Conversion to Low-Protein, Powder-Free Surgical Gloves: Is it Worth the Cost?

Korniewicz, Denise M.; Chookaew, Nantiya; El-Masri, Maher M; Mudd, Kim; Bollinger, Mary E.

doi:10.1177/216507990505300904

Cited by 14 publications

(8 citation statements)

References 25 publications

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“…These different strategies are efficient in patients and also in health care workers. Some studies showed the efficacy of latex‐free strategies on sensitization, symptoms and workplace relocation (37–39).…”

Section: Prevention By Complete Avoidance Of Latex In Pediatric Operamentioning

confidence: 99%

Latex allergy in children: modalities and prevention

Queiroz

Combet

Bérard

et al. 2009

Pediatric Anesthesia

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Allergic or immediate hypersensitivity reactions to latex have been reported in children with increasing frequency in the past. The reported prevalence varies greatly depending upon the population studied and the methods used to detect sensitization. Children's subpopulations at particular risk include: atopics, individuals with spina bifida, children undergoing surgical procedure during the neonatal period and individuals who required frequent surgical instrumentations. Latex allergy is also an important medical issue, particularly for healthcare personnel. Sensitization mainly occurs by wound or mucosal contact with latex devices during surgery or by inhalation of airborne allergens released from powdered latex gloves. Regarding diagnosis, the medical history, skin prick test and search for specific serum IgE are crucial but cost effective. The development of a guide listing latex-containing drugs is essential for the primary prevention of allergic reactions. Immunotherapy or specific premedication seems not effective in preventing the risk of anaphylaxis during the perioperative course. The most effective strategy to decrease the incidence of latex sensitization is complete avoidance. This strategy is efficient in patients and also in health care workers and has been applied since 2002 in our pediatric surgical hospital. One of major problem with the latex-free gloves was that surgeons find them considerably more difficult to work with. But today, manufacturers made considerable effort and free-latex gloves with an equal tactile sensation than the latex-gloves are now available. The extra cost of free latex gloves is well counterbalanced as allergen test, long stay hospital for allergic reaction, and worker's compensation are no longer needed. Since the introduction of this program in our institution, no allergic reaction to latex has been reported in 25000 anesthetized children or with the health care workers.

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Section: Prevention By Complete Avoidance Of Latex In Pediatric Operamentioning

confidence: 99%

Latex allergy in children: modalities and prevention

Queiroz

Combet

Bérard

et al. 2009

Pediatric Anesthesia

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show abstract

“…43,45 Since 1999, the substitution of powdered NRL gloves with nonpowdered NRL sterile gloves in the operating room has resulted in a marked decrease in the number of new cases of latex sensitization. 46 In 2005, Korniewicz et al showed that, although the initial cost of conversion may be high, it could help to reduce long-term healthcare costs. In fact, the resulting health expenditure was lower than the level of HCWs' compensation claims for latex-related disability.…”

Section: Preventive Measuresmentioning

confidence: 99%

<p>Latex Allergy: Current Status and Future Perspectives</p>

Nucera¹,

Aruanno²,

Rizzi³

et al. 2020

JAA

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Allergy to natural rubber latex (NRLA) from Hevea brasiliensis is a relevant public health issue, in particular in healthcare workers and groups at risk. Clinical manifestations of NRLA can range from mild skin disorders to life-threatening systemic reactions. Prevention measures remain the gold-standard treatment for patients suffering from NRLA, but the only etiological therapy able to influence the natural history of NRLA is specific desensitization. This review aims to underline the epidemiological, clinical and diagnostic aspects of NRLA, and carries out a complete and wide-ranging review of the current literature on NRLA management and immunotherapy.

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“…Twenty-five healthcare studies that reported on a range of programs were identified by Tompa et al (2009) and reviewed for this component of the study. The most common were ergonomic and other work-related musculoskeletal disorders (WMSD) prevention programs (Brophy, Achimore, & Moore-Dawson, 2001;Chhokar et al, 2005;Collins et al, 2004;Guthrie et al, 2004;Li, Wolf, & Evanoff, 2004;Ore, 2003), followed by disability management programs (Bernacki & Tsai, 2003;Koviack 2004) and occupational disease prevention programs (Korniewicz, Chookaew, El-Masri, Mudd, & Bollinger, 2005). Other studies included multi-faceted programs (P. M. Davis, Badii, & Yassi, 2004) and one that evaluated a program to reduce violence in the workplace (Martin, 1995).…”

Section: Literature Reviewmentioning

confidence: 99%

Stakeholders’ Perspectives About and Priorities for Economic Evaluation of Health and Safety Programs in Healthcare

Tompa

Boer

Macdonald

et al. 2016

Workplace Health Saf

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This study identified and prioritized resources and outcomes that should be considered in more comprehensive and scientifically rigorous health and safety economic evaluations according to healthcare sector stakeholders. A literature review and stakeholder interviews identified candidate resources and outcomes and then a Delphi panel ranked them. According to the panel, the top five resources were (a) health and safety staff time; (b) training workers; (c) program planning, promotion, and evaluation costs; (d) equipment purchases and upgrades; and (e) administration costs. The top five outcomes were (a) number of injuries, illnesses, and general sickness absences; (b) safety climate; (c) days lost due to injuries, illnesses, and general sickness absences; (d) job satisfaction and engagement; and (e) quality of care and patient safety. These findings emphasize stakeholders' stated priorities and are useful as a benchmark for assessing the quality of health and safety economic evaluations and the comprehensiveness of these findings.

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Conversion to Low-Protein, Powder-Free Surgical Gloves: Is it Worth the Cost?

Cited by 14 publications

References 25 publications

Latex allergy in children: modalities and prevention

Latex allergy in children: modalities and prevention

<p>Latex Allergy: Current Status and Future Perspectives</p>

Stakeholders’ Perspectives About and Priorities for Economic Evaluation of Health and Safety Programs in Healthcare

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