Amin A, Palenick C J, Burke F J
Department of Oral Biology, Indiana University School of Dentistry, USA.
J Indiana Dent Assoc. 1996 Spring;75(1):37-42; quiz 43.
Greater application of universal precautions has increased practitioner exposure to chemicals present in personal protective equipment. Of prime concern is the latex present in examination and surgical gloves. A survey concerning latex exposure, allergies, and handwashing was administered to three advanced classes of dental students and was sent to 300 private practitioners in Central Indiana. Results indicate that adverse skin reactions to latex start while in dental school. Problems due to latex gloves were reported by 18.6 percent of the students. Student handwashing materials and methods were adequate, except for inadequate washing time. Adverse skin reactions were reported by 24.1 percent of practitioners wearing latex gloves. Two handwashing problems were noted--inadequate washing time and the common use of water instead of an antimicrobial soap after glove removal. Both students and practitioners reported relatively high levels of personal and family histories of allergy to a variety of sources.
普遍预防措施的更多应用增加了从业者接触个人防护装备中所含化学物质的机会。最令人担忧的是检查手套和手术手套中含有的乳胶。针对印第安纳州中部的三个高年级牙科学生班级进行了一项关于乳胶接触、过敏和洗手情况的调查,并将问卷发送给了300名私人执业医生。结果表明,在牙科学校期间就开始出现对乳胶的皮肤不良反应。18.6%的学生报告了因乳胶手套导致的问题。除了洗手时间不足外,学生的洗手材料和方法是足够的。24.1%佩戴乳胶手套的从业者报告有皮肤不良反应。发现了两个洗手问题——洗手时间不足以及摘下手套后普遍用水而非抗菌肥皂洗手。学生和从业者都报告了对多种来源过敏的个人和家族病史的比例相对较高。