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At least 775 records · Page 43Linked to original sources
PubMed2006

[Modified gloving technique for vacuum therapy in the hand].

INTRODUCTION: During the last 10 years sub-atmospheric pressure dressings (Topical Negative Pressure Therapy = TNP) has become a well accepted standard therapeutic modality in the management of acute and chronic wounds. However, in the hand and the fingers TNP treatment is not as an established method as elsewhere in the body. This is mostly due to difficulties in the technique of sealing wounds near the interdigital folds, especially when the interdigital folds are affected themselves. MATERIALS AND METHODS: Over a period of 36 months we treated 9 extensive open wounds of the hand with the TNP dressing procedure. To optimize the effective sealing procedure several methods of closure were applied: sterile vinyl gloves, split V.A.C. gel-straps and the "Sandwich"-principle. RESULTS: In all cases we were able to achieve a tight vacuum sealing with the use of our vinyl or latex free surgical glove as an aid to cover the interdigital spaces. There was a rapid and complete remission of the symptoms in terms of edema, redness, tenderness and range of motion. The indication spectrum encompassed infection control, temporary coverage of exposed bone or tendons, intermittent irrigation with local antiseptics as well as wound preconditioning before skin grafting or flap coverage. For the definite closure or coverage a second operation was necessary in all cases. CONCLUSIONS: The TNP-dressing can be securely achieved even in wounds encompassing the interdigital folds or adjacent to the in digital spaces with a modified surgical gloving technique to aid the standard sealing foil. It is a suitable principle for the management of severe hand infections with a reduction of clinical symptoms, reduction of the frequency of dressing changes compared to open approaches and a significant amelioration in the quality of life both for patients and health care personnel.

Amputation, Surgical↗
PubMed1993

[An anaphylactic shock reaction caused by latex from medical protective gloves].

In case of IgE-mediated latex allergy, the person wearing medical rubber gloves as well as the patient getting in contact with the gloves' outside may be affected. This is illustrated by the present case reports on two atopic young women. The first patient repeatedly underwent laparotomies and finally, 50 minutes after the onset of another operation, suffered an anaphylactic shock reaction due to transperitoneal latex resorption. The second patient was trained as an assistant in a dentist practice where she suffered more than once from latex contact urticaria as well as collapses. Since these were initiated by globus feeling, an aerogenic route of allergen penetration was assumed. Latex prick testing in this patient resulted in an anaphylactic shock reaction. With regard to these observations the general aspects of intraoperative allergen exposition and safety of latex skin testing are discussed. Recommendations are given for a) the latex test procedure in case of anamnestic suspicion of high-degree sensitisation, b) the issuing of a latex allergy pass, and c) the use of latex-free synthetic gloves.

Adolescent↗
PubMed2002

The manufacture of gloves from natural rubber latex.

Gloves that will provide a barrier of protection from infectious organisms are an essential feature of medical practice for the protection of both patients and medical personnel. Natural rubber latex has consistently been the most satisfactory raw material for the manufacture of gloves. Certain latex proteins, carried over into the finished product by inadequate manufacturing processes, may pose a risk of provoking allergic reactions in some patients and medical workers. As with any allergy, the risk depends on the route of exposure and dose. Hence, the method of manufacture, including the means used to coat gloves to make donning easy, can influence the eventual exposure of sensitive people to latex allergens. In this article, we describe the several processes in use and their effects on latex protein content.

Allergens↗
PubMed1999

Postoperative exposure to glove powders modulates production of peritoneal eicosanoids during peritoneal wound healing.

OBJECTIVE: To assess the effect of postsurgical exposure of peritoneal cavity to glove powders, Hydrocote, latex proteins, and lipopolysaccharide (LPS) on eicosanoid production in peritoneal fluid and cellular distribution of eicosanoid enzymes in peritoneal wound during healing. DESIGN: Randomised experimental study. SETTING: Institute for Wound Research, USA. ANIMALS: 360 mice randomised into six groups of 60 each. INTERVENTION: Abrasion of peritoneal cavity followed by instillation of 500 microl of sterile phosphate buffered saline (PBS) alone (Control) or containing 100 microg/ml of Biosorb, Keoflo, Hydrocote, 1 mg/ml of latex proteins, or 12.5 microg/ml of LPS. Mice were killed at 1, 2, 4, 7, 14 and 28 days, and the peritoneal washing obtained from each animal and concentration of eicosanoids measured. Tissue were immunostained for cyclooxygenases and 5-lipoxygenase and thromboxane A2 (TXA2) synthetase. RESULTS: Peritoneal fluid from uninjured controls contained 3.9 (0.8), 5.2 (0.3) and 0.2 (0.02) ng/ml of thromboxane B2 (TXB2), prostaglandin E2 (PGE2) and leukotriene B4 (LTB4), respectively. These increased significantly during the first week to 6.3 (0.3), 11.7 (0.8) and 2.6 (0.1) ng/ml, p<0.05, before returning to baseline by day 14. In all the treated groups the values were significantly higher than in controls (p<0.05). Immunoreactive cyclo-oxygenases, 5-lipoxygenase and TXA2 synthetase proteins were present in various cell types in uninjured skin and peritoneum, incisional and peritoneal wounds and adhesion tissues. Staining was more intense at the site of wounds and paralleled eicosanoid concentrations during healing. There was no difference between exposed and unexposed groups. CONCLUSION: The presence of glove powders, latex proteins and LPS in peritoneal cavity cause increased eicosanoid production and aggravate the normal inflammatory reaction to tissue injury. This may contribute to the inflammatory or immune reactions and development of adhesions caused by glove powders.

Animals↗
PubMedDate not supplied

Grip force and muscle activity differences due to glove type.

The purpose of this study was to investigate the effects of different types and sizes of gloves on external grip force and muscle activity. Twenty-one male and seven female volunteers served as subjects. Each subject performed two maximum voluntary grip contractions while wearing each of the 10 glove types. Results indicated significant differences in the effects of different glove types on the peak force, ratio of peak force to normalized flexor muscle EMG activity, and the ratio of peak force to coactivity.

Accidents, Occupational↗
PubMed1994

The effect of an alternate environment as a collection medium on the permeation characteristics of solid organics through protective glove materials.

With a method developed for the determination of permeation characteristics of glove materials by organic solids, a study of the effect of a saline environment on permeation characteristics such as breakthrough and steady state permeation was performed at ambient temperature. The study uses saline as a collection medium and a stainless steel permeation cell designed exclusively for solids. The system allows for materials of five commercially available gloves to be exposed to nine organic solids. Natural rubber latex yielded the shortest and nitrile the longest breakthrough times. Overall, breakthrough times were comparable to a method using a helium collection medium, but in many exposures the saline-based collection medium yielded longer breakthrough times, 2% to 894%. In the testing involving the saline collection medium, results showed that the polarity of the glove material may be a factor that reduces measured permeation rate.

Gloves, Protective↗
PubMed2001

Effectiveness of gloves in the prevention of hand carriage of vancomycin-resistant enterococcus species by health care workers after patient care.

Gloving reduces acquisition of vancomycin-resistant Enterococcus species (VRE) on the hands, and it should be considered for routine inpatient care, even for contact with the intact skin of patients who may be colonized with VRE. However, gloving does not completely prevent contamination of the hands, and hand washing is necessary after glove removal.

Electrophoresis, Gel, Pulsed-Field↗
PubMed2005

Compliance with hand hygiene and glove use in a university-affiliated hospital.

OBJECTIVE: The hands of healthcare workers often transmit pathogens causing nosocomial infections. This study examined compliance with handwashing and glove use. SETTING: A university-affiliated hospital. DESIGN: Compliance was observed covertly. Healthcare workers' demographics, hand hygiene facilities, indications for hand hygiene, compliance with handwashing and glove use in each procedure, and duration of handwashing were recorded. RESULTS: Nine nurses and 33 assistant physicians were monitored during the study. One researcher recorded 1400 potential opportunities for handwashing during 15-minute observation periods. The mean duration of handwashing was 10 +/- 2 seconds. Most healthcare workers (99.3%) used liquid soap during handwashing, but 79.8% did not dry their hands. For all indications, compliance with handwashing was 31.9% and compliance with glove use was 58.8%. Compliance with handwashing varied inversely with both the number of indications for hand hygiene and the number of patient beds in the hospital room. Compliance with handwashing was better in dirty high-risk situations. CONCLUSION: Compliance with handwashing was low, suggesting the need for new motivational strategies such as supplying feedback regarding compliance rates

Adult↗
PubMed1993

Efficacy of gloves in reducing blood volumes transferred during simulated needlestick injury.

This study was designed to evaluate factors that affect blood volumes transferred to skin during simulated needlestick injuries in an in vitro paper prefilter model and an ex vivo porcine tissue model. The effect of needle type and size, penetration depth, and glove use on the volume of radiolabeled blood transferred was determined in each model. Blood volumes ranged from 0.47 +/- 0.26 microL (30-gauge needle, 0.5-cm depth, in vitro model) to 5.88 +/- 1.45 microL (18-gauge needle, 2.0-cm depth, in vitro model). Needle size and penetration depth were significantly associated with transfer volume. Glove material reduced the transferred blood volume by 46%-86% in both models. Transfer volumes were within the same order of magnitude for all conditions. Hence, virus titer in the source blood may be a better predictor of needlestick infectivity than is exposure volume. Regardless, gloves may exert some protective effect and should be worn whenever needles are handled.

Animals↗
PubMed1999

A review of current literature on epidemiology of immediate glove irritation and latex allergy.

Natural rubber latex (NRL) allergy has attained world-wide importance with the diagnosis of glove hypersensitivity, contact urticaria, rhinitis, conjunctivitis, asthma and anaphylaxis. In the present report, the latest literature of the epidemiology of NRL allergy is reviewed, an account on the incidence of NRL allergy (19 new cases of contact urticaria/100,000 workers per year) among health care workers is given and the prevention of NRL allergy is discussed. Among health care workers, NRL allergy has gained prominence particularly with the spread of AIDS and an increase in the use of rubber gloves for barrier protection. For screening NRL allergy, a simple and quick test based on a self-administered questionnaire has been presented, but it needs further evaluation before routine use can commence. Further analytic studies will show if the use of low allergen gloves reduces the incidence of NRL allergy.

Adult↗
PubMed2003

Development of composite materials for non-leaded gloves for use in radiological hand protection.

Lead is a hazardous material, and the U.S. Congress has mandated the rapid reduction of all hazardous waste generation as a matter of national policy. With the large amount of plutonium handling in numerous projects including the development of mixed oxide (MOX) fuel, 238Pu power sources, etc., hand glove protection for the emitted alpha, beta, and low energy photons is an important issue. Leaded gloves are the prime shields used for radiological hand protection. U.S. Department of Energy laboratories require a substitute material for the lead oxide in the gloves as a way to reduce mixed waste. To solve this problem, a new blend of non-hazardous materials that have the same radiological properties and approximately the same cost of production have been investigated. The investigations have produced alternative materials using calculations and experiments. The selection of the constituent compounds for the new composite materials was based on the k-absorption edge energy of the main constituent element(s) in the compounds. The formulations of these composites were fashioned on the principle of blending Neoprene rubber formulation with several constituent compounds. Calculations based on the Lambert-Beer attenuation law together with the mass attenuation coefficient values from the XCOM cross section database program were used to determine the transmission fractions of these proposed composite materials. Selected composite materials that compared favorably with the leaded-Neoprene were fabricated. These fabricated composite materials were tested with attenuation experiments and the results were in excellent agreement with the calculations using the Lambert-Beer attenuation law.

Computer-Aided Design↗
PubMedDate not supplied

The use of expanded polytetrafluoroethylene gloves for care of upper-extremity burns.

The combination of a glove made of an expanded polytetrafluoroethylene membrane-based laminate and silver sulfadiazine cream was evaluated as a treatment for burned hands. Eight patients who had burns averaging 25% total body surface area and who had 11 extensive partial thickness hand burns (2% total body surface area) were treated with an average of 17 gloves over 9 days. The burn wounds healed with no unusual or unexpected outcomes. Nurses and therapists agreed that dressing changes were quick and easy and that the gloves provided greater range of motion and function in the hands. Patients also expressed a preference for this method of treatment.

Adult↗
PubMed1998

Water-glove balloon system: a useful option to salvage liver grafts with postreperfusion suprahepatic vena caval kinking.

BACKGROUND: Although exceedingly rare, kinking of suprahepatic vena cava after liver transplantation can lead to both graft failure and patient demise. The features of a case of suprahepatic vena caval kinking are herein reported along with the description of an original solution adopted to rescue the graft. METHODS: In order to correct vascular kinking, two surgical gloves filled with sterile saline solution were placed in appropriate positions in the subdiaphragmatic space. RESULTS: Caval obstruction was immediately relieved. Over a period of 7 days, gloves were progressively deflated and eventually removed without need for laparotomy. Vena caval kinking did not recur. CONCLUSIONS: The "water-glove balloon system" described in this report seems to be an efficient and inexpensive method to rescue liver grafts in the presence of kinking or torsion of the suprahepatic vena cava. Surgeons dedicated to the transplantation of the liver should therefore retain this option in their cultural background.

Adult↗
PubMed2004

Skin protection in nursing work: promoting the use of gloves and hand alcohol.

Nursing has been identified as a wet-work occupation, with a high prevalence of occupational irritant contact dermatitis. Reduction of exposure to skin irritants contributes to the prevention of occupational skin disease in nurses. The role of the use of soap and water, hand alcohol and gloves in prevention programmes is discussed. 2 additional measures for reducing exposure to skin irritants are postulated: use of hand alcohol instead of soap and water in disinfection procedures when the hands are not visibly dirty; use of gloves in wet activities such as patient washing to prevent the hands from becoming wet and visibly dirty. We investigated the effectiveness of these recommendations in a model. Mean daily wet-work exposure during nursing work was modelled: regular model. We also modelled exposure to skin irritants in combination with the implementation of these recommendations: prevention model. The hands of healthy volunteers were exposed to the regular or the prevention model over 3 weeks for 5 days a week. The change in transepidermal water loss (TEWL) on the back of the hands was measured after 3 weeks of exposure to these wet-work simulations. An increase in TEWL occurred with the regular model, while mean TEWL decreased in the prevention model. Skin irritation from occlusion by gloves appeared to be more pronounced in the regular model compared to the prevention model. The results of this study justify the conclusion that in nursing work, hand alcohol is the preferred disinfectant. Although the prevention model implies increased occlusive exposure, this has no additional irritant effect, probably because of the absence of soap exposure.

Adult↗
PubMed2006

Knowledge of skin hazards and the use of gloves by Australian hairdressing students and practising hairdressers.

Occupational contact dermatitis is common amongst hairdressers. In this population-based study, 193 trainee hairdressers and 184 practising hairdressers completed a questionnaire detailing their knowledge of skin hazards, the skills they practised and the frequency of glove use. Knowledge of skin hazards was poor in both groups. While up to 70% of participants correctly identified hairdressing chemicals as potential skin hazards, less than 15% correctly identified the role of wet work. Only a small proportion recognized that hairdressing chemicals could cause allergy. Contrary to findings elsewhere, less-experienced hairdressers often handled chemicals, particularly hair dyes containing p-phenylene diamine. The use of gloves was inadequate, particularly when performing work at the basin, which both junior and senior hairdressers did on a regular basis. Recommended strategies for the prevention of hand dermatitis in hairdressers include improved student education, appropriate glove use and the application of after-work moisturizing creams.

Cross-Sectional Studies↗
PubMed1990

The effectiveness of double-gloving in otolaryngology.

Thirty-four sets of consecutively used double gloves (68 pairs) used by otolaryngologists and their assistants in operations known to have a high risk of glove punctures were studied. The perforation rates for the outer and inner layers were 35.3 and 8.8% respectively, indicating that a second set of gloves substantially improves the likelihood of maintaining an intact barrier between medical staff and patient.

Gloves, Surgical↗
PubMed2004

Use of gloves in protection from diallyl disulphide allergy.

Contact dermatitis, particularly affecting the fingertips, is a recognized presentation of garlic allergy. There have been no recommendations in the literature with respect to the type of gloves that offer the best protection against diallyl disulphide, the major allergen in garlic and onion. In fact, we have found that diallyl disulphide penetrates most commercially available glove types. Silver laminate gloves offered only slightly better protection.

Allergens↗
PubMed1985

Management of dermatitis due to surgical gloves.

Chronic hand dermatitis in surgeons may be produced or made worse by the use of certain rubber gloves. The allergens in rubber gloves are usually mercaptobenzothiazole or tetramethylthiuram. The Elastyren Glove, which is free of such rubber chemicals, is usually well tolerated by surgeons with hand dermatitis due to rubber.

Dermatitis, Occupational↗