玉米淀粉粉末对医用手套的危害：寻求解决方案。

Dangers of cornstarch powder on medical gloves: seeking a solution.

作者信息

Edlich Richard F, Long William B, Gubler Dean K, Rodeheaver George T, Thacker John G, Borel Lise, Chase Margot E, Fisher Allyson L, Mason Shelley S, Lin Kant Y, Cox Mary J, Zura Robert D

机构信息

Departments of Plastic Surgery, University of Virginia Health System, Charlottesville, VA, USA.

出版信息

Ann Plast Surg. 2009 Jul;63(1):111-5. doi: 10.1097/SAP.0b013e3181ab43ae.

DOI:10.1097/SAP.0b013e3181ab43ae

PMID:19546685

Abstract

This article reviews information on the hazards of cornstarch powder on medical gloves. Dusting powders were first applied to latex gloves to facilitate donning. After 1980, manufacturers devised innovative techniques without dusting powder. It has been well documented that these powders on gloves present a health hazard to patients and health care workers by 5 different mechanisms. First, the glove cornstarch has documented detrimental effects on wound closure techniques. Second, this powder potentiates wound infection. Third, cornstarch induces peritoneal adhesion formation and granulomatous peritonitis. Finally, these powders serve as carriers as latex allergen and they precipitate a life-threatening allergic reaction in sensitized patients. These well-documented hazards of glove powder have caused the United Kingdom and Germany to ban cornstarch powder on medical gloves over 10 years ago.

摘要

本文综述了玉米淀粉粉末对医用手套危害的相关信息。撒粉最初用于乳胶手套以方便穿戴。1980年后，制造商发明了无撒粉的创新技术。有充分文献记载，手套上的这些粉末通过5种不同机制对患者和医护人员构成健康危害。首先，已证实手套玉米淀粉对伤口闭合技术有不利影响。其次，这种粉末会增强伤口感染。第三，玉米淀粉会导致腹膜粘连形成和肉芽肿性腹膜炎。最后，这些粉末作为乳胶过敏原的载体，会在致敏患者中引发危及生命的过敏反应。手套粉末这些有充分文献记载的危害已导致英国和德国在10多年前禁止在医用手套上使用玉米淀粉粉末。