Critical investigation of glove–gown interface barrier performance in simulated surgical settings

Journal of Occupational and Environmental Hygiene

Volumn 16, Issue 7, 2019, Pages 498-506

  Kahveci, Zafer ^a   Selcen Kilinc Balci, F ^a   Yorio, Patrick L ^a  

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

Author keywords

Glove; gown; interface; penetration; personal protective equipment; surgical settings

Indexed keywords

EID: 85065058810     PISSN: 15459624     EISSN: 15459632     Source Type: Journal    
DOI: 10.1080/15459624.2019.1600702     Document Type: Article

References (23)

1. Tokars, J.I., M.E., Chamberland, C.A., Schable, et al.: A survey of occupational blood contact and HIV infection among orthopedic surgeons. J. Am. Med. Assoc. 268(4):489–494 (1992).
2. Willy, M.E., G.L., Dhillon, N.L., Loewen, R.A., Wesley, and D.K., Henderson : Adverse exposures and universal precautions practices among a group of highly exposed health professionals. Infect. Control. 11(07):351–356 (1990).
3. Panlilio, A.L., D.R., Foy, J.R., Edwards, et al.: Blood contacts during surgical procedures. J. Am. Med. Assoc. 265(12):1533–1537 (1991).
4. Fischer, W.A., 2nd, T.M., Uyeki, and R.V., Tauxe : Ebola virus disease: What clinicians in the United States need to know. Am. J. Infect. Control. 43(8):788–793 (2015).
5. Sepkowitz, K.A., and L., Eisenberg : Occupational deaths among healthcare workers. Emerging Infect. Dis. 11(7):1003 (2005).
6. World Health Organization (WHO): "10 facts on patient safety." Available at https://www.who.int/features/factfiles/patient_safety/en/ (accessed March 18, 2019).
7. Klein, E., D.L., Smith, and R., Laxminarayan : Hospitalizations and deaths caused by methicillin-resistant Staphylococcus aureus, United States, 1999–2005. Emerg Infec. Dis. 13(12):1840–1846 (2007).
8. World Health Organization (WHO): "Preferred Product Characteristics for Personal Protective Equipment for the Healthcare Worker on the Frontline Responding to Ebola Virus and Haemorrhagic Fever Outbreaks in Tropical Climat." Available at https://www.who.int/medical_devices/documentPPEfor_public_comment_6Sept2017.pdf?ua=1 (accessed March 18, 2019).
9. Leonas, K.K., : Textiles for Protection. Boca Raton, FL: Woodhead Publishing-CRC Press, 2005.
10. Kilinc-Balci, F.S., Z., Kahveci, and P.L., Yorio : Novel test method for the evaluation of fluid leakage at the glove–gown interface and investigation of test parameters. J. Am. College Surg. 227(6):573–586 (2018).
11. 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 (ANSI/AAMI PB70:2003). [Standard] Arlington, VA: AAMI, 2012.
12. Cardinal Health: "Surgical Gowns." Available at http://www.cardinalhealth.com/en/product-solutions/medical/infection-control/surgical-gowns/surgical-gowns.html (accessed March 18, 2019).
13. National Institute for Occupational Safety and Health (NIOSH): "Considerations for Selecting Protective Clothing Used in Healthcare for Protection against Microorganisms in Blood and Body Fluids." Available at https://www.cdc.gov/niosh/npptl/topics/protectiveclothing/default.html (accessed March 18, 2019).
14. ASTM International: Standard Test Method for Resistance of Materials Used in Protective Clothing to Penetration by Synthetic Blood (ASTM (2003a) ASTM F1670-03). [Standard]. West Conshohocken, PA: ASTM, 2003.
15. International Organization for Standardization (ISO): Clothing for Protection against Contact with Blood and Body Fluids-Determination of the Resistance of Protective Clothing Materials to Penetration by Blood and Body Fluids-Test Method Using Synthetic Blood (ISO 16603:2004). [Standard] Geneva, Switzerland: ISO, 2004.
16. ASTM International: Standard Test Method for Resistance of Materials Used in Protective Clothing to Penetration by Liquids (ASTM F903-17). [Standard] West Conshohocken, PA: ASTM, 2017.
17. Johannes, M.S., J.D., Bigelow, J.M., Burck, et al.: An overview of the developmental process for the modular prosthetic limb Johns Hopkins APL Tech. Digest 30(3):207–216 (2011).
18. Nguyen, N.T., H.S., Ho, W.D., Smith, et al.: An ergonomic evaluation of surgeons’ axial skeletal and upper extremity movements during laparoscopic and open surgery. Am. J. Surg. 182(6):720–724 (2001).
19. McAtamney, L., and E., Nigel Corlett : RULA: A survey method for the investigation of work-related upper limb disorders. Appl. Ergon. 24(2): 91–99 (1993).
20. Association for the Advancement of Medical Instrumentation (AAMI): "Selection of Surgical Gowns and Drapes in Health Care Facilities." In AAMI-TIR No 11-2005. Arlington, VA: AAMI, 2005. [Memo]
21. Jaques, P.A., P., Gao, S., Kilinc-Balci, et al.: Evaluation of gowns and coveralls used by medical personnel working with Ebola patients against simulated bodily fluids using an Elbow Lean Test. J. Occup. Environ. Hyg. 13(11):881–893 (2016).
22. Smith, J.W., and R.L., Nichols : Barrier efficiency of surgical gowns: Are we really protected from our patients' pathogens? Arch. Surg. 126(6):756–763 (1991).
23. Smith, J.W., W.A., Tate, S., Yazdani, et al.: Determination of surgeon-generated gown pressures during various surgical procedures in the operating room. Am. J. Infect. Control 23(4):237–246 (1995).