Evaluation of gowns and coveralls used by medical personnel working with Ebola patients against simulated bodily fluids using an Elbow Lean Test

Journal of Occupational and Environmental Hygiene

Volumn 13, Issue 11, 2016, Pages 881-893

  Jaques, Peter A ^a   Gao, Pengfei ^b   Kilinc Balci, Selcen ^b   Portnoff, Lee ^b   Weible, Robyn ^a   Horvatin, Matthew ^a   Strauch, Amanda ^b   Shaffer, Ronald ^b  

^a AECOM   (United States)

^b NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH   (United States)

Author keywords

Ebola; Elbow Lean Test; medical garment; strike through; synthetic blood

Indexed keywords

BLOOD; BODILY SECRETIONS; DEVICE SAFETY; EBOLA HEMORRHAGIC FEVER; HUMAN; OCCUPATIONAL EXPOSURE; PREVENTION AND CONTROL; PROTECTIVE CLOTHING; STANDARDS; SURFACE TENSION; TEXTILE;

BLOOD; BODILY SECRETIONS; EQUIPMENT SAFETY; HEMORRHAGIC FEVER, EBOLA; HUMANS; OCCUPATIONAL EXPOSURE; PROTECTIVE CLOTHING; SURFACE TENSION; TEXTILES;

EID: 84988416310     PISSN: 15459624     EISSN: 15459632     Source Type: Journal    
DOI: 10.1080/15459624.2016.1186279     Document Type: Article

References (35)

1. D.G.Bausch, J.S.Towner, S.F.Dowell, et al.: Assessment of the risk of Ebola virus transmission from bodily fluids and fomites. J. Infect. Dis. 196(Suppl 2):S142–7 (2007).
2. H.Feldmann, and T.W.Geisbert: Ebola haemorrhagic fever. Lancet 377:349–862 (2011).
3. R.A.Fowler, T.Fletcher, W.A.FischerII, et al.: Caring for critically ill patients with ebola virus disease:perspectives from West Africa. Am. J. Respir. Crit. Care Med. 190(7):733–737 (2014).
4. Centers for Disease Control (CDC):“Guidance on Personal Protective Equipment (PPE) To Be Used by Healthcare Workers during Management of Patients with Confirmed Ebola or Persons under Investigation (PUIs) for Ebola who are Clinically Unstable or Have Bleeding, Vomiting, or Diarrhea in U.S. Hospitals, Including Procedures for Donning and Doffing PPE.” Available at http://www.cdc.gov/vhf/ebola/healthcare-us/ppe/guidance.html (accessed February10, 2016).
5. Occupational Safety and Health Organization (OSHA):“PPE Selection Matrix for Occupational Exposure to Ebola Virus Guidance for common exposure scenarios.” Available at https://www.osha.gov/Publications/OSHA3761.pdf (accessed July23, 2015).
6. American National Standards Institute (ANSI) /Association for the Advancement of Medical Instrumentation (AAMI): Liquid Barrier Performance and Classification of Protective Apparel and Drapes Intended for Use in Health Care Facilities. (PB70 2012) [Standard] Arlington, VA:ANSI/AAMI, 2012.
7. American Society for Testing and Materials (ASTM): Standard Test Method for Resistance of Materials Used in Protective Clothing to Penetration by Synthetic Blood(ASTM F1670 / F1670M – 08) [Standard] Philadelphia, PA:ASTM, 2014.
8. American Society for Testing and Materials (ASTM): Standard Test Method for Resistance of Materials Used in Protective Clothing to Penetration by Blood-Borne Pathogens Using Phi-X174 Bacteriophage Penetration as a Test System(ASTM F1671 / F1671 m – 13) [Standard] Philadelphia, PA:ASTM, 2013.
9. F.S.Kilinc-Balci,: A review of isolation gowns in healthcare. J. Eng. Fiber Fabric. 10(3):181–190 (2015).
10. Y.H.Lu, G.W.Song, H.Zeng, L.Zhang, and J. Li: Characterizing factors affecting the hot liquid penetration performance of fabrics for protective clothing. Textile Res. J. 84:174–86 (2014).
11. International Organization for Standards (ISO): Surgical Drapes, Gowns and Clean Air Suits, used as Medical Devices, for Patients, Clinical Staff and Equipment - Test Method to Determine the Resistance to Wet Bacterial Penetration. (DIN EN ISO 22610, 2006–10) [Standard] Geneva, Switzerland:ISO, 2010.
12. G.M.Olderman,: Liquid repellency and surgical fabric barrier properties. Eng. Med. 13:35–43 (1984).
13. E.A.McCullough, and L.K.Schoenberger: Liquid barrier properties of nine surgical gown fabrics. Int. Nonwovens Dispos. Assoc. J. 3(3):14–20 (1991).
14. W.A.Rutala, and D.J.Weber: A review of single-use and reusable gowns and drapes in health care. Infect. Control Hospital Epidemiol. 22(4):248–257 (2001).
15. American Association of Textile Chemists and Colorists (AATCC): Water Resistance:Hydrostatic Pressure Test. (AATCC 127–2003) [Technical Manual] Research Triangle Park, NC:AATCC, 2008.
16. American Society for Testing and Materials (ASTM): Standard Test Method for Resistance of Materials Used in Protective Clothing to Penetration by Synthetic Blood Using a Mechanical Pressure Technique. (ASTM F1819 – 07) [Standard] Philadelphia, PA:ASTM, 2013.
17. A.Moore,: Air permeability of nonwoven fabrics, Ms. Thesis, North Carolina State University, Raleigh, NC, June, 2015.
18. D.Bhattacharjee, A.Ray, and V.K.Kothari: Air and water permeability characteristics of nonwoven fabrics. Ind. J. Fibre Textile Res. 29, 2:122–128 (2004).
19. American Society for Testing and Materials (ASTM): Standard Test Method for Air Permeability of Textile Fabrics. (ASTM D737-04) [Standard] Philadelphia, PA:ASTM, 2012.
20. V.K.Midha, A.Dakuri, and V.Midha: Studies on the properties of nonwoven surgical gowns. J. Industr. Textiles 43:174–190 (2013).
21. Ciba-Geigy Corporation, Medical Education Division: Units of measurement, body fluids, composition of blood, hematology, somatometric data. In Geigy Scientific Tables, Vol. 1, C. Lentner (ed.). West Caldwell, NJ:The Ciba Pharmaceutical Co., 1984.
22. M.Raheel, (Ed.): Modern Textile Characterization Methods (Vol. 13). Boca Raton, FL:CRC Press, 1996.
23. Johnson Moen & Co. Inc.: Personal communication. Johnson Moen & Co. Inc., Rochester, MN, 2014.
24. K.W.Altman, J.H.McElhaney, J.A.Moylan, and K.T.Fitzpatric: Transmural surgical gown pressure measurements remits in the operating theater. Am. J. Infect. Control. 19(3):147–155 (1991).
25. Association for the Advancement of Medical Instrumentation (AAMI): Selection and Use of Protective Apparel and Surgical Drapes in Health Care Facilities. AAMI (TIR11:2005), [Technical Information Report] Arlington, VA:AAMI, 2005.
26. S.S.Shapiro, and M.B.Wilk: An analysis of variance test for normality (complete samples). Biometrika 52(3/4):591–611 (1965).
27. M.Mendes, and A.Pala: Type I error rate and power of three normality tests. Pak. J. Inform. Technol. 2(2):135–139 (2003).
28. N.R.Mohd, and Y.B.Wah: Power comparisons of Shapiro-Wilk, Kolmogorov-Smirnov, Lilliefors and Anderson-Darling tests. J. Statist. Model. Analyt. 2(1):21–33 (2011).
29. S.Lee, and S.K.Obendory: Developing protective textile materials as barriers to liquid penetration using melt‐electrospinning. J. Appl. Polym. Sci. 102(4):3430–3437 (2006).
30. B.S.Gupta,: Friction in Textile Materials. Boca Raton, FL:CRC Press, 2008. p. 14.
31. British Standards Institute (BSI): Protective Clothing. Electrostatic Properties. Material Performance and Design Requirements. (BS EN 1149-5:2008). [Standard] London, UK:BSI, 2008.
32. D.Myers,: Surfactant Science and Technology, 3rd ed. Hoboken, NJ:John Wiley and Sons, Inc., 2006. pp. 9–10.
33. E.Kissa,: Wetting and Wicking. Textile Res. J. 66(10):660–668 (1996).
34. E.A.McCullough,: Methods for determining the barrier efficacy of surgical gowns. Am. J. Infect. Control 21(6):368–374 (1993).
35. J.W.Granzow, J.W.Smith, R.L.Nichols, R.S.Waterman, and A.C.Muzik: Evaluation of protective value of hospital gowns against blood strike-through and methicillin-resistant Staphylococcus aureus penetration. Am. J. Infect. Control 26(2):85–93 (1998).