Outcome of Occupational Latex Allergy—Work Ability and Quality of Life

OBJECTIVE: The quality of life (QOL) and work ability of health care workers allergic to natural rubber latex (NRL) were assessed after implementation of regulations on powder-free NRL gloves in Germany. METHODS: 196 HCW with reported NRL allergy answered a questionnaire (response rate 58%) containing the Work Ability Index (WAI), Mini Asthma Quality of Life Questionnaire (MiniAQLQ), and Dermatology Life Quality Index (DLQI). RESULTS: 63.2% still had NRL-related symptoms during the last 6 month. However on a scale from 0 to 10, the intensity of NRL-related symptoms decreased from 8.5 before to 2.3 after implementation of regulations on powder-free NRL gloves. A higher number of subjects were able to avoid NRL in the private than in the work environment (85% vs. 61%). NRL-related symptoms decreased and WAI increased with successful avoidance of NRL at workplace (b = 0.23, p = 0.003). QOL was only little affected by NRL allergy (mean: MiniAQLQ = 6.0; DLQI = 4.1). CONCLUSIONS: Although there was improvement after implementation of powder-free NRL gloves, there is still a considerable number of HCW with NRL-related symptoms. Further investigations on latex avoidance and the cause of persisiting allergic symptoms in HCW with NRL allergy are therefore needed

Response of pregnant and lactating sows to reduced protein content in complete compound feed

The experimental material consisted of 42 sows divided into 3 feeding groups, each containing 14 sows fed complete compound feed varying in protein content. Protein and amino acid content of the feed fed to the control group was in compliance with Polish standards. Protein content in the experimental groups was reduced by 10% and 20%, respectively. At the same time, lysine, methionine, threonine and tryptophane content was supplemented to the level of the control group. All pregnant and lactating sows were fed individually. The condition of the sows was determined by measuring the thickness of backfat at the P2 position on days 30 and 105 of pregnancy and on day 25 of lactation. The data analyzed in the study included: the total number of piglets born, their body weight gain, milk composition, weaning-to-estrus interval and the farrowing rate. Protein content of the compound feed did not have a significant impact on the increment in backfat during pregnancy and losses during lactation. The sows fed compound feed with reduced protein content gave birth to 0.7 and 0.6 less piglets per litter than the control animals. However, due to lower losses, they bred 0.3 and 0.4 more piglets than the control sows. Average body weight of a piglet on day 21 was 0.5 kg lower in the experimental than in the control group. Dry matter, protein, fat and lactose content of the sow’s milk did not depend on protein content of the feed. The weaning-to-estrus interval in the experimental groups was one day longer than in the control group. The reproductive rate accounted for 86% and was comparable in all the groups

Exploring the factors associated with hand hygiene compliance of nurses during routine clinical practice

Background: Nurses and other health care providers (HCPs) continue to be noncompliant with the guidelines of proper hand hygiene practices. Purpose: The purpose of this study was to explore the factors associated with hand hygiene compliance among HCPs during routine clinical. Methods: An observational study was conducted at an oncology hospital to examine hand hygiene practices observed during 612 procedures that were performed by 67 HCPs. Results: Hand hygiene compliance was 41.7% (n = 255) before procedure and 72.1% (n = 441) after the procedure. The overall compliance was only 34.3% (n = 210). Compliance with the standards of hand hygiene was higher in high-risk procedures (odds ratio [OR] = 1.77; 95% confidence interval [CI], 1.18-2.65) and when HCPs were exposed to blood (OR = 1.40; 95% CI, 1.07-1.73). Conclusion: The findings highlight the need to continue to push compliance with hand hygiene using innovative approaches that go beyond teaching and in-service training. © 2010 Elsevier Inc. All rights reserved

Conversion to low-protein, powder-free surgical gloves: is it worth the cost?

This study was conducted to determine changes in overall costs associated with conversion to powder-free gloves including cost of workers\u27 compensation cases for natural rubber latex (NRL)-related symptoms and health care workers\u27 glove satisfaction. The study, a 2-year, longitudinal design with retrospective and prospective aspects, was developed to determine health care worker use of powder-free, low-protein NRL gloves, sensitization, cost, and glove satisfaction. Informed consent was obtained from 103 health care workers. Prior to glove conversion, nearly one-half (44%, 36 of 82) of the operating room staff reported symptoms related to NRL exposure. At the end of the 14-month data collection period, only 27% (22 of 82, McNemar test = .007) reported symptoms related to NRL exposure. Additionally, a cost savings of 10,000 dollars per year for gloves was evident with reports of increased user satisfaction. This study demonstrated that conversion to the use of powder-free, low-protein NRL gloves not only reduces health care worker NRL symptoms, but also positively affects the costs of glove purchases and workers\u27 compensation