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Versatile sterile field for nail surgery using a sterile glove.

Nail surgery is frequently done by dermatologists. Post-operative complications of nail surgery include infection, bleeding, pain, pyogenic granuloma, and nail dystrophy. Infectious complications after nail surgery can be prevented with proper aseptic techniques. Standard fenestrated surgical drapes used for a sterile field during nail surgery are cumbersome and difficult to keep in place during surgery. We present a versatile sterile field for nail surgery using a sterile glove that will facilitate nail surgery and concomitantly decrease the risk of infection.

Gloves, Surgical↗

[The treatment of the burned hand in massive trauma in a glove with an ointment with a water-soluble base].

A new for Bulgaria method of treatment of hand burns by use of glove filled with ointment on water-soluble base is reported. The method is no alternative to the conventional method of treatment with dressings, but its advantages are that the patients are attended for a shorter time with less dressing material and may be self-served. This makes the method particularly useful for treatment of mass thermic injuries. Ointments on water-soluble base, which have such qualities as high osmotic activity, necrolytic action and high antiseptic effect, are used.

Bandages↗

The burgeoning problem of latex sensitivity. Surgical gloves are only the beginning.

Awareness of latex sensitization is increasing in both the medical and the general community. Nonimmunologic irritant contact dermatitis, often found on the hands of healthcare workers who wear latex gloves, is the most common feature of sensitivity. The exact latex antigen(s) to blame have not been clearly delineated, but risk factors have been established that can be used to identify persons susceptible to a hypersensitivity reaction. The severity of a reaction depends on the route of exposure; mucosal and visceral exposure poses the greatest risk of reaction. Thus, patients requiring multiple operations and procedures, such as those with spina bifida or congenital urinary tract anomalies, are at high risk. Persons in high-risk groups should be referred for appropriate evaluation and testing, advised to avoid exposure to latex-derived products, and told to carry self-injectable epinephrine.

Dermatitis, Occupational↗

[Corneal infiltrates after keratoplasty caused by tissue inclusions of corn starch glove powder. An intraoperative complication].

Corneal infiltrations after keratoplasty may be the first sign of postoperative infection. We report on our findings of unusual corneal infiltrations, which were caused by contamination of the corneal tissue with remnants of latex glove powder. The diagnosis was proved by the specific distribution pattern and the clinical course. Infiltrates of decreasing size were observed in the area of all four temporarily supporting single-stitch sutures of the transplant and at the first stitches of the permanent running corneal sutures. There is no treatment necessary, but the infiltrates have to be differentiated from infection. Improvement of operative habits and techniques can avoid this complication.

Cornea↗

Latex gloves: friend or foe?

As healthcare providers, CRNAs must consult with experts and have them address any of the relevant symptoms experienced in the practice of our profession. We must demand that our employer provide us with the best quality gloves/devices with acceptable barrier properties from reputable manufacturers. CRNAs should not use gloves or medical devices if they are unfamiliar with the manufacturer of the product, there is no information on the content of the product, or they do not know if the product meets federal requirements. Practice safety!

Adult↗

Dusting powder in surgeon's gloves. A historial review.

The use of surgical gloves for any surgical procedure, or any event which may involve the spillage of body fluids, is now well known and even expected. In these days of HIV and other infectious diseases, protection for the patient is as important as protection for the carer and it is therefore vital that the gloves/protection will not impart any harm either to the person wearing them or to the person who is being touched.

Gloves, Surgical↗

Allergy to latex gloves in clinical practice: case reports.

With increasing incidence of glove wearing by dental health care workers, there are also increased reports of associated dermatological problems. Among these are Type IV allergic reactions, such as contact urticaria, and Type I severe reactions. Patients may also be affected. Three cases of adverse patient reactions to latex or chemicals involved in latex manufacture are reported. Principal areas affected were circumoral and facial skin and the upper lip. A potential adverse reaction was avoided for a third patient following history taking, which identified an adverse reaction to a rubber swimming cap.

Adult↗

Glove-associated reactions: addressing an increasing concern.

Increasingly, the dermatology professional will be called upon to assist in establishing protocols for recognizing, differentiating, and managing glove-related reactions. Addressing preventative measures upfront will decrease possible morale problems, long-term treatment and compensation expenses, as well as potential career-limiting situations.

Decision Trees↗

Clostridium difficile contamination of blood pressure cuffs: a call for a closer look at gloving practices in the era of universal precautions.

We report an outbreak of Clostridium difficile-associated diarrhea at our medical center following adoption of Universal Precautions. Environmental cultures revealed unexpected contamination of blood pressure cuffs at a rate similar to that for bedside commodes (10% and 11.5%, respectively). An observational survey revealed that healthcare workers in the patient care areas not infrequently failed to remove their potentially stool-contaminated gloves prior to touching clean surfaces, which might have contributed to contamination of blood pressure cuffs.

Blood Pressure Determination↗

Why not wear gloves?

"This is Cornwall, we don't need to worry about Universal Precautions here"! It was this comment, by a consultant anaesthetist last year, which prompted the introduction of this health promotion project to encourage the practice of glove wearing amongst all the anaesthetic staff. Information was sought on their current practice, reasons for choice and attitudes towards change. As a result of their comments, a campaign was organised, implemented and, in due course, evaluated.

Anesthesiology↗

Airborne particles from latex gloves in the hospital environment.

Air sampling studies are described which show high levels of airborne starch powder contamination in areas where powdered latex gloves are used. Furthermore, culture of collected samples show a clear association between starch particles and bacterial colonies in an experimental system suggesting that airborne particles could act as a vector for pathogens in the hospital environment.

Air Microbiology↗

Genetic study of the aggressiveness of two subspecies of Apis mellifera in Brazil. IV. Number of stings in the gloves of the observer.

Data are analyzed on an aspect of aggressiveness in workers from colonies of Africanized bees (Apis mellifera adansonii), Italian bees (Apis mellifera ligustica), their F1 hybrids, and backcrosses of the F1 to the parental stocks (Rothenbuhler method). The segregation values (3:1) in the backcrosses to the Africanized stock and nonsegregation in the backcrosses to the Italian stock suggest the existence of two pairs of genes (F1/F1; F2/F2 IN THE Italian bees and f1/f1; f2/f2 in the Africanized bees) which control a character defined of the number of stings in the gloves of the observer.

Aggression↗

[Papular-purpuric gloves and socks syndrome].

In 1990, we first described the papular-purpuric "gloves and socks" syndrome (PPGSS). It is characterized by an itching erythema and edema of the hands and feet together with oral mucosal lesions and fever. The skin lesions subsequently become purpuric and resolve spontaneously after a few days. In more than half of the patients, an acute parvovirus B 19 infection has been proven. In a few cases of PPGSS, other viral infections have been found, for example hepatitis B and measles. We report on a patient with PPGSS and review the literature.

Acrodermatitis↗

Prevention of unnecessary contralateral exploration using the silk glove sign (SGS) in pediatric patients with unilateral inguinal hernia.

INTRODUCTION: The issue of how to best detect an occult contralateral patent processus vaginalis (PPV) in a child who presents with a unilateral inguinal hernia has been debated for over 50 years. The ideal diagnostic tool would eliminate unnecessary contralateral exploration. The "silk glove sign" (SGS) or palpating the processus vaginalis over the pubic tubercle is the simplest preoperative diagnostic test for diagnosing contralateral PPV. MATERIALS AND METHODS: In an attempt to determine whether it is possible with the SGS to evaluate the contralateral inguinal region to ascertain if a contralateral PPV is present, we prospectively reviewed our own experience at a single institution within a 5-year period. Between January 2001 and December 2005, 1,040 pediatric patients with inguinal hernias were treated by one surgeon at Chang Gung Children's Hospital. Of these, with the exception of 120 patients with clinical bilateral inguinal hernia, 920 patients (746 boys and 174 girls) with unilateral inguinal hernia underwent examination. A total of 180 (19.8%), of whom 154 were boys and 26 were girls, were SGS positive and underwent bilateral surgery. RESULTS: A PPV or true hernia sac was found in 164 (91.1%). The sensitivity of diagnosis by SGS was 93.1%. In the remaining 740 SGS-negative patients, a metachronous hernia developed in 20. The specificity of diagnosis by SGS was 97.3%. The SGS could detect a contralateral hernia in patients regardless of age, but the accuracy of detection in girls was lower than in boys. CONCLUSION: SGS is a simple, noninvasive method of preoperative evaluation of the groins. Accuracy through repeated and careful examination is about 91%. Our policy of contralateral exploration based on the SGS has been reliable in minimizing unnecessary surgical exploration.

Child↗

Prevention of infection during transrectal biopsy of prostate through double-glove technique.

Eighty male patients, most of whom had suspicious prostatic nodules on digital examination, were subjected to transrectal needle biopsy of the prostate. The biopsy needle was held between the gloved hand and an overlying sterile finger cot on the index finger. When the lesion was palpated, the needle was pushed through the finger cot and a tissue specimen obtained. All patients were treated orally with minocycline hydrochloride 100 mg. twice a day starting eight to twelve hours before biopsy and continuing at this dosage for five days after biopsy. Except for one episode of transitory hematuria, there were no reports of infection or complication, as manifested by fever, chills, or transrectal or transurethral bleeding.

Administration, Oral↗

Papular-purpuric "gloves and socks" syndrome.

We report five cases of an acute, self-limiting dermatosis that has not been previously described. It consists of a pruritic edema and erythema of the hands and feet in a gloves-and-socks distribution and is associated with oral lesions and fever. The clinical course is characterized by the rapid development of petechial purpura and clearing of lesions within 1 to 2 weeks. The disease appears to affect only young and otherwise healthy persons and occurs mostly during the spring. The etiology is unknown but might be of infectious origin.

Adolescent↗

Presence of perineuritis in a case of papular purpuric gloves and socks syndrome associated with mononeuritis multiplex attributable to B19 parvovirus.

A previously healthy 16-year-old boy developed papular purpuric gloves and socks syndrome concomitant with mononeuritis multiplex attributable to acute infection with parvovirus B19. A cutaneous biopsy showed lymphocytic lichenoid vasculitis and perineuritis. We discuss the relevance of these pathologic findings, and we suggest a correlation with the patient's neurologic condition. This case illustrates the difficulties in differentiating dysesthesia accompanying cutaneous manifestations of exanthem from neurologic disease on the basis of the clinical appearance alone.

Adolescent↗