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At least 595 records · Page 33Linked to original sources
PubMed2001

[Migrants from disposable gloves and residual acrylonitrile].

Disposable gloves made from polyvinyl chloride with and without di(2-ethylhexyl) phthalate (PVC-DEHP, PVC-NP), polyethylene (PE), natural rubber (NR) and nitrile-butadiene rubber (NBR) were investigated with respect to evaporation residue, migrated metals, migrants and residual acrylonitrile. The evaporation residue found in n-heptane was 870-1,300 ppm from PVC-DEHP and PVC-NP, which was due to the plasticizers. Most of the PE gloves had low evaporation residue levels and migrants, except for the glove designated as antibacterial, which released copper and zinc into 4% acetic acid. For the NR and NBR gloves, the evaporation residue found in 4% acetic acid was 29-180 ppm. They also released over 10 ppm of calcium and 6 ppm of zinc into 4% acetic acid, and 1.68-8.37 ppm of zinc di-ethyldithiocarbamate and zinc di-n-butyldithiocarbamate used as vulcanization accelerators into n-heptane. The acrylonitrile content was 0.40-0.94 ppm in NBR gloves.

Acrylonitrile↗
PubMed1997

Endotoxin and particulate matter on surgical gloves.

Because of the continual need to protect of health care workers, gloves are increasingly used. Most gloves purchased are powdered. Besides having deleterious effects on wound healing, glove powder can act as a vehicle for latex allergens, endotoxin, and possibly bacteria. Few tested gloves had undetectable levels of endotoxin, and only one was free from particulate matter. Since powder particles can become airborne and are thus easily spread, concerns for health care professionals and patients arise. To reduce risks for exposure, glove-selection criteria must include low or undetectable levels of latex allergens, endotoxin, and particulate matter.

Endotoxins↗
PubMed1998

Influence of latex glove hydration on bacteriophage penetration.

The purpose of this study was to determine whether glove hydration influenced bacteriophage penetration. Using an electronic glove hole-detection device, one brand of latex glove was identified that hydrated rapidly (3.25 min +/- 0.71 min), while another brand was selected that resisted hydration (120 min +/- 0 min). Using a standard bacteriophage penetration model, the amount of bacteriophage penetration in both the rapidly hydrating gloves and the gloves that resisted hydration was extremely small and did not differ significantly from each other.

Bacteriophage phi X 174↗
PubMed1999

Evaluation of the quality of surgical gloves among four different manufactures.

A randomized trial was conducted to evaluate the quality of four different brands of surgical gloves in terms of the perforation rate, ventilation, fitness, allergic reaction, elasticity, thickness, powder, and satisfaction. Gloves of four different manufactures which were used by various medical centres were distributed to participants according to a computer-generated randomization table. A structured questionnaire was self-administered by volunteers immediately after the surgical procedure to gather the information from participants, including the demographic data, allergy history, length of use, and variables of quality measures. Two brands, A and D, were significantly inferior to the best manufacture among the four, B, in terms of the ventilation, elasticity, and thickness, odds ratios ranging from 6 to 24, p < 0.05. For the amount of corn starch powder and satisfaction, all three other brands were inferior to brand B, odds ratios ranging from 6 to 44, p < 0.05. Gloves worn longer than 2 hours had a slightly higher perforation rate post procedures (11.5% vs. 2.1%, p = 0.048). The rate of latex allergic reaction was not significantly different between surgeons (8.3%) and the others (6.7%). No difference of the allergic reaction rate was found between subjects with allergy history (7.7%) and those without the history (7.5%). The quality of surgical gloves differs from brand to brand. The government and institutions should take the responsibility of monitoring the quality of surgical gloves in order to provide a safer and more comfortable environment for the surgical personnel and patients.

Adult↗
PubMedDate not supplied

Contamination of the surgeon's bare and gloved fingertips in cardiac operations.

The surgeon's bare fingertips and the external surface of gloved fingertips were examined for contamination by bacteria during the course of 27 cardiac surgical operations. Following the surgical scrub, positive colony counts were obtained in 20 (74%) of bare fingertip impressions (median colony count 4 [inter-quartile range, IQR, 0-9)], while at the conclusion of surgery positive counts were obtained in 15 (55.6%) fingertip impressions (median count 1 [IQR 0-6]; range 0-247; paired Wilcoxon test p = NS). Furthermore, positive colony counts at the start of the operation were obtained in none of the gloved fingertip impressions and at conclusion of surgery in 17 (62.9%) of the gloved fingertip impressions (median count 2 [IQR 0-6] p = 0.0002). There was no significant relationship between the total colony count on gloved fingertip impressions and the length of surgery (Pearson's r = 0.17, p = NS). Contrary to expectations there was no significant increase in the colony count on the bare fingertips at the conclusion of surgery. Although there was an increase in the bacterial count on the surgeon's gloved fingertips, this increase did not correlate with the length of surgery.

Cardiac Surgical Procedures↗
PubMed2001

The prevalence of, and factors related to, compliance with glove utilization among nurses in Hospital Universiti Sains Malaysia.

Increasing risk of HIV infections among health care workers has been a continuing concern. The study was designed to identify the compliance of glove utilization, and factors related to non-compliance. A sample of 150 staff nurses were recruited from the study population of 550 nurses in Hospital Universiti Sains Malaysia. Data were collected by using a structured self-administered questionnaires. The response rate was 98.4%. The study revealed a low compliance (13.5%) of glove utilization (for all 9 procedures), which varied among different procedures (27-97%). Younger nurses and those with shorter duration of working experience had better knowledge of Universal Precautions. Nurses in intensive care unit and operation theatre were better in both knowledge and compliance of glove utilization. The three commonest misconceptions were identified as "selective use of gloves for high risk groups and suspected cases", and "tendency to depend on HIV prevalence". Nurses reported practical problems including administrative and personal related such as "stock irregularity" (46%), "glove not available at the emergency sites" (44%), and "reduction of tactile sensation" (39%). It was concluded that poor knowledge and practical problems were possible responsible factors for the low compliance. A good training for nurses comprising principle and practice of Universal Precautions, updated knowledge of blood and body fluid borne infections and risk and its management, will probably improve the compliance.

Adult↗
PubMed2002

Effect of ceramic-impregnated "thermoflow" gloves on patients with Raynaud's syndrome: randomized, placebo-controlled study.

OBJECTIVE: To determine the efficacy of ceramic impregnated gloves in the treatment of Raynaud's syndrome. DESIGN: Double-blind, placebo-controlled study. SETTING: Teaching hospital outpatient clinic. PARTICIPANTS: Ninety-three patients meeting the "Pal" criteria for Raynaud's syndrome. INTERVENTIONS: Treatment period of three months with use of ceramic-impregnated gloves. MAIN OUTCOME MEASURES: Primary end points: Pain visual analogue scale ratings and diary; Disabilities of the Arm, Shoulder, Hand questionnaire; Jamar grip strength; Purdue board test of hand dexterity. Secondary end points: Infrared skin temperature measurements; seven-point Likert scale rating of treatment. RESULTS: In 60 participants with complete data, improvements were noted in the visual analogue scale rating (p=0.001), DASH score (p=0.001), Jamar grip strength (p=0.002), infrared skin fingertip temperature (p=0.003), Purdue hand dexterity test (p=0.0001) and the Likert scale (p=0.001) with ceramic gloves over the placebo cotton gloves. CONCLUSION: The ceramic-impregnated "thermoflow" gloves have a clinically important effect in Raynaud's syndrome.

Adult↗
PubMed2002

[Hand skin blood flow measurement in assessing protective efficacy of antivibration gloves].

The literature data show that a long exposure to local vibration leads to neuro-vessels, and less frequently to osteoarticular or mixed disorders within upper extremities. In five healthy males, not occupationally exposed to vibration, skin blood flow was examined during a 5-min exposure of the right hand to local vibration (filtered off white noise 2-2000 Hz, weighted vibration acceleration of 9 m/s-2), and the cold provocation test with water at 14 degrees C in two variants: with and without antivibration glove, was performed. Immediately after local vibration, evident changes in the skin blood flow on the right and left hands were registered in the experiment without antivibration glove. There were no changes in the experiment with antivibration glove The cold provocation test, in none of its variants (with and without antivibration glove) showed any changes. It seems that the skin blood flow measurements taken immediately after the hand exposure to local vibration may be a useful method for assessing protective efficiency of antivibration gloves, however further studies are required to support this observation.

Adult↗
PubMed2003

Latex protein allergy and your choice of gloves: a balanced consideration.

Natural rubber gloves have been acknowledged as the best protective devices available for protecting health care personnel and their patients against viral transmission and infectious fluids. Yet, with the adoption of standard safety precautions and the increase in the use of gloves, an increasing number of people are being affected with latex allergy. Negative publicity related to latex allergy has resulted in health care personnel deciding against using the highly protective natural rubber gloves. The relationship between natural rubber gloves and latex protein allergy needs to be better understood in order for health care professionals to make an informed choice in their selection of gloves.

Biodegradation, Environmental↗
PubMed2002

Compression under a mechanical counter pressure space suit glove.

BACKGROUND: Current gas-pressurized space suits are bulky stiff shells severely limiting astronaut function and capability. A mechanical counter pressure (MCP) space suit in the form of a tight elastic garment could dramatically improve extravehicular activity (EVA) dexterity, but also be advantageous in safety, cost, mass and volume. The purpose of this study was to verify that a prototype MCP glove exerts the design compression of 200 mmHg, a pressure similar to the current NASA EVA suit. METHODS: Seven male subjects donned a pressure measurement array and MCP glove on the right hand, which was placed into a partial vacuum chamber. Average compression was recorded on the palm, the bottom of the middle finger, the top of the middle finger and the dorsum of the hand at pressures of 760 (ambient), 660 and 580 mmHg. The vacuum chamber was used to simulate the pressure difference between the low breathing pressure of the current NASA space suits (approximately 200 mmHg) and an unprotected hand in space. RESULTS: At ambient conditions, the MCP glove compressed the dorsum of the hand at 203.5 +/- 22.7 mmHg, the bottom of the middle finger at 179.4 +/- 16.0 mmHg, and the top of the middle finger at 183.8 +/- 22.6 mmHg. The palm compression was significantly lower (59.6 +/- 18.8 mmHg, p<0.001). There was no significant change in glove compression with the chamber pressure reductions. CONCLUSIONS: The MCP glove compressed the dorsum of the hand and middle finger at the design pressure.

Adult↗
PubMed1992

Occult glove perforation during ophthalmic surgery.

We examined the latex surgical gloves used by 56 primary surgeons in 454 ophthalmic surgical procedures performed over a 7-month period. Of five techniques used to detect pinholes, air inflation with water submersion and compression was found to be the most sensitive, yielding a 6.80% prevalence in control glove pairs and a 21.8% prevalence in postoperative study glove pairs, for a 15.0% incidence of surgically induced perforations (P = 0.000459). The lowest postoperative perforation rate was 11.4% for cataract and intraocular lens surgery, and the highest was 41.7% for oculoplastic procedures. Factors that correlated significantly with the presence of glove perforations as determined by multiple logistic regression analysis were oculoplastic and pediatric ophthalmology and strabismus surgical procedures, surgeon's status as a fellow in training, operating time, and glove size. The thumb and index finger of the nondominant hand contained the largest numbers of pinholes. These data suggest strategies for reducing the risk of cross-infection during ophthalmic surgery.

Chi-Square Distribution↗
PubMed2004

Decreasing infectious morbidity in cesarean delivery by changing gloves.

OBJECTIVE: To assess whether changing the entire surgical team's gloves intraoperatively, after delivery of the placenta, would reduce the rate of postcesarean wound infection. STUDY DESIGN: Women who underwent cesarean delivery were randomized to a group where the surgical team changed the surgical gloves after delivery of the placenta or to a control group, where surgical gloves were not changed during the cesarean procedure. RESULTS: Ninety-two patients were randomized to 2 groups of 46 patients each. The group where the surgical team changed their gloves had significantly less serosanguineous drainage 24 hours after surgery (3 vs. 8 patients, 8.3% vs. 22.2%, P = .2, RR 2.7, CI 0.7, 12.4) and fewer wound infections (2 vs. 9 women, 5.5% vs. 25%, P = .05, RR 4.5, CI 0.982, 29.8). CONCLUSION: Obstetricians may decrease the number of postcesarean wound infections by having the entire team change surgical gloves after delivery of the placenta.

Adult↗
PubMed1992

Surgical gloves--a comparative study of the incidence and site of punctures.

Five surgical teams in two operating suites were studied for three months with random allocation to receive either A or B operating gloves. The gloves were identified as used by the surgeon, the assistant and the scrub nurse. At the end of each day the gloves were tested by standard air insufflation and immersion under water. Surgeons experienced significantly more punctures 174:884 (19.7%) [17%-23%] than the scrub nurses or assistants 161:1770 (9.4%) [8.6%-10.2%]. Surgeons were particularly prone to experience punctures of the tip of the index or little finger of the left hand whereas nurses were more likely to experience punctures of the index finger and thumb of the left hand. There was a wide variation between the five surgical teams varying between 5.7% [2%-11%] and 37.5% [24%-52%] wearing B and 11.4% and 28.4% wearing A. There were significantly more punctures when wearing A gloves (23.0%) [20%-26%] than when wearing B gloves (15.8%) [13%-19%] for surgeons but no significant difference for surgical assistants or scrub nurses. Contrary to our expectation there were no significant differences between the two types in the tearing of cuffs (1% in each).

Equipment Failure↗
PubMed2005

The effectiveness of using two different types of anti-vibration gloves compared to bare hand condition at dampening the frequencies associated with hand-arm vibration syndrome.

The ability of a foam-padded and air-bladder glove to significantly attenuate hand-arm vibration compared to an individual's bare hands (after the effect of adipose content of the distal upper extremity had been removed) was studied. Subjects consisted of 3 male and 8 female university students' aged 20 to 22 years. After the effect of adipose content of the distal upper extremity was removed, the effect of the gloves on transmissibility was significant with F2,959 = 5.27, p<0.000. The effect of the frequencies was significant with F31,959 = 8.80, p<0.000. There was no significant interaction between the gloves and frequencies on transmissibility with F62,959 = 0.22, p = 1.000. Post-hoc analysis revealed that there was a significant difference was between bare hand and foam-padded glove conditions, F1,1052 = 8.13, p = 0.004, where foam-padded gloves had significantly greater transmissibility. Post-hoc analysis of the frequencies indicated that there were significant differences between frequencies at with the highest transmissibility occurring at 100 Hz.

Adult↗
PubMed1992

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↗
PubMed1991

Incidence of glove perforation during caesarean section.

A survey of glove perforation in 200 consecutive Caesarean sections (100 elective and 100 emergency) was undertaken. A total of 1276 gloves were tested for punctures after the end of the operation. Evidence of perforation of one or more gloves was found following 39 elective (234 gloves, 37.2%) and 43 emergency sections (290 gloves, 44.8%) (total 82, 41%). Only in 17 of these cases (20.7%) was it realised that a perforation had actually occurred. The surgeons were found to be significantly more at risk of perforation than the other members of the operating team.

Cesarean Section↗
PubMed1991

Surgical glove perforation in obstetrics.

Perforation of surgical gloves places the obstetrician at risk for blood-borne infectious diseases. Seven hundred fifty-four surgical gloves used in vaginal and cesarean deliveries and postpartum tubal ligations were examined for evidence of perforation by the air inflation-water submersion technique. The overall glove perforation rate was 13.3%, with 62% of the perforations remaining unrecognized during the surgical procedure. The majority of perforations occurred on the fingers of the nondominant hand. Multivariate analysis with logistic regression indicated that cesarean delivery (odds ratio 3.52), any vaginal laceration or episiotomy (odds ratio 4.95), and chief resident status (odds ratio 3.00) were the major risk factors for surgical glove perforation. Surgical technique by assistants, especially in complex cases, is as important as that of the primary surgeon in regard to glove perforations.

Equipment Failure↗
PubMed1990

Use of gloves among dentists in Sweden.

This study among 191 public and private dentists in the Malmöhus County of southern Sweden showed that 77% of the community dentists (n = 167) and 54% of the private dentists (n = 24) used gloves regularly as infection precaution during extraction. For surgery these figures were 90% and 54% respectively. These were low figures considering the several general recommendations from both the Swedish National Board of Health and Welfare and local community authorities to dental personnel to use gloves regularly during procedures with known risk of blood contact. The survey showed that 61% (n = 167) of the public dentists and 4% (n = 24) of the private dentists used gloves regularly during all patient treatment. High cost for gloves was no major obstacle for not using them regularly but rather discomfort and old habits (79% of the answers). 21% of the dentists had experienced local infections of their hands due to patient contact, puncture wounds being the most common cause. Most of the dentists using gloves had been influenced by the general HIV/AIDS discussion in news media (65%; n = 114).

Adult↗