DeGroot-Kosolcharoen J, Jones J M
Research Service, Wm. S. Middleton Memorial Veterans Administration Hospital, Madison, WI 53705.
Am J Infect Control. 1989 Aug;17(4):196-201. doi: 10.1016/0196-6553(89)90128-4.
Two thousand four hundred medical gloves were evaluated for leakage. Types of gloves examined (number of brands) included sterile latex (seven) sterile vinyl (four), nonsterile latex (six), and nonsterile vinyl (seven). Sampling was done from one box of each brand. Fifty gloves from each box were filled with 300 ml of water (the standard test used by the American Society for Testing and Materials). An additional 25 cm pressure was applied to water-filled gloves. Another 50 gloves of each box were donned and dipped into a basin that contained heparinized human blood. Only four brands of sterile latex surgeon's gloves proved nonpermeable to water and blood. Other brands showed leakage that ranged from 1% to 52%. Analysis of proportions of pairs of gloves permeable to water or blood indicated a strong statistical association of nonsterile packaging or packaging in suction kits with increased leakage rates. These findings affirm that gloves can be regarded only as a means of reducing the risk of gross soilage from blood or body fluids. Quality control standards to ensure more uniform glove quality are needed.
对2400只医用手套进行了渗漏评估。所检查的手套类型(品牌数量)包括无菌乳胶手套(7个品牌)、无菌乙烯基手套(4个品牌)、非无菌乳胶手套(6个品牌)和非无菌乙烯基手套(7个品牌)。每个品牌从一盒中取样。每盒50只手套装入300毫升水(美国材料与试验协会使用的标准测试方法)。对装有水的手套再施加25厘米的压力。每盒另外50只手套戴上后浸入装有肝素化人血的盆中。只有4个品牌的无菌乳胶外科手套证明不透水和血。其他品牌的渗漏率在1%至52%之间。对透水或透血手套对比例的分析表明,非无菌包装或抽吸套件中的包装与渗漏率增加之间存在很强的统计学关联。这些发现证实,手套只能被视为降低血液或体液严重污染风险的一种手段。需要制定质量控制标准以确保手套质量更加均匀。