Loss of glove integrity during emergency department procedures

Annals of Emergency Medicine
K N HansenG D Kelen

Abstract

We sought to assess the loss of integrity of the latex-glove barrier during use in the ED setting. We conducted a prospective observational study in an urban ED and Level I trauma center. Procedures performed by ED health care workers (HCWs) were directly observed, timed, and categorized. The gloves used by the HCWs were collected and subjected to the standard US Food and Drug Administration leak test. Ninety-nine (7.9%) of 1,254 pairs of gloves used for observed procedures leaked, compared with 2 of 200 unworn control pairs (1.0%) and 12 of 300 pairs that were worn but not used (4.0%). Leak rates varied by manufacturer and were higher for gloves worn 20 minutes or longer (13.7%, P = .015), used for four or more procedures (50%, P < .01), or used for critical care procedures (23.5%, P < .01). Sixty-six of an additional 325 pairs of gloves collected from unobserved critical care procedures (20.3%) leaked. Loss of glove integrity occurs during the performance of ED procedures, subjecting the HCW to possible infectious-fluid exposure. Risk of glove perforation increases with duration of wear, number of procedures performed, and the performance of critical care procedures.

References

Dec 1, 1992·The Journal of Hospital Infection·J D Palmer, J W Rickett
May 21, 1992·The New England Journal of Medicine·G D KelenT C Quinn
Oct 15, 1992·American Journal of Ophthalmology·P PrendivilleP P Lee
Feb 1, 1992·Journal of Clinical Pathology·J Weston, G Locker
Jul 1, 1992·AJR. American Journal of Roentgenology·M E HansenG L Miller
Jun 1, 1992·AORN Journal·M F Fay, D T Dooher
Aug 1, 1991·Archives of Otolaryngology--head & Neck Surgery·M S GodinJ P Harris
Mar 1, 1991·Annals of Emergency Medicine·J T Sturm
Jul 1, 1991·Annals of Emergency Medicine·L J BaraffM Torres
Feb 1, 1990·The British Journal of Surgery·R D DoddsM H Thomas
Apr 1, 1988·The British Journal of Surgery·S J BroughW W Barrie
Dec 1, 1989·Soins; la revue de référence infirmière
Dec 1, 1989·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·B G Yangco, N F Yangco
Mar 1, 1989·The Journal of the American Dental Association·J N KatzC Shipman
May 1, 1989·Nursing Research·D M KorniewiczE Larson
Jan 1, 1988·The Journal of Hospital Infection·J PaulssenR Kristiansen
Mar 1, 1989·The Journal of the American Dental Association·L L Otis, J A Cottone
Sep 3, 1988·BMJ : British Medical Journal·H MattaJ B Rainey
Jun 23, 1988·The New England Journal of Medicine·G D KelenK A Williams
Oct 1, 1988·The British Journal of Surgery·R D DoddsM H Thomas
Feb 1, 1988·The British Journal of Surgery·A G Dalgleish, M Malkovsky
Sep 1, 1988·Nature·S G ArnoldM H Cottler-Fox
Jul 1, 1993·The Annals of Thoracic Surgery·P S WongJ E Wright
Feb 1, 1993·Archives of Ophthalmology·K M Miller, L Apt
Jan 1, 1993·American Industrial Hygiene Association Journal·D M KorniewiczE Larson
Apr 1, 1993·The American Journal of Medicine·R MarcusT C Quinn

❮ Previous
Next ❯

Citations

Nov 2, 2004·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Madge E Buus-Frank
Mar 17, 2004·The Journal of Hospital Infection·M Al-DamoukA Bleetman
May 29, 2002·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Krista KupresJohn G Albertini
Nov 24, 2004·Journal of Occupational and Environmental Hygiene·Lesley N KerrSeth A Mailhot
Apr 9, 2011·Journal of Occupational and Environmental Hygiene·Robert N Phalen, Weng Kee Wong
Oct 14, 2009·American Journal of Infection Control·Julian-Camill HarnossOjan Assadian
Aug 27, 2002·AORN Journal·Peter B Graves, Carolyn L Twomey
Jul 1, 2014·International Journal of Cancer. Journal International Du Cancer·Lilla LandeckOlaf Manfred Koch
Dec 12, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Joseph M ReardonDaniel J Pallin
Sep 21, 2016·The American Journal of Emergency Medicine·William Brady, Joshua A Berlat
Nov 10, 2001·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·S AlrawiA Acinapura
Jul 9, 2004·The Journal of Obstetrics and Gynaecology Research·Monika MalhotraRaksha Arora
Mar 19, 2005·World Journal of Surgery·Rob A G NordkamHarry van Goor
Mar 30, 2005·The Journal of Bone and Joint Surgery. British Volume·M Al-MaiyahP Finn

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved