Spicer M, Richardson M
La Trobe University, Bundoora, Victoria, Australia.
Int J Health Care Qual Assur Inc Leadersh Health Serv. 1998;11(6-7):204-10. doi: 10.1108/09526869810231578.
Two of the emerging issues for the health-care sector in the 1990s are occupational health and safety, and iatrogenic issues. Both of these issues are implicated in the use of pre-powdered latex gloves. Hospital health-care workers are exposed to latex in many ways: gloves, intravenous sets, ventilator circuits, dental products, resuscitation equipment, anaesthetic equipment. Post-operative complications, delayed wound healing, scar formation, and the potential for misdiagnosis, in the presence of starch powder, have been well documented in the literature with the need for through glove rinsing prior to surgery. Another route for glove powder to enter wounds is through a barrier breach. For an institution to ensure it provides the most durable and effective barrier for healthcare worker protection and patient safety, knowledge is needed regarding the various factors which lead to glove barrier failure. The primary aim of the study was to evaluate the in-use durability of the surgical gloves in current use against powder-free gloves. Descriptive statistics were used to analyse the data, in addition a cost analysis was calculated. The results of this study demonstrated clinically important differences between existing glove products in terms of barrier quality.
20世纪90年代医疗保健行业出现的两个新问题是职业健康与安全以及医源性问题。这两个问题都与预涂粉末乳胶手套的使用有关。医院医护人员会通过多种方式接触乳胶：手套、静脉输液装置、呼吸机回路、牙科产品、复苏设备、麻醉设备。文献中已充分记录了在有淀粉粉末存在的情况下术后并发症、伤口愈合延迟、疤痕形成以及误诊的可能性，因此手术前需要彻底冲洗手套。手套粉末进入伤口的另一条途径是通过屏障破损。为确保机构为医护人员保护和患者安全提供最持久有效的屏障，需要了解导致手套屏障失效的各种因素。该研究的主要目的是评估目前使用的手术手套与无粉手套相比在实际使用中的耐用性。使用描述性统计分析数据，此外还进行了成本分析。这项研究的结果表明，现有手套产品在屏障质量方面存在临床上的重要差异。
