title: Comfort assessment of personal protection systems during total joint arthroplasty using a novel multi-dimensional evaluation tool.
abstract: BACKGROUND
  A number of studies have assessed the usefulness of surgical gowns and exhaust suits with regards to barrier function and protection afforded to healthcare workers from blood strike-through, splashes and aerosols.
  
  
  METHODS
  We have performed a comfort assessment comparison between the Charnley exhaust suit, disposable gown plus visor and the Stryker Steri-Shield system using a newly developed objective multidimensional ergonomic tool designed to measure wearable comfort across the dimensions of emotion, attachment, harm, perceived change, movement and anxiety.
  
  
  RESULTS
  The total mean Comfort Rating Scale value for a disposable gown plus visor was 16.1 with a mean dimensional score of 2.7 (range, 0.2-8.4), for the Charnley system the values were 51.4 and 8.6 (range, 5.9-12.8), respectively, and for the Stryker Steri-Shield 15.4 and 2.6 (range, 0.8-5.6).
  
  
  CONCLUSIONS
  The Steri-Shield system provides the least variation in comfort and, as such, may offer the best combination of comfort, protective qualities and form or style of personal protection equipment for lower limb arthroplasty operations.
authors.affiliation: The Centre for Hip Surgery, Wrightington Hospital, Wigan, UK. hammymalik@hotmail.com
authors.forename: M H A
authors.initials: MH
authors.lastname: Malik
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Handford
authors.forename: Elaine
authors.initials: E
authors.lastname: Staniford
authors.forename: A K
authors.initials: AK
authors.lastname: Gambhir
authors.forename: P R
authors.initials: PR
authors.lastname: Kay
mesh_terms: D001007:Anxiety / Q000209:etiology; D019643:Arthroplasty, Replacement; D001291:Attitude of Health Personnel; D003142:Communication; D004867:Equipment Design; D006801:Humans; D017757:Infectious Disease Transmission, Professional-to-Patient / Q000517:prevention & control*; D009068:Movement; D010549:Personal Satisfaction; D011446:Prospective Studies; D016459:Prosthesis-Related Infections / Q000517:prevention & control*; D011481:Protective Clothing