Protection Provided by Clothing and Textiles Against Potential Hazards in the Operating Theatre

• Autorzy: Laing R. M.
• Języki publikacji: EN

Abstrakty

EN

The typical hospital and operating theatre present multiple potential hazards to both workers and patients, and protection against some of these is provided through use of various forms of clothing and textiles. While many standards exist for determining the performance of fabrics, most tests are conducted under laboratory conditions and against a single hazard. This paper provides an overview of selected developments in the principal properties of fabrics and garments for use in these workplaces, identifies the key standards, and suggests topics for further investigation.

Słowa kluczowe

EN

protective clothing; healthcare workers; micro-organisms

• Wydawca: Taylor & Francis
• Czasopismo: International Journal of Occupational Safety and Ergonomics
• Rocznik: 2008
• Tom: Vol. 14, No. 1
• Strony: 107--115
• Opis fizyczny: Bibliogr. 63 poz.

Twórcy

autor

Laing R. M.

• Clothing and Textile Sciences, University of Otago, Dunedin, New Zealand

Bibliografia

• 1.International Organization for Standardization (ISO). Protective clothing—vocabulary (Standard No. ISO/TR 11610: 2004). Geneva, Switzerland: ISO; 2004.
• 2.European Committee for Standardization (CEN). Protective gloves against chemicals and micro-organisms—terminology and performance requirements (Standard No. EN 374-1:2003). Brussels, Belgium: CEN; 2003.
• 3.Hao X, Zhang J, Guo Y. Study of new protective clothing against SARS using semi-permeable PTFE/PU membrane. European Polymer Journal. 2004;40(4):673–8.
• 4.Militky J, Havrdova M. Porosity and air permeability of composite clean room textiles. International Journal of Clothing Science and Technology. 2001;13(3/4):280–8.
• 5.Mao N, Russell SJ. Directional permeability in homogeneous nonwoven structures. Part 1—the relationship between directional permeability and fibre orientation. J Text Instit. 2000;91(Pt 1)(2):235–43.
• 6.Robertson AF. Air porosity of open-weave fabrics. Part I: metallic meshes, part II: textile fabrics. Text Res J. 1950;838–57.
• 7.Leonas KK, Jinkins RS. The relationship of selected fabric characteristics and the barrier effectiveness of surgical gown fabrics. Am J Infect Control. 1997;25(1):16–23.
• 8.Barnes CR, McCord MG, Tucker PA, Barker RL, Shalev I, Zingelmann JL. Bloodborne hazard protective apparel with reasonable comfort. In: Stull JO, Schwope AD, editors. Performance of protective clothing (ASTM STP 1273). West Conshohocken, PA, USA: American Society for Testing and Materials (ASTM); 1997. p. 176–89.
• 9.Willeke K, Qian Y, Donnelly J, Grinshpun S, Ulevicius V. Penetration of airborne microorganisms through a surgical mask and a dust/mist respirator. Am Ind Hyg Assoc J. 1996;57(4):348–55.
• 10.Osman MO, Jensen SL. Surgical gloves: current problems. World J Surg. 1999;23(7):630–37.
• 11.Perkins JL, Pool B. Batch lot variability in permeation through nitrile gloves. Am Ind Hyg Assoc J. 1997;58(7):474–9.
• 12.Kotilainen HR, Avato JL, Gantz NM. Latex and vinyl nonsterile examination gloves. Status report on laboratory evaluation of defects by physical and biological methods. Appl Environ Microbiol. 1990;56(6):1627–30.
• 13.Jamal A, Wilkinson S. The mechanical and microbiological integrity of surgical gloves. ANZ J Surg. 2003;73(3):140–3.
• 14.Lee HJ, Jeong SH. Bacteriostasis and skin innoxiousness of nanosize silver colloids on textile fabrics. Text Res J. 2005;75(7):551–6.
• 15.Yen M-S, Chen J-C, Hong C-C. Pore structures and antibacterial properties of cotton fabrics treated with DMDHEUAA by plasma processes. Text Res J. 2006;76(3):208–15.
• 16.Blowers R, McCluskey M. Origins of operating room dress for surgeons. Lancet. 1965;2(7414):681–3.
• 17.Clark RP, Mullan BJ. Clothing for use in clean-air environments. J Hyg (Lond). 1976;77(2):267–9.
• 18.Ukpabi PO, Obendorf SK. Polyurethane membranes for surgical gown applications. In: Nelson CN, Henry NW, editors. Performance of protective clothing: issues and priorities for the 21st century (ASTM STP 1386). West Conshohocken, PA, USA: American Society for Testing and Materials (ASTM); 2000. p. 190–9.
• 19.Mitchell NJ, Evans DS, Kerr A. Reduction of skin bacteria in theatre air with comfortable non-woven disposable clothing for operation-theatre staff. Br Med J. 1978;1(6114):696–8.
• 20.Dodds RDA, Guy PJ, Peacock AM, Duffy SR, Barker SG. Surgical glove perforation. Br J Surg. 1988;75(10):966–8.
• 21.Dalgleish AG, Malkovsky M. Surgical gloves as a mechanical barrier against human immunodeficiency viruses. Br J Surg. 1988;75(2):171–2.
• 22.Korniewicz DM, Garzon L, Seltzer J, Feinleib M. Failure rates in nonlatex surgical gloves. Am J Infect Control. 2004; 32(5):268–73.
• 23.Korniewicz DM, Laughon BE, Cyr WH, Lyttle CD, Larsen E. Leakage of virus through used vinyl and latex examination gloves. J Clin Microbiol. 1990;28(4):787–8.
• 24.Braymen DT, Songer JR, Sullivan JC. Effectiveness of footwear decontamination methods for preventing the spread of infectious agents. Lab Animal Sci. 1974;24(6):888–94.
• 25.Gibson P, Rivin D, Kendrick C, Schreuder-Gibson H. Humidity-dependent air permeability of textile materials. Text Res J. 1999;69(5):311–7.
• 26.Belkacemi K, Broadbent AD. Air flow through textiles at high differential pressures. Text Res J. 1999;69(1):52–8.
• 27.Heal JS, Blom AW, Titcomb D, Taylor A, Bowker K, Hardy JR. Bacterial contamination of surgical gloves by water droplets split after scrubbing. J Hosp Infect. 2003;53(2):136–9.
• 28.Douglas A, Simon TR, Goddard M. Barrier durability of latex and vinyl medical gloves in clinical settings. Am Ind Hyg Assoc J. 1997;58(9):672–6.
• 29.Lars P, Naver S, Goltrup F. Incidence of glove perforations in gastrointestinal surgery and the protective effect of double gloves: a prospective, randomised controlled study. Eur J Surg. 2000;166(4):293–5.
• 30.Laine T, Aarnio P. Glove perforation in orthopaedic and trauma surgery—a comparison between single, double indicator gloving and double gloving with two regular gloves. J Bone Joint Surg Br. 2004;86B(6):898–900.
• 31.Belkin NL. Masks, barriers, laundering, and gloving: where is the evidence. AORN J. 2006;84(4):655–64.
• 32.McCullough EA, Schoenberger LK. A comparison of methods for measuring the liquid barrier properties of surgical gowns. In: McBriarty JP, Henry NW, editors. Performance of protective clothing (ASTM STP 1133). Philadelphia, PA, USA: American Society for Testing and Materials (ASTM), 1992. p. 83–98.
• 33.International Organization for Standardization (ISO). Clothing for protection against contact with blood and body fluids—determination of resistance of protective clothing materials to penetration by bloodborne pathogens—test method using Phi-X174 bacteriophage (Standard No. ISO 16604:2004). Geneva, Switzerland: ISO; 2004.
• 34.International Organization for Standardization (ISO). Clothing for protection against contact with blood and body fluids—determination of the resistance of protective clothing materials to penetration by blood and body fluids—test method using synthetic blood (Standard No. ISO 16603:2004). Geneva, Switzerland: ISO; 2004.
• 35.International Organization for Standardization (ISO). Protective clothing—general requirements (Standard No. ISO 13688:1998). Geneva, Switzerland: ISO; 1998.
• 36.American Society for Testing and Materials (ASTM). Standard test method for resistance of materials used in protective clothing for penetration by synthetic blood using a mechanical pressure technique (Standard No. ASTM F1819-07). West Conshohocken, PA, USA: ASTM; 2007.
• 37.American Society for Testing and Materials (ASTM). Standard test method for resistance of materials used in protective clothing to penetration by blood-borne pathogens using Phi-X174 bacteriophage penetration as a test system [program] (Standard No. ASTM F1671-07). West Conshohocken, PA, USA: ASTM; 2007.
• 38.American Society for Testing and Materials (ASTM). (Standard No. ASTM F1670-07 Standard test method for resistance of materials used in protective clothing to penetration by synthetic blood. West Conshohocken, PA, USA: ASTM; 2007.
• 39.American Society for Testing and Materials (ASTM). Standard test method for resistance of materials used in protective clothing for penetration by liquids (Standard No. ASTM F903-03:2004). West Conshohocken, PA, USA: ASTM; 2004.
• 40.American Society for Testing and Materials (ASTM). Standard test method for sizing and counting particulate contaminant in and on clean room garments (Standard No. ASTM F51-00:2002e1). West Conshohocken, PA, USA: ASTM; 2002.
• 41.European Committee for Standardization (CEN). Guidelines on the selection, use, care and maintenance of protective clothing (Standard No. CEN TR 15321:2006). Brussels, Belgium: CEN; 2006.
• 42.European Committee for Standardization (CEN). Protective clothing—general requirements (Standard No. EN 340:2004). Brussels, Belgium: CEN; 2004.
• 43.European Committee for Standardization (CEN). Protective clothing—performance requirements and test methods for protective clothing against infective agents (Standard No. EN 14126:2003). Brussels, Belgium: CEN; 2003.
• 44.International Organization for Standardization (ISO). Clothing for protection against infectious agents—medical face masks—test method for resistance against penetration by synthetic blood (fixed volume, horizontally projected) (Standard No. ISO 22609:2004). Geneva, Switzerland: ISO; 2004.
• 45.American Society for Testing and Materials (ASTM). Standard specification for performance of materials used in medical face masks (Standard No. ASTM F2100-07). West Conshohocken, PA, USA: ASTM; 2007.
• 46.American Society for Testing and Materials (ASTM). Standard test method for evaluating the bacterial filtration efficiency (BFE) of medical face mask materials, using a biological aerosol of Staphylococcus aureus (Standard No. ASTM F2101-07). West Conshohocken, PA, USA: ASTM; 2007.
• 47.American Society for Testing and Materials (ASTM). Standard test method for resistance of medical face masks to penetration by synthetic blood (horizontal projection of fixed volume at a known velocity) (Standard No. ASTM F1862-07). West Conshohocken, PA, USA: ASTM; 2007.
• 48.American Society for Testing and Materials (ASTM). Standard test method for determining the initial efficiency of materials used in medical face masks to penetration by particulates using latex spheres (Standard No. ASTM F2299-03). West Conshohocken, PA, USA: ASTM; 2003.
• 49.European Committee for Standardization (CEN). Surgical masks—requirements and test methods (Standard No. EN 14683:2005). Brussels, Belgium: CEN; 2005.
• 50.International Organization for Standardization (ISO). Surgical drapes, gowns and clean air suits, used as medical devices, for patients, clinical staff and equipment—test method to determine the resistance to wet bacterial penetration (Standard No. ISO 22610:2006). Geneva, Switzerland: ISO; 2006.
• 51.International Organization for Standardization (ISO). Laser and laser-related equipment—test method and classification for the laser resistance of surgical drapes and/or patient protective covers—part 1—primary ignition and penetration (Standard No. ISO 11810-1:2005). Geneva, Switzerland: ISO; 2005.
• 52.American Society for Testing and Materials (ASTM). Standard specification for surgical gowns intended for use in healthcare facilities (Standard No. ASTM F2407-06). West Conshohocken, PA, USA: ASTM; 2006.
• 53.European Committee for Standardization (CEN). Surgical drapes, gowns and clean air suits used as medical devices, for patients, clinical staff and equipment—part 1—general requirements for manufacturers, processors and products (Standard No. EN 13795-1:2005). Brussels, Belgium: CEN; 2002.
• 54.European Committee for Standardization (CEN). Surgical drapes, gowns and clean air suits, used as medical devices for patients, clinical staff and equipment—part 2—test methods (Standard No. EN 13795-2:2005). Brussels, Belgium: CEN; 2005.
• 55.European Committee for Standardization (CEN). Surgical drapes, gowns and clean air suits, used as medical devices for patients, clinical staff and equipment—part 3—performance requirements and performance levels (Standard No. EN 13795-3: 2006). Brussels, Belgium: CEN; 2006.
• 56.International Organization for Standardization (ISO). Single-use sterile rubber surgical gloves—specification (Standard No. ISO 10282:2002). Geneva, Switzerland: ISO; 2002.
• 57.International Organization for Standardization (ISO). Single-use sterile rubber surgical gloves—specification—technical corrigendum 1 (Standard No. ISO 10282: 2002/Cor1:2005). Geneva, Switzerland: ISO; 2005.
• 58.International Organization for Standardization (ISO). (Standard No. ISO 11193-1:2002 Single-use medical examination gloves—part 1—specification for gloves made from rubber latex or rubber solution. Geneva, Switzerland: ISO; 2002.
• 59.International Organization for Standardization (ISO). Single-use medical examination gloves—part 1—specification for gloves made from rubber latex or rubber solution. Technical corrigendum 1 (Standard No. ISO 11193-1:2002/Cor1:2005). Geneva, Switzerland: ISO; 2005.
• 60.American Society for Testing and Materials (ASTM). Standard specification for rubber surgical gloves (Standard No. ASTM D3577-06). West Conshohocken, PA, USA: ASTM; 2006.
• 61.American Society for Testing and Materials (ASTM). Standard specification for rubber examination gloves (Standard No. ASTM D3578-05). West Conshohocken, PA, USA: ASTM; 2005.
• 62.European Committee for Standardization (CEN). Protective gloves against chemicals and micro-organisms—determination of resistance to penetration (Standard No. EN 374-2: 2003). Brussels, Belgium: CEN; 2003.
• 63.European Committee for Standardization (CEN). Protective gloves—general requirements and test methods (Standard No. EN 420: 2003). Brussels, Belgium: CEN; 2003.