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At least 919 records · Page 51Linked to original sources

Scientific assay methods as the basis for glove selection.

Allergies to latex proteins and glove chemicals are increasing in the clinical practice setting. Inasmuch as latex is ubiquitous in the health environment, individuals may be exposed to latex antigens by a number of different routes, including compromised skin, mucous membranes of the respiratory and urogenital tracts, and internally during surgery. As demonstrated by numerous research articles, the key factors that appear to play a role in acquired latex hypersensitivity are chemicals used in the manufacture of products; the level of residual latex proteins, and the presence of glove powder, which binds latex protein. Currently, devices and materials containing latex are not labeled, although this may be rectified by the FDA in the near future. Until products are labeled, it is important for physicians to familiarize themselves with the routes of sensitization, variations in assay methods, and the type and amount of allergen in products in order to select the safest product for patient use and personal protection.

Amino Acid Sequence↗

Risk analysis as the basis for surgical glove selection.

The growing use of outcomes research will have a significant effect on the way surgeons make decisions concerning glove product selection. These effects will be both direct and indirect, as payers begin to use outcome data to develop practice guidelines. to reduce morbidity and mortality rates, and to alleviate long-term cost and consequences of acquired latex allergy or powder-related postoperative complications in patients. This article reviews elements of risk associated with surgical gloves.

Choice Behavior↗

Toxic effects of surgical glove powders on the eye.

Surgical gloves are commonly coated with dusting powders that have severe toxic effects on the eye. Talcum powder causes a chronic granulomatous reaction with fibrosis and adhesion formation. Cornstarch has also been shown to cause a granulomatous reaction as well as sterile endophthalmitis. These complications are preventable by the use of powder-free gloves.

Animals↗

Exam glove shortage leaves MMs searching for supplies.

In this issue HMM examines the impact of AIDS on the price and availability of disposable gloves. Materials managers are facing higher prices and uncertain supplies as more and more health care workers use gloves and other protective apparel.

Acquired Immunodeficiency Syndrome↗

Latex glove hypersensitivity and irritation: a literature review.

Latex hypersensitivity is an emerging health problem that is reaching epidemic proportions. Since the introduction of universal precautions, latex glove manufacture and use has risen dramatically. With more and more individuals exposed to latex, the incidence of acquired latex sensitivity is increasing, especially in the health care professions. Latex is a natural product and is processed in a manner that retains protein allergens and leaves residual chemicals on the latex gloves. The reactions to these allergens and irritants are varied and can be classified as allergic or non-allergic. Dental health care professionals are among the populations at risk for developing these problems, the most dangerous of which is an immediate allergy to latex proteins. To increase awareness of this important issue, several studies have been completed with results showing an average prevalence of about ten percent in selected populations of dental professionals.

Dental Staff↗

[A case of anaphylaxic shock due to latex glove used on internal examination and on the probe of intrauterine echogram].

A 15 year old female with uterus bicornis bicollis was admitted for operation. She had a history of atopic dermatitis and allergy to buckwheat, raw egg and latex. Two months previously she had developed whole body flushing during dental treatment, and latex glove used by the dentist had been suspected as the cause. Prior to the operation she underwent internal examination and intrauterine echogram in which a latex glove was carelessly used by another gynecologist who had not confirmed her past history. After 30 minutes, dyspnea and urticaria without itching, appeared suddenly. Blood pressure decreased to 80/50 mmHg and heart rate increased to 120 beats.min-1. She was then transferred to our ICU. Methylprednisolone was administered intravenously for dyspnea and circulatory collapse. After 3 hours, the patient made an uneventful recovery. The increased plasma latex protein-specific IgE levels confirmed anaphylaxis to latex. The increasing incidence of potentially life-threatening allergic reactions to latex has caused mounting concern over recent years. We may suspect latex allergy when an anaphylaxic reaction or shock of unknown origin occurs. In hospitals, latex free products must be prepared for use with latex allergic patients and for protection of medical staff with this allergy.

Adolescent↗

Testing gloves used for common nursing tasks.

Nursing tasks often require high levels of dexterity. Gloves should not hinder hand function. Gloves bought for use by nurses need to be tested in ergonomic trials based on nursing tasks.

Anthropometry↗

[Latex glove allergy in dental practice].

Skin reactions due to the use of latex examination gloves occur frequently in dental practice. They consist of immediate type I allergy to natural latex protein, type IV delayed hypersensitivity to rubber additives and irritant dermatitis. Type I allergy to latex protein can cause contact urticaria, angioedema, rhinoconjunctivitis and asthma in the dentist, the dental assistant and also in the patient. Exceptionally, latex allergy can cause a life-threatening anaphylactic reaction. Cross reactions to tropical fruit can occur in the latex allergic patient. Type IV allergy causes allergic contact dermatitis. Rubber additives are also present in synthetic rubber. Glove advice for latex allergic patients are presented.

Anaphylaxis↗

Hazards to surgeons in trauma and elective orthopaedic surgery: use of an electronic device to warn of intraoperative glove perforations.

An electronic device intended to detect glove punctures as they occur peroperatively has been described previously. This study reports the experience of its use in 80 orthopaedic cases. The device detected all punctures, except one, where fluid could have contacted the surgeon's hand (n = 16). Wet gowns and drapes are potential routes for transmission of pathogens, and were responsible for the alarm sounding on 30 occasions. This device can minimise the exposure to potentially hazardous body fluids when glove punctures are not clinically apparent.

Body Fluids↗

[Serious complications related to use of corn starch powder on surgical gloves].

Cornflour has been used as a lubricant on surgical gloves since 1947. Serious complications have been reported after deposition of cornflour powder in the human body. The best known complication is granulomatous peritonitis, but cornflour granulomas have also been found in the heart, the kidneys and the central nervous system. Maltesercross, when seen in polarized light in the microscope, is pathognomonic. Malignancy and other granulomatous inflammations are actual differential diagnoses. Nowadays gloves free of lubricating powder are commercially available.

Gloves, Surgical↗

Choosing the right glove for the right purpose.

With the increase in the number of health-care workers developing allergies to natural rubber latex, knowing what alternative gloves can be used is becoming increasingly important. This article provides a guide to the various types of gloves available and their specific uses in health care.

Choice Behavior↗

Glove allergy and sensitization to natural rubber latex among nursing staff at Srinagarind Hospital, Khon Kaen, Thailand.

BACKGROUND: According to studies from different countries, the prevalence of natural rubber latex (NRL) sensitization in healthcare workers ranges from 2.9 to 17%. The incidence and prevalence of sensitization and allergy to NRL in Thailand is limited to two studies. There is no study among the high risk healthcare workers. OBJECTIVES: 1) To estimate the prevalence of natural rubber latex (NRL) glove allergy and NRL sensitization among nurses; 2) To describe its clinical symptoms. MATERIAL AND METHOD: Included in the present study were 412 nursing and medical record staff. A self-administered questionnaire was used to collect personal biodata and individual allergy histories to NRL products. Skin prick tests (SPTs) with the commercial NRL allergens; Stallergènes, S.A, Fresnes, France, and common environmental allergens, were performed. RESULTS: The questionnaire response rate was 88% (412/470), 93% females. The response rate of SPT was 72% (295/412) (95%CI 67.2, 76.0). The prevalence of NRL glove allergic symptoms and NRL sensitization was 24% (95%CI 19.9, 28.1) and 2% (95%CI 0.4, 3.6), respectively. The mostfrequently reported symptoms among the positive SPT to NRL was angioedema. Five of the six NRL sensitised subjects had had high exposure to NRL. CONCLUSION: NRL sensitization among Thai nursing staff is less prevalent than in healthcare workers in Europe.

Adult↗

Effects of glove powder on radiographic quality.

The use of powered rubber gloves in the provision of dental care has produced a new variable in radiographic quality assurance procedures. Wearing powder-coated gloves while processing X-ray films can reduce the quality of the images obtained on processed radiographic film. To ensure that the optimum quality of processed film images is achieved, the operator must be careful to prevent the contamination of the film and processing solutions with powder.

Calcium Carbonate↗

[Imperviousness of medical gloves].

With more than 10,000 unused latex specimens being tested our investigation into the imperviousness of medical gloves claims to be the most extensive one on user's side. The results allow the conclusion, that the quality level grew better within the last three years, especially the non-sterile examination gloves improved remarkably. Although there was a general retrogradation in the number of perforations, we found a relative increase in the area of the thumbs, index- and middle fingers--the main examination fingers.

Gloves, Surgical↗

Surgical glove related contact dermatitis.

With increased emphasis on infection control in the dental office has come an increase in complaints of adverse reactions to surgical gloves. A review of the literature reveals latex allergy problems not to be confined to gloves, but to involve articles of clothing, rubber dam material, and other latex-containing products. Life-threatening cases have been reported. The dental profession may be faced with compromising reactive possibilities in patients who have been previously sensitized. There is a need for development of alternative protective products for the dental office.

Dental Staff↗

Response of dental professionals in Saudi Arabia towards hepatitis B vaccine and glove wearing.

Dental specialists, dental general practitioners, dental assistants and hygienists at the medical province of Riyadh (95, 111, 141 and 14 respectively), were surveyed to ascertain their uptake of vaccination against the hepatitis B virus. Only 25.3% of dental specialists, 14.4% of dental practitioners, 25.5% of dental assistants and 42.9% of hygienists have been vaccinated. Side effects of vaccination were always minimal. Some of those respondents who have not been vaccinated were aware of the necessity of the vaccine but unable to get anyone to do it for them and the other part were aware of the desirability of the vaccine but had not yet taken positive steps to seek vaccination. Despite the risks and possible sequelae of contracting hepatitis B infection, a few of the respondents still consider vaccination unnecessary. Surprisingly, a quarter of the non-vaccinated group were not aware of the availability of the vaccine. Unfounded ideas of contracting AIDS from the vaccine accounted for 5% of the total participants in this survey. Only a quarter of the vaccinated groups have had antibody titre tests after vaccination. Wearing rubber/latex gloves when treating all patients is a further simple preventive and protective measure. However, 5% of the surveyed group never wear gloves.

Attitude of Health Personnel↗

[Contact urticaria caused by rubber gloves].

We present 9 patients with contact urticaria due to rubber gloves. Others have reported an increasing incidence of the disease among females, patients with atopic dermatitis, and hospital personnel. Our data confirm these results. Scarification with water, in which the suspected glove was incubated, is a simple diagnostic method, both reliable and cheap, in order to test the solubility of the allergen(s) in water. In one of our patients, we proved a type-I allergy caused by tetramethyl thiuram disulfide.

Adult↗

The hazards of surgical glove dusting powders.

Surgical contaminants of many kinds, including glove powder, constitute a source of formation of granulomas. This is particularly well-documented in the peritoneal cavity ("starch peritonitis"), but has been documented in most anatomic sites. The production of starch-free gloves should remove this hazard, but the surgeon should remain aware that most particulate substances introduced into the body inevitably set up an inflammatory response.

Gloves, Surgical↗