Attempts to control clothes-borne infection in a burn unit. I. Experimental investigations of some clothes for barrier nursing.
Clothes-borne transmission is an important way of spread of infection from patient to patient which is not interrupted by common cotton gowns. New barrier garments were designed from spun-bonded olefin that, in particle penetration tests, was 100 times better as a filter than cotton cloth. Three designs, a gown, a loose coverall and a close overall, were compared with each other and with conventional cotton gowns in experimental exercise and nursing procedures. Staphylococcus aureus from burned patients were used as markers. The close coverall was 4-7 times better than the loose coverall or gown in preventing the soiling of clothes worn underneath it, but appeared to permit substantially more transfer from garments underneath it to a mock 'patient' and to the air than did the looser garments. A cotton gown reduced the soiling of clothes underneath it by more than 10 times and the contamination of a mock patient by more than 30 times as compared with no barrier garment. The close coverall further diminished the contamination of clothes but not the transfer to the patient. The possible mechanisms for the discrepancy between particle transmission tests annd experimental porcedures are discussed.
D000336:Aerosols; D000475:Alkenes; D002056:Burns / Q000150:complications / Q000451:nursing*; D003020:Clothing / Q000592:standards*; D003428:Cross Infection / Q000517:prevention & control* / Q000635:transmission; D003368:Gossypium; D006801:Humans; D007362:Intensive Care Units; D010356:Patient Isolation; D013203:Staphylococcal Infections / Q000517:prevention & control / Q000635:transmission
D000336:Aerosols; D000475:Alkenes
J Hyg (Lond). 1976 Jun;76(3):367-78
778258
J Hyg (Lond). 1975 Dec;75(3):445-74
1059710
Lancet. 1974 Nov 9;2(7889):1131-3
4139421
Lancet. 1974 Nov 9;2(7889):1133-6
4139422
Lancet. 1965 Oct 2;2(7414):681-3
4158224
Lancet. 1969 Jan 25;1(7587):172-3
4178415
J Hyg (Lond). 1972 Jun;70(2):299-312
4503871
J Hyg (Lond). 1973 Dec;71(4):799-814
4520515
Am J Surg. 1973 May;125(5):589-91
4572973
J Hyg (Lond). 1963 Dec;61:385-91
14099017
J Hyg (Lond). 1963 Dec;61:507-13
14099028
Lancet. 1965 Feb 27;1(7383):480-3
14241900
Lancet. 1965 Sep 4;2(7410):458-61
14337824