Abstract:
BACKGROUND:Most studies challenging the integrity of the glove barrier have compared the permeability of vinyl and latex gloves. However, no studies of a new nonlatex, nonvinyl thermoplastic elastomer have been reported. This pilot study therefore compared the protective barriers provided by latex and thermoplastic elastomer surgical gloves against penetration of the bacteriophage phi X174. METHODS:Twenty thermoplastic elastomer gloves and 25 commercially available latex gloves (20 brand 1, 5 brand 2) were filled with a sterile serum surrogate and exposed to the phi X174 virus in a flask, with shaking for 180 minutes at 37 degrees C. Aliquots of 5 ml were withdrawn at baseline, 30, 60, 120, and 180 minutes and assayed by a standard plaque assay. The remaining contents of the gloves were then tested by an extremely sensitive qualitative assay (plaque assay without dilution of the sample). RESULTS:With the standard plaque assay, virus was detected in 30% of the brand 1 latex gloves, in 80% of the brand 2 latex gloves, but in none of the thermoplastic elastomer gloves. The qualitative assay, which can detect even a single virus in the entire glove contents, had positive results for 30% of the thermoplastic elastomer gloves, 70% of the brand 1 gloves, and 100% of the brand 2 gloves. CONCLUSIONS:Despite the small sample, the results of this stringent assay suggest that the mechanical barrier offered by thermoplastic elastomer gloves is equal to or better than that provided by the latex gloves tested. Clinical studies are needed to evaluate thermoplastic elastomer gloves, which may withstand mechanical stress better than latex or vinyl. Thermoplastic elastomer gloves may therefore be a desirable alternative for health care workers in high-risk settings or for individuals with latex allergies.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Hamann CP,Nelson JRdoi
10.1016/0196-6553(93)90385-hsubject
Has Abstractpub_date
1993-12-01 00:00:00pages
289-96issue
6eissn
0196-6553issn
1527-3296pii
0196-6553(93)90385-Hjournal_volume
21pub_type
杂志文章,评审abstract::Since first reported in Europe in the early 1980s, extended-spectrum beta-lactamases (ESBLs) have spread worldwide. When producing these broad-spectrum plasmid-encoded enzymes, organisms become highly effective at inactivating penicillins, most cephalosporins, and aztreonam. Mainly produced by Klebsiella spp, ESBLs ha...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2004.07.010
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:Compliance with cleaning of flexible endoscope channels cannot be verified using visual inspection. Adenosine triphosphate (ATP) has been suggested as a possible rapid cleaning monitor for flexible endoscope channels. There have not been published validation studies to specify the level of ATP that indicates...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.03.018
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Many studies have examined hand hygiene (HH) frequency and adherence in response to various interventions. This study used 2 methods to determine HH frequency and adherence to see how well the outcomes correlated. METHODS:HH frequency was measured over 4, 1-month periods (phases 1-4), using 2 methods: an au...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.07.006
更新日期:2006-04-01 00:00:00
abstract::The Healthcare Infection Control Practices Advisory Committee released hand hygiene guidelines recommending that hospitals educate personnel to increase compliance with hand hygiene. However, few educational tools are available to assist hospitals in this effort. Eight hospitals were recruited to implement hand hygien...
journal_title:American journal of infection control
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ajic.2005.06.010
更新日期:2006-04-01 00:00:00
abstract::Adherence to isolation precaution practices, including use of personal protective equipment (PPE), remains a challenge in most hospitals. We surveyed inpatient and emergency department clinicians about their experiences and opinions of various isolation policies, specifically those related to wearing PPE. Our findings...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2019.08.029
更新日期:2020-02-01 00:00:00
abstract::There were 256 health care workers in 39 facilities who were interviewed about their perceptions of the quality of care of patients with and without multidrug-resistant organisms based on a standardized questionnaire. There are remarkable differences in the responses between facility types (acute care hospitals, long-...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.12.039
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:Medical devices that are used on patients in fields containing potentially infectious body fluids can become contaminated and transmit infectious agents to other sites on the patient or to other patients if the devices are not properly cleaned and decontaminated after use on each patient treatment site. One ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/s0196-6553(98)70043-4
更新日期:1998-08-01 00:00:00
abstract:BACKGROUND:The role of the infection preventionist (IP) has become increasingly complex, underscoring the need for rapid mechanisms of knowledge acquisition. One mechanism for knowledge acquisition is knowledge-sharing through social networks. In a state such as Kentucky with predominantly rural health care facilities,...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.05.018
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Anesthesia providers are at risk for contracting COVID-19 due to close patient contact, especially during shortages of personal protective equipment. We present an easy to follow and detailed protocol for producing 3D printed face shields and an effective decontamination protocol, allowing their reuse. METH...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2020.07.037
更新日期:2020-08-04 00:00:00
abstract:BACKGROUND:A novel strain of influenza A (H1N1) was identified in April 2009 and developed into a pandemic by June 2009. This rapid and unexpected event had enormous implications for infection preventionists (IP) internationally. Lessons learned from this event should guide future pandemic planning efforts. METHODS:Fo...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2009.09.003
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Influenza vaccination among health care personnel (HCP) is a key measure to prevent influenza infection and transmission in health care settings. This study described influenza vaccination coverage among employees in various health care settings in California and examined factors associated with HCP influenz...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2012.10.014
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:The Association for Professionals in Infection Control and Epidemiology (APIC) MegaSurvey, administered in 2015, was completed by approximately 4,079 APIC members. The survey sought to gain a better understanding the current state of 4 components of infection prevention practice: demographic characteristics,...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.03.021
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Healthcare workers perform hand hygiene much more frequently than workers in other fields. As a result, healthcare workers have a higher exposure to topical antiseptic products. METHODS:Five tertiary care facilities were equipped with an electronic hand hygiene compliance monitoring system. Alcohol-based ha...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2018.04.205
更新日期:2018-10-01 00:00:00
abstract::This article catalogs some of the Centers for Disease Control and Prevention's (CDC) more important information resource offerings, which make public health information accessible via computer and automated telephone systems and on electronic media (diskette and CD-ROM). We review mechanisms for (1) finding and retrie...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/s0196-6553(96)90038-3
更新日期:1996-12-01 00:00:00
abstract:BACKGROUND:Philadelphia's rate of malpractice filings per population is just over double the national median. Plaintiffs prevail in 44% of verdicts in Philadelphia compared with 20% for all US jury verdicts, with 24% of awarded verdicts in excess of $1 million. OBJECTIVE:To determine patient and procedure demographic ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.03.005
更新日期:2005-06-01 00:00:00
abstract::One medical center in southern Taiwan faced an outbreak of nosocomial Legionnaires' disease; a total of 81 suspected cases were detected during an 8-month period. Baseline environmental surveillance showed that 80% of the distal sites in intensive care units (ICUs) were positive for Legionella pneumophila. Superheat-a...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2004.12.008
更新日期:2005-12-01 00:00:00
abstract::The overall risk of infection from medical devices is very low, but high infection transmission rates have been related to inadequate reprocessing of arthroscopic shavers and flexible duodenoscopes. Monitoring of manual and automated cleaning is needed to ensure that inadequately cleaned medical devices are recleaned ...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2012.12.006
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Information regarding compliance with infection control precautions in the dental settings in the Middle East is scant. OBJECTIVE:To examine the knowledge and practices in infection control among dental staff and dental nurses at a university teaching dental center. METHODS:A self-administered, confidentia...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2005.06.012
更新日期:2006-05-01 00:00:00
abstract::Infection at central venous catheter (CVC) sites remains a common problem, particularly with long-term use. This report discusses the influence of choice of transparent dressing type and chlorhexidine concentration on skin reactions at CVC insertion sites. A concentration of 2% chlorhexidine is associated with a highe...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.06.020
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Patient hand hygiene may be a useful strategy to prevent acquisition of pathogens and to reduce the risk for transmission by colonized patients. Several studies demonstrate that patients and long-term-care facility (LTCF) residents may have difficulty using hand hygiene products that are provided; however, n...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2016.12.023
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Clostridium difficile-associated diarrhea (CDAD) is increasingly encountered in the acute care setting with rates of infection increasing dramatically since 2001. Reoccurring episodes are being seen with increasing frequency. The purpose of this study was to examine risk factors specifically associated with ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.08.017
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) isolated from frequently touched dental school clinic surfaces were compared with MRSA isolated nasal cultures of dental students. METHOD:Sixty-one dental students and 95 environmental surfaces from 7 clinics were sampled using SANICULT (Starplex Scientific...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2010.11.007
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:Data on health care-associated infections (HAIs) outside of intensive care units (ICU) are scarce. We assessed hospital-wide changes in the incidence of health care-associated pathogens by infection site and by service between 2005 and 2011. METHODS:All data on health care-associated pathogens in 2005-2011 ...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.03.019
更新日期:2014-07-01 00:00:00
abstract::Six hundred twenty-two isolates from 554 samples taken from hands of 103 hospital personnel and 50 controls were obtained over a mean period of 35 days. Eighty-five were obtained immediately before and after handwashing (HW), the remainder after HW only. The relationship of HW agent used, clinical area and job, and fr...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/0196-6553(84)90020-8
更新日期:1984-04-01 00:00:00
abstract:BACKGROUND:Proper hand hygiene has been linked to lower susceptibility to infectious diseases in many types of communities, but it has not been well established on college campuses. This study investigated the hand hygiene statuses of college students and their occurrences in relation to infectious diseases, medical vi...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2015.08.012
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Annual influenza vaccination is recommended for all persons aged ≥6 months. The objective of this study was to assess trends in racial/ethnic disparities in influenza vaccination coverage among adults in the United States. METHODS:We analyzed data from the 2007-2012 National Health Interview Survey (NHIS) a...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2014.03.021
更新日期:2014-07-01 00:00:00
abstract::Chlorhexidine gluconate (CHG) decreases hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA) that can cause colonization and infection. A standard approach is the bathing of all patients with CHG to prevent MRSA transmission. To decrease CHG utilization, this study assessed selective daily administrati...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.12.026
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Scabies is a dermatologic infestation caused by Sarcoptes scabiei. In industrialized countries, hospitals and other health structures can sometimes be hit. The optimal management of scabies outbreaks still has to be established, mass prophylaxis being one possible option. METHODS:To identify the optimal app...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2013.10.006
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:Multidrug-resistant (MDR) Escherichia coli is a serious threat to cancer patients. We aimed to determine the risk factors associated with the development of MDR E coli bacteremia in cancer patients and the possibility of horizontal transmission. METHODS:We conducted a 1:2 case-control study of 58 patients w...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2009.02.002
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:There are no guidelines or quality benchmarks specific to ureteroscope reprocessing, and patient injuries and infections have been linked to ureteroscopes. This prospective study evaluated ureteroscope reprocessing effectiveness. METHODS:Reprocessing practices at 2 institutions were assessed. Microbial cult...
journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2017.03.016
更新日期:2017-08-01 00:00:00