Infection control for health care workers caring for critically injured patients: a national survey

Barrier protection and latex allergy associated with surgical gloves

Latex continues to be the material of choice for surgical gloves because it is resealable and flexible, and it maintains the wearer's tactile sensitivity. The use of latex gloves for barrier protection may need to be reevaluated in light of the increasing number of individuals who are sensitive to latex. Hospital personnel can use low-allergen gloves or nonlatex gloves when caring for patients with known sensitivity to latex; however, only nonlatex gloves may be effectives at reducing or preventing anaphylactic reaction. Health care facilities must develop policies and procedures for dealing with latex-sensitive patients and health care workers.

Compliance with handwashing and barrier precautions

Compliance with handwashing and barrier precautions remains suboptimal in all health care settings and among all types of staff. Interventions to increase compliance include educational and motivational programmes, providing individual and group feedback on performance, modifying and improving equipment available, changing administrative policy and sanctions, and increasing staff commitment with role modelling. Single, isolated interventions are unlikely to meet with sustained success. A theory-based, multifaceted approach is indicated.