Isolation Gown Use, Performance and Potential Compliance Issues Identified by Infection Control Professionals

Cloud, Rinn M.; Favret, Uncas B.; Cunningham, Terrell; Daley, Jacqueline A.; Harris, Linda G.; Kilinc-Balci, F. Selcen; Lewis, Janet

doi:10.1016/j.ajic.2012.04.132

Cited by 9 publications

(7 citation statements)

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“…Although individual features of isolation gowns have been found to affect hospital staff and visitor compliance, whether a gown is reusable or disposable has been found to have little to no impact on compliance. 9 Sustainability is a significant factor to consider when selecting between reusable and disposable textile systems. Previous environmental studies have focused on surgical gowns and packs, with isolation gown systems being largely ignored.…”

mentioning

confidence: 99%

Environmental considerations in the selection of isolation gowns: A life cycle assessment of reusable and disposable alternatives

Vozzola¹,

Overcash²,

Griffing³

2018

American Journal of Infection Control

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mentioning

confidence: 99%

Environmental considerations in the selection of isolation gowns: A life cycle assessment of reusable and disposable alternatives

Vozzola¹,

Overcash²,

Griffing³

2018

American Journal of Infection Control

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Section: Critical Gown Properties Affecting Barrier Performancementioning

confidence: 99%

“…The area most vulnerable to strike-through (the extent of liquid penetration through the fabric) were found to be the cuff, forearm, thigh, chest, and abdomen [53]. A study examining those areas found that 70% to 80% of the gowns reported leakages [54]. Leakage often occurred in the gown/glove interface [50,[54][55].…”

Section: Gown Design and Interfacesmentioning

confidence: 99%

“…A study examining those areas found that 70% to 80% of the gowns reported leakages [54]. Leakage often occurred in the gown/glove interface [50,[54][55].…”

Section: Gown Design and Interfacesmentioning

confidence: 99%

“…One of the latest solutions to keep the gown wrist in place is thumb loops. Meyer and Beck [54] proposed a gown redesign that creates a dart at the terminal forearm, sealed by a liquid-proof method and then similarly sealing the proximal end of the glove to the sleeve. There are generally three types of neck closure used on the market for isolation gowns: Tie, tape tab, and hook and loop neck closures (see Figure 2).…”

Section: Gown Design and Interfacesmentioning

confidence: 99%

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A Review of Isolation Gowns in Healthcare: Fabric and Gown Properties

Kilinc

2015

Journal of Engineered Fibers and Fabrics

102

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The threat of emerging infectious diseases including Ebola hemorrhagic fever, pandemic influenza, avian influenza, Hepatitis B, Hepatitis C, and SARS has highlighted the need for effective personal protective equipment (PPE) to protect healthcare workers (HCWs), patients, and visitors. PPE is a critical component in the hierarchy of controls used to protect HCWs from infectious hazards. HCW PPE may include gowns, respirators, face masks, gloves, eye protection, face shields, and head and shoe coverings. Important research has been conducted in certain areas, such as respirators and protective masks, but studies in other areas, particularly gowns, are scarce. Gowns are identified as the second-most-used piece of PPE, following gloves, in the healthcare setting. According to the Centers for Disease Control and Prevention’s Guideline for Isolation Precautions, isolation gowns should be worn to protect HCWs’ arms and exposed body areas during procedures and patient-care activities when anticipating contact with clothing, blood, bodily fluids, secretions and excretions. Isolation gowns currently available on the marketplace offer varying resistance to blood and other bodily fluids depending on the type of the material, its impermeability, and wear and tear. While some studies show no benefit of the routine use of isolation gowns, others demonstrate that its use is associated with a reduced infection rate. This paper reviews isolation gowns in healthcare settings, including the fabrics used, gown design and interfaces, as well as critical parameters that affect microorganism and liquid transmission through fabrics.

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Isolation gowns in health care settings: Laboratory studies, regulations and standards, and potential barriers of gown selection and use

Balcı

2016

American Journal of Infection Control

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Although they play an important role in infection prevention and control, textile materials and personal protective equipment (PPE) used in health care settings are known to be one of the sources of cross-infection. Gowns are recommended to prevent transmission of infectious diseases in certain settings; however, laboratory and field studies have produced mixed results of their efficacy. PPE used in health care is regulated as either class I (low risk) or class II (intermediate risk) devices in the United States. Many organizations have published guidelines for the use of PPE, including isolation gowns, in health care settings. In addition, the Association for the Advancement of Medical Instrumentation published a guidance document on the selection of gowns and a classification standard on liquid barrier performance for both surgical and isolation gowns. However, there is currently no existing standard specific to isolation gowns that considers not only the barrier resistance but also a wide array of end user desired attributes. As a result, infection preventionists and purchasing agents face several difficulties in the selection process, and end users have limited or no information on the levels of protection provided by isolation gowns. Lack of knowledge about the performance of protective clothing used in health care became more apparent during the 2014 Ebola epidemic. This article reviews laboratory studies, regulations, guidelines and standards pertaining to isolation gowns, characterization problems, and other potential barriers of isolation gown selection and use.

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Isolation Gown Use, Performance and Potential Compliance Issues Identified by Infection Control Professionals

Cited by 9 publications

References 0 publications

Environmental considerations in the selection of isolation gowns: A life cycle assessment of reusable and disposable alternatives

Environmental considerations in the selection of isolation gowns: A life cycle assessment of reusable and disposable alternatives

A Review of Isolation Gowns in Healthcare: Fabric and Gown Properties

Isolation gowns in health care settings: Laboratory studies, regulations and standards, and potential barriers of gown selection and use

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