hip and knee replacement. One or more perforations was detected in 14.6% of all gloves. The new gloves increased significantly the awareness of perforation. Multiple perforations at the base of the ring finger were found in surgeons who wore wedding rings during the operation and we recommend that rings be removed before undertaking surgery.

Chi-Square Distribution↗
PubMed1998

A randomised trial of the durability of non-allergenic latex-free surgical gloves versus latex gloves.

A prospective randomised trial was performed to compare the robustness of a new non-latex surgical glove with a standard latex glove when worn by four general surgeons in a district general hospital. Gloves were retrieved after surgery and examined using the European Standard Test for punctures. The overall puncture rate was 10.1%, and there was no significant difference in the rates between the two types of glove, although punctures in the non-latex glove tended to be larger and more readily noted by the wearer. The increase in latex allergy among health care staff dictates the need for gloves made from other materials, which may also be useful for operations on latex-allergic patients.

Attitude of Health Personnel↗
PubMed1994

The hydration phenomenon in natural rubber latex gloves and its effect on electronic glove monitors.

A physical model is presented to explain the phenomenon of hydration in natural rubber latex (NRL) gloves and to account for the observed decrease in electrical resistance of these gloves when exposed to normal saline solution. Microporosity in the rubber is attributed to failure of all latex particles making up a typical glove to completely coalesce with each other and form a continuous film free of interstitial voids. Native proteins and chemicals used in the manufacturing process are suspected of inhibiting coalescence and causing allergic reactions to some wearers after repeated uses. The effect of hydration on the performance of electronic glove monitors is discussed. Glove monitors that can distinguish between hydration and holes are considered to be the most reliable.

Electric Impedance↗
PubMed2002

A critique of assumptions about selecting chemical-resistant gloves: a case for workplace evaluation of glove efficacy.

Wearing chemical-resistant gloves and clothing is the primary method used to prevent skin exposure to toxic chemicals in the workplace. The process for selecting gloves is usually based on manufacturers' laboratory-generated chemical permeation data. However, such data may not reflect conditions in the workplace where many variables are encountered (e.g., elevated temperature, flexing, pressure, and product variation between suppliers). Thus, the reliance on this selection process is questionable. Variables that may influence the performance of chemical-resistant gloves are identified and discussed. Passive dermal monitoring is recommended to evaluate glove performance under actual-use conditions and can bridge the gap between laboratory data and real-world performance.

Dermatitis, Contact↗
PubMedDate not supplied

Inadequate standard for glove puncture resistance: allows production of gloves with limited puncture resistance.

The National Fire Protection Association has developed standards for glove puncture resistance using a metal puncture probe. Biomechanical performance studies have demonstrated that glove puncture resistance to the probe is significantly greater than that of the hypodermic needle, suggesting that these standards have no clinical relevance. These standards give a false sense of security to health care personnel and sanction the production and use of gloves that give inadequate protection. The result is potentially harmful for medical personnel.

Equipment Design↗
PubMed1998

Medical gloves and glove materials.

Latex gloves are widely used in health care, but latex allergy is increasingly becoming a problem. Nurses should be aware of the alternatives to latex gloves and when these can be used. Nurses should know their organisation's policy on glove use and latex allergy.

Gloves, Surgical↗
PubMed1992

[Silicone molding compounds and latex gloves. The effect of latex gloves on addition and condensation silicones].

Inhibited setting of addition silicones has been observed using latex gloves in the dental office. Therefore four addition silicones as well as four condensation silicones were mixed with seven latex gloves with different properties (sterility, powder, accelerator, inner layer). The masses were mixed with bare hands as a control and--additionally--with powdered hands. Condensation silicones stayed unaffected when put together in exact amounts, while some addition silicones showed nearly complete inhibition. Mixing the condensation silicones under the conditions of daily practice--one spoon of body plus a distinct amount of catalyst-resulted in hardness differences compared to using the exact dose. Nevertheless the resulting impressions were of satisfying quality. The powder-component (Bio-sorb, Surgikos) leads to an accelerated setting. The general dental practitioner/dental hygienist have to consider these aspects while choosing gloves and silicone putties for taking impressions.

Dental Impression Materials↗
PubMed1992

Surgical glove powder and intraperitoneal adhesion formation. An appeal for the use of powder-free surgical gloves.

Intraperitoneal adhesion formation is a major cause of infertility and/or intestinal obstruction. Among the many well-known aetiological factors responsible for peritoneal inflammatory reaction is surgical glove powder; for example, cornstarch powder. A study was undertaken on 30 rats to determine whether cornstarch powder caused intraperitoneal adhesions. The rats were randomised into two groups under laboratory conditions. Laparotomies were performed on all the rats and trauma inflicted to the right uterine horn. The study group received cornstarch powder suspended in normal physiological salt solution intraperitoneally, and the control group received only normal physiological salt solution. Peritoneal adhesions were evaluated after 2 weeks and statistically analysed with a t-test and 95% confidence intervals. The study group showed a statistically significantly higher incidence of intraperitoneal adhesions (P = 0.0003). It is concluded that cornstarch, as used on surgical gloves, caused peritoneal adhesions and should therefore be removed before surgery. Powder-free gloves are more suitable for preventing adhesion formation.

Animals↗
PubMed1996

Effect of puncture resistant surgical gloves, finger guards, and glove liners on cutaneous sensibility and surgical psychomotor skills.

New puncture and cut resistant hand protection systems have been developed to enhance the barrier to cuts and needle puncture injuries during surgical procedures. It is important, however, that these new hand protection systems do not reduce tactile sensitivity or dexterity during surgery. Consequently, it was the purpose of this report to compare the cutaneous sensibility and dexterity of physicians' hands covered by these new puncture and cut resistant hand protection systems to that of the standard surgical latex glove. The hide (Medak) portion of the Life Liner and the polyethylene (Spectra) portion of the FingGuard, which offered the greatest resistance to needle puncture, were associated with the greatest reduction in cutaneous sensibility, as determined by moving and static two-point discrimination, aesthesiometer pressure sensation, and discrimination of suture size and configuration. In addition, the physicians believed that the puncture and cut resistant Life Liner glove liner markedly interfered with their handling of surgical instruments. The ultimate benefit of these puncture and cut resistant hand protection systems must be determined in well-controlled clinical trials.

Discrimination, Psychological↗
PubMed2000

Two gloves or not two gloves that is the question.

Surgical gloves were first introduced in 1889, when Halstead wanted to protect his scrub nurse from dermatitis caused by contact with mercuric chloride (Dodds et al 1990). The use of gloves then became more widespread, principally to protect surgical teams whilst operating on infected patients (Dodds et al 1990). Later, focus changed to protecting the wound from microbial contamination.

Cross Infection↗
PubMed1987

A breakthrough time comparison of nitrile and neoprene glove materials produced by different glove manufacturers.

Specimens of similar nominal thickness from commercially available nitrile and neoprene gloves were each tested for breakthrough time against three chemicals. The null hypothesis was that the breakthrough times for the glove specimens of the same generic type but produced by different manufacturers would be the same. Breakthrough time data for each material/chemical combination were analyzed using an analysis of covariance to adjust for differences in the measured specimen thickness while testing for product differences. A significant difference in chemical breakthrough times was found among generically similar products produced by different manufacturers. The largest difference between the mean breakthrough time of two generically equivalent products, 30 vs. 300 min, was obtained for perchloroethylene through nitrile products. In conclusion, breakthrough time data for use in selection of chemical protective clothing or in prediction modeling for chemical protective clothing should be manufacturer and product specific.

Acetates↗