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At least 937 records · Page 52Linked to original sources

Everted glove-pouch technique: a simple method for the hygienic disposal of contaminated guide-wires, catheters and tubes.

In order to reduce the risk of nosocomial infection during endoscopic procedures, a simple, safe and economical technique for disposal of contaminated guide-wires, tubes and catheters is described. A disposable glove, everted over a coiled wire or other endoscopic accessory, creates a pouch which then contains the contaminated object to be discarded. This everted glove-pouch technique prevents dispersal of secretions into the endoscopic environment and provides a convenient means for disposal of these otherwise awkward endoscopic accessories.

Cross Infection↗

[Allergy to latex gloves. A cause of surgical shock].

Latex induced anaphylaxis was observed in 2 children during surgical procedures. Anaphylaxis was due to exposure to surgical latex gloves. The diagnosis should be suspected in patients with a previous history of rubber induced urticaria and is confirmed by positive skin tests to latex. In patients presenting with allergy to latex, prophylaxis is based on the use or surgical gloves made of vinyl or neoprene.

Child↗

Non-sterile glove use: a review.

The increasing incidence of infections which may be transmitted from patient to dentist, and vice-versa, have brought about increased awareness of the cross-infection control procedures necessary to prevent transmission of disease during dental treatment. The wearing of gloves is of primary importance in this respect. The problems associated with glove use are discussed in the light of recent research, and recommendations are made regarding their use.

Communicable Disease Control↗

Failure of gloves and other protective devices to prevent transmission of hepatitis B virus to oral surgeons.

A survey of 434 oral surgeons was conducted to examine risk factors for hepatitis B virus (HBV) infection. Overall, 112 (26%) of the participants demonstrated serologic evidence of past or current infection with HBV. Seropositivity was significantly associated with age, number of years in practice, and year of graduation from dental school but not with other variables examined, such as the number of patients seen annually or the number of patients seen who were at high risk of HBV infection. The strong correlation between years in practice and seropositivity was unaffected by reported use of gloves, face masks, or eye shields. The use of gloves and other protective devices does not appear to offer substantial protection against HBV exposure in oral surgeons, and all oral surgeons should receive HBV vaccine.

Adult↗

Possible intraocular lens contamination by surgical glove powder.

Contamination of the operative field by glove powders, even after washing and wiping, is a well-described entity. We present a case of presumed secondary intraocular lens contamination by surgical glove powder. This complication can be avoided by being sure that no intraocular surgical instruments or implants are directly handled by the fingers.

Aged↗

Removal of latex glove contaminants prior to taking poly (vinylsiloxane) impressions.

Sulfur compounds found in latex gloves may be deposited on teeth and gingiva, inhibiting the setting of poly(vinylsiloxane) impression materials. The objective of this in vivo study was to screen a variety of methods to remove these contaminants. Ten patients were each tested with eight decontamination methods. Before each trial, the facial surfaces and adjacent gingiva of the maxillary central and lateral incisors were contaminated with 20 wipes of a latex glove. Decontamination methods included a 30-second rinse with mouthwash, 3% hydrogen peroxide, or air-water syringe; a 30-second toothbrush scrub with water, mouthwash, or hydrogen peroxide; a 30-second cotton pellet-Cavidry scrub; and a 30-second cleaning with a prophy cup and pumice. A 10-second water rinse followed each method except the air-water syringe and Cavidry groups. A low-viscosity poly(vinylsiloxane) impression material was then used to take an impression of the area. To test surface inhibition, the gingival, tooth, and palatal impression surfaces were wiped with cotton-tipped applicators, and the degree of inhibition was subjectively categorized by two independent investigators. Mechanical decontamination with a toothbrush or pumice was significantly more effective than was rinsing alone, regardless of the solution used.

Analysis of Variance↗

[Peritoneal reactions caused by starch used regularly for lubricating surgical gloves. Review of the literature].

The contamination of the operating field by a number of substances including the starch used to lubricate surgical gloves is one of the causes of foreign body granuloma formation. The role of starch is particularly clearly documented in the peritoneal cavity where it may provide the basis of a well defined nosological phenomenon, "starch peritonitis", but it has also been reported in most other anatomical districts. The most logical solution to this problem is to use starch-free surgical gloves prepared using another type of lubricant without the aforesaid drawbacks. This paper analyses international clinical and experimental literature focusing on the damaging effects resulting from the introduction of starch into the peritoneal cavity.

Gloves, Surgical↗

[Peroperative glove damage as a possible risk for the surgical team].

With regard to the relative absence of data in our as well as the world literature on possible peroperative injuries of the surgical team, the authors investigated damage of surgical gloves during operation. They divided operations by types and the structure of the surgical team. It was found that on average 45.5% of the gloves used during operations were damaged.

General Surgery↗

The use of sterile versus nonsterile gloves during out-patient exodontia.

One hundred twenty-four patients who showed no clinical evidence of acute infection, were not taking antibiotics, and were to undergo routine removal of erupted teeth were studied. Patients were alternately assigned to surgeons who were wearing sterile or nonsterile, but clean, gloves. Surgery was performed in the usual manner and no postoperative antibiotics were prescribed. None of the patients was found to be infected postoperatively. Results of this prospective study suggest that routine exodontia can be safely performed by a surgeon wearing nonsterile, but surgically clean, gloves without increasing the risk of postoperative infection.

Ambulatory Surgical Procedures↗

[Delayed allergy against rubber gloves. An occupational dermatitis among health personnel].

Allergic reactions to rubber gloves, an increasing problem in medical health services, have become an prominent topic in occupational dermatology. A broad spectrum of immunological mechanisms are involved, from antibody-induced immediate reactions to delayed cell-mediated reactions. We review the causes of the reactions and discuss diagnostic procedures. The main allergens are rubber additives, such as accelerators and antioxidants. In this connection it is important to develop and produce gloves using other basic materials and ingredients, and thereby avoid the most frequent allergens.

Dermatitis, Occupational↗

Covalent-binding native blot in the determination of specific IgE to latex gloves allergens. Comparison with other methods.

Six sera from patients with clinical symptoms of latex hypersensitivity and latex-RAST values ranging from class 1 to 4 were used to characterize latex-glove allergens by immunoblotting. Twelve % acrylamide-SDS-PAGE of the latex glove crude extract revealed a single band with an estimated mol wt lower than 14,000 D. The proteins bound to nitrocellulose after electrical transfer as shown by Ponceau red staining of the membrane. However, standard immunoblotting methods using alkaline-phosphatase anti-IgE did not detect the presence of specific IgE. Different variants of SDS-PAGE immunoblotting were also unsuccessful. On the other hand, the use of IEF and capillary transfer (native blot) to a covalent-binding hydrophilic membrane was found to be the method of choice for the study of this allergen. The authors believe that this procedure can be helpful in the study of other antigen-antibody systems, particularly when standard immunoblotting assays fail.

Allergens↗

Handwashing and glove use in a long-term-care facility--Maryland, 1992.

Residents of long-term-care facilities (LTCFs) are at risk for acquiring facility-associated infections and consequent mortality (1,2). Despite this risk, no national guidelines exist for infection-control practices in LTCFs, and information regarding the nature of infection-control practices in LTCFs is limited. To evaluate glove use and handwashing practices in an LTCF, and to determine factors associated with compliance with infection-control policies and the frequency of microbial transmission, Maryland Department of Health and Mental Hygiene (DHMH) and CDC staff observed glove use and handwashing practices on a chronic-care ward of an LTCF in Maryland for a 1-month period during 1992. This report summarizes the findings of this study.

Gloves, Surgical↗

Evaluation of surgical gloves for perforations following oral and maxillofacial surgery.

A study was performed to evaluate two types of sterile surgical gloves for perforations following oral and maxillofacial surgery. Our findings indicate that perforation of surgical gloves, and thus possible contamination of the surgeon and patient, is not uncommon, and to create a completely barrier-free environment when using sharp instruments may be impossible.

Color↗

Modification of a vinyl glove into a dental dam for patients sensitive to latex rubber.

Dental products containing latex rubber such as rubber dams, gloves, polishing points, prophy cups, blood pressure cuffs, orthodontic elastics, mouth props, intubation tubes, and anesthetic masks have the potential to cause allergic reactions. The clinician should try to identify patients at high risk for latex sensitivity by taking a careful history and, where necessary, using alternative products. This paper describes how a vinyl glove can be easily modified to provide an effective dental dam in patients allergic to latex rubber.

Dental Restoration, Permanent↗

[Intraoperative anaphylaxis caused by latex surgical gloves].

A 17-year-old male encountered anaphylaxis caused by latex surgical gloves during emergency surgery under general anesthesia. He had undergone multiple surgical procedures, bladder catheterization and was suffering from atopic dermatitis. The patient developed bronchospasm and circulatory collapse 20 minutes after the start of surgery. Administration of dopamine, aminophylline and methylprednisolone helped to normalize airway pressure and blood pressure. Latex allergy occurs in persons considered at high risk including patient with spina bifida, urogenital abnormalities, atopic dermatitis, health care workers and rubber industry workers. These persons may develop hypersensitivity to latex products. If patients who are suspected to be latex allergy undergo surgical procedures, anesthesiologist should check past history and sensitivity to rubber in detail. In patients known to be allergic to latex, we must avoid latex products, such as surgical gloves, or anesthetic and surgical equipments.

Adolescent↗

A randomized controlled trial of double-versus single-gloving in vascular surgery.

With the increasing incidence of hepatitis B and HIV, and the increasing awareness of the risk and prevalence of hepatitis C, it is becoming even more necessary to adopt stricter policies to safeguard personnel and to reduce the risk of transmission. Previous studies have shown a need for eye protection, protective clothing and the use of double-gloving during operative or interventional procedures. The risk of infection is much less with unbroken skin and conversely more likely when hollow needles are used. Arguments against the routine use of double-gloving include the loss of dexterity and the discomfort incurred, and the potential loss of dexterity that might theoretically result in more rather than fewer needle-stick injuries.

Gloves, Surgical↗

Do barrier creams and gloves prevent or provoke contact dermatitis?

Barrier creams and gloves play an important role in the prevention of contact dermatitis, and various in vivo and in vitro methods have been developed to investigate their efficacy. However, their actual benefit in the workplace is still being debated. This article reviews both the benefits and adverse effects of barrier creams and gloves.

Dermatitis, Contact↗