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At least 703 records · Page 39Linked to original sources
PubMed2001

Use of gloves in the community: why, when, which and how?

The use of gloves has become routine since the early 1980s. It is recognized that they have an important part to play in the protection of both staff and patient/clients in the prevention of cross-infection. However, as choices relating to glove usage have increased over the years, health-care staff need to adopt a risk assessment approach, considering why, when, which and how gloves should be used. This article outlines the different types of gloves available and when they should be used.

Community Health Nursing↗
PubMedDate not supplied

Nurses' inappropriate use of gloves in caring for patients.

Asepsis still remains an important part of infection control and sterile gloves are still required in acute wound care and surgical procedures. Some tissue viability practitioners have for many years used unsterile gloves for chronic wound care and this provides a cost-effective method of protection for both the patient and the nurse. However, there are still those nurses who are bound in nursing rituals and find it difficult to discard a practice that has been shown to be costly and unnecessary. At the same time, there is a worrying practice of wearing gloves for all procedures without changing between each patient contact and this can be a dangerous method of introducing cross-infection and increasing the potential for latex allergies. Therefore, the use of gloves must be carefully thought through and the rationale for their use should be based on researched evidence. This article reviews the available evidence.

Evidence-Based Medicine↗
PubMed1989

Hand protection and protection from hands: hand-washing, germicides and gloves.

A variety of soaps, detergents, germicides, and protective gloves are available for use by health care workers. Appropriate hand-washing and glove use will reduce the possibility of spread of infectious organisms from patient to staff, from patient to patient, and from staff to patient. Both hand-washing and glove use can have adverse effects. Excessive hand-washing, mechanical irritation from scrubbing, use of germicides, and wearing of gloves can result in irritant and allergic dermatitis. Dermatitis will result in an increased risk of infection to both the worker and the patient.

Cross Infection↗
PubMed1997

Tactile sensitivity of gloved hands in the cold operation.

In this study, tactile sensitivity of gloved hand in the cold operation has been investigated. The relations among physical properties of protective gloves and hand tactile sensitivity and cold protection were also analysed both objectively and subjectively. Subjects with various gloves participated in the experimental study during cold exposure at different ambient temperatures of -12 degrees C and -25 degrees C. Tactual performance was measured using an identification task with various sizes of objects over the percentage of misjudgment. Forearm, hand and finger skin temperatures were also recorded throughout. The experimental data were analysed using analysis of variance (ANOVA) model and the Tukey's multiple range test. The results obtained indicated that the tactual performance was affected both by gloves and by hands/fingers cooling. Effect of object size on the tactile discrimination was significant and the misjudgment increased when similar sizes of objects were identified, especially at -25 degrees C.

Adult↗
PubMed2005

Evaluation of antivibration glove test protocols associated with the revision of ISO 10819.

Effects of modifying the palm adapter geometry on ISO 10819 antivibration glove test results were investigated. 30 rigid acrylic adapters were designed, fabricated, and evaluated. The length of the adapters that met ISO 10819 requirements covered 70-80% of the width of the palm. The upper curvatures of the adaptors were greater than or equal to the radius specified in ISO 10819:1996. Glove vibration transmissibility tests were conducted using a constant velocity vibration input with a value of 0.01 m/s in each third octave frequency band from 16-1,600 Hz (F spectrum). Glove vibration transmissibility results obtained using the M (16-400 Hz) and H (100-1,600 Hz) spectra specified in ISO 10819:1996 were compared to similar results using the constant velocity spectrum. The results obtained from the constant velocity spectrum, when divided into the M and H frequency ranges, were nearly the same as those obtained from the ISO 10819 M and H spectra. Test subject training was required to ensure reliable glove vibration transmissibility results. The measured transmissibility values obtained with the M, H, and F spectra were all higher at the beginning of the test program. The transmissibility values decreased and approached lower limiting values as the test subjects became more experienced.

Gloves, Protective↗
PubMedDate not supplied

Design and structural analysis of highly mobile space suits and gloves.

This paper evaluates the factors that control the flexibility of fabric space-suit elements, in particular gloves, by examining a bending model of a pressurized fabric tube. Results from the model are used to evaluate the design strategies used in space-suit components, to evaluate the current direction in research on highly mobile space-suit gloves and to suggest changes necessary for optimum glove fabric selection. Finally it is shown that the modulus of the fabric used in space-suit joint construction is as important to the flexibility of the joint as the glove size and design.

Astronauts↗
PubMed1984

Surgical rubber gloves impervious to methylmethacrylate monomer.

Conventional surgical rubber gloves are permeable to the methylmethacrylate monomer (MMM) of acrylic bone cement. An in vitro technique was used which proved butyl rubber gloves, 0.48 mm thick, to be impervious to MMM. to avoid sensitization, butyl rubber gloves may be recommended to persons who are in contact with MMM. Such gloves should be worn by persons with known contact sensitization to MMM.

Bone Cements↗
PubMed2003

[Identification of migrants from nitrile-butadiene rubber gloves].

Polyvinyl chloride gloves containing di(2-ethylhexyl) phthalate are restricted for food contact use. In their place, disposable gloves made from nitrile-butadiene rubber (NBR) are used in contact with foodstuffs. Some unknown substances were found to migrate into n-heptane from NBR gloves. By GC/MS, HR-MS and NMR, their chemical structures were confirmed to be 2,2,4-trimethyl-1,3-pentanediol diisobutyrate (used as a plasticizer), 4,4'-butylidenedi(6-tert-butyl-m-cresol), a mixture of styrenated phenols consisting of 2-(alpha-methylbenzyl)phenol, 4-(alpha-methylbenzyl)phenol, 2,6-di(alpha-methylbenzyl)phenol, 2,4-di(alpha-methylbenzyl)phenol and 2,4,6-tri(alpha-methylbenzyl)phenol (used as antioxidants), and 2,4-di-tert-butylphenol, which seems to a degradation product of antioxidant. Migration levels of these compounds were 1.68 micrograms/cm2 of 2,4-di-tert-butylphenol, 2.80 micrograms/cm2 of 2,2,4-trimethyl-1,3-pentanediol diisobutyrate, 46.08 micrograms/cm2 of styrenated phenols and 4.22 micrograms/cm2 of 4,4'-butylidenedi(6-tert-butyl-m-cresol) into n-heptane, respectively. The content of total styrenated phenols was 6,900 micrograms/g in NBR gloves.

Antioxidants↗
PubMed1994

Barrier breach of surgical gloves.

The barrier properties of natural rubber latex gloves have been of clinical interest since the concept of using an integrity monitor was introduced by me over 30 years ago. Although surgeons expect their gloves to serve as an effective barrier during use, products can and do fail. Failure is often unrecognized, resulting in the wearer's exposure to potential pathogens and the patient to microorganisms shed by surgical team members. Although a variety of solutions have been suggested (double gloving, cut-resistant gloves), these remedies do not alert the surgeon to a breach of barrier, the cost and consequences of which are astronomical to the health system. As a result, some form of breach detection device is now recommended to minimize the likelihood of exposure, infection, and/or allergy.

Equipment Failure↗
PubMedDate not supplied

Are latex gloves a contributing cause of percutaneous injury in dentists?

Fifty dentists were examined to determine if (and how) latex gloves contributed to percutaneous injury, the leading cause of occupational AIDS/HIV transmission in health care workers. Latex glove wear is closely associated with a 16-fold increase in percutaneous injury with endodontic file manipulation than when subjects were tested barehanded. Dynamometer tests showed a 36 percent decrease in light-touch proprioception in subjects when they were gloved as compared to scores when they were tested barehanded. A 28 percent glove-related dermatitis rate among test subjects is also reported.

Accidents, Occupational↗
PubMed1999

The hazards of vinyl glove ingestion in the mentally retarded patient with pica: new implications for surgical management.

OBJECTIVE: To report experience with the treatment of complications of vinyl glove ingestion in mentally retarded patients with pica. DESIGN: A retrospective case series. SETTING: Two university-affiliated hospitals. PATIENTS: Five mentally retarded patients, 4 with a history of pica, who were admitted for the management of complications resulting from the ingestion of vinyl gloves. MAIN OUTCOME MEASURES: Type of complication, treatment and operative outcome. FINDINGS: The patients ranged in age from 26 to 46 years. One patient died while awaiting surgical consultation of massive gastrointestinal bleeding from a large gastric ulcer caused by a vinyl glove bezoar (VGB). Four VGBs were removed surgically. Endoscopic removal was difficult or impossible because the gloves had become hardened and matted. CONCLUSIONS: VGB should be considered in institutionalized mentally retarded people with a history of pica when they present with gastrointestinal symptoms. VGBs should be removed directly by laparotomy, gastrotomy or enterotomy. Endoscopic removal is not recommended.

Adult↗
PubMed1975

Starch peritonitis--a hazard of surgical glove powder.

Starch peritonitis, a granulomatous reacton to surgical glove powder, is reported in four patients. The condition presents as a well defined clinical syndrome, and should perferably be diagnosed clinically to avoid reoperation and the risk of introduction of more starch. Studies show that a mean of 107 mg of starch per pair is present on the outside of Austrailn-made surgical gloves. It is suggested that gloves be rinsed and dried before operation and it is recommended that a warning to this effect be printed on glove packets.

Adult↗
PubMed1992

Protective gloves.

The worldwide emergence of acquired immune deficiency syndrome (AIDS) has led to the wide use and acceptance of gloves as a measure of protection against infection in dental practice. Problems caused by the frequent use of gloves are already known from experiences in the surgical sector and have taken on a new urgency: these include impermeability, the difficulties of disinfection, and adverse skin reactions. In addition, there are specific dental questions such as the interference of gloves with electrical sensitivity tests and also with the taking of impressions. This paper discusses topical aspects of glove use and possible solutions to current problems.

Equipment Design↗
PubMed1992

Latex gloves and manual dexterity. A study of 50 Midwest dentists.

Fifty practicing dentists were each given a series of tests to perform in their own offices with and without gloves on to determine how the use of gloves affected the performance of dental operations. While wearing gloves did not appreciably influence speed, it significantly reduced manual dexterity and light touch perception. And there was a high correlation between wearing gloves and hand dermatitis. Increased age was associated with a slight loss in speed and dexterity but not light touch perception. Women produced better scores than men in all tests.

Adult↗
PubMed2005

Impact of converting to powder-free gloves. Decreasing the symptoms of latex exposure in operating room personnel.

This study examined health care worker satisfaction with the use of non-powdered natural rubber latex (NRL) surgical gloves to determine the impact of non-powdered NRL gloves on the NRL sensitization of operating room personnel. The study used a 1-year longitudinal design to obtain recall information from employees about their NRL exposure. Additionally, a survey was completed by participants related to their satisfaction with non-powdered NRL gloves. Informed consent was obtained from 103 employees. After conversion to an operating room using non-powdered NRL, there was a significant decrease in reported symptoms with NRL exposure (42% pre- and 29% post-conversion, Fisher's exact, two-tailed, p = .0001). This study demonstrated that the conversion to non-powdered low-protein NRL gloves resulted in decreased symptoms because of NRL exposure.

Academic Medical Centers↗
PubMed2005

Specimen extraction with a surgical glove during laparoscopic radical prostatectomy.

INTRODUCTION AND OBJECTIVE: Cost containment during techniques of laparoscopic radical prostatectomy remains an ongoing concern. We present a cost-effective alternative technique of specimen extraction using a surgical glove. MATERIALS AND METHODS: We describe an alternative technique of prostate removal using a surgical glove in seven patients who underwent laparoscopic radical prostatectomy using a robotic-assisted technique. RESULTS: The glove extraction technique was successful in all seven patients for which the method was attempted without complication. CONCLUSION: Similar to commercially available devices, a surgical glove provides a reliable straightforward means of specimen extraction during laparoscopic radical prostatectomy.

Gloves, Surgical↗
PubMedDate not supplied

[Gloves: some unknowns].

The diffusion of transmissible diseases such as the Acquired Immunodeficiency Syndrome, well known as AIDS, has induced in the population a great sensibility to the problem of disease transmission. Dentists and patients, because of peculiar features of oral environment and dental procedures, are very exposed to these risks. For this reason every technique which reduces the risk of cross-infections patient to patient and patient to dentist to patient are absolutely necessary. From this point of view the use of gloves is very important to protect dental operator and patients. The aim of this study is: a) to stress the importance of mechanical barriers, like gloves, in dentistry in order to sensitize dental practitioners to the use of gloves; b) to underline that the quality of dental gloves in Italy is lower than in other countries which have a quality standard.

Cross Infection↗
PubMed1991

Occupational asthma due to latex surgical gloves.

Since 1979 several reports of contact urticaria due to natural latex have been well documented. Recent case reports suggest that rhinitis and asthma may also be due to rubber exposure. We describe an operating room nurse who was exposed at work to natural rubber (latex) due to the use of latex surgical gloves. After 25 years, she developed contact urticaria, rhinoconjunctivitis and acute asthma following the handling of rubber gloves for surgical purposes. She was symptom-free when on vacation. Skin prick testing demonstrated an immediate skin reaction to latex. Rub testing with surgical gloves was positive. Specific IgE antibodies to latex were found by indirect ELISA. Specific bronchial challenge with latex extract elicited an isolated immediate asthmatic reaction that was inhibited with cromolyn sodium pretreatment. Patch testing to common rubber additives was negative. These results suggest that latex present in surgical rubber gloves and probably acting as inhalant allergen may produce occupational asthma in exposed subjects, probably by means of an IgE-mediated mechanism.

Adult↗