Textile products and prevention of hospital acquired infections: Understanding the hospital perspective

Challenges and Potential Solutions for 100% Recycling of Medical Textiles

Medical textiles are all fiber-based products and structures which are utilized for emergency treatment, clinical, surgical and hygienic purposes. It is an exceptionally particular and bio viable specialized material, utilized for clinical and cleanliness applications. Volumes of clinical waste being created in excess of 60 million tons yearly around the world. According to the current investigation reports and information, the worldwide clinical waste administration market was esteemed at USD 11.77 billion in the year 2018 and will reach at 17.89 billion by the year 2026 at a compound annual growth rate (CAGR) of 5.3%. Over the world, out of the measure of waste created by medical care activities, about 85% is general waste and staying 15% is viewed as unsafe material that might be irresistible, poisonous or radioactive. The following particular reasons are very harmful for the environment in the upcoming future. The waste management policy of medical textile is a vital fact for the world. The potential and effectual solution is recycling of these medical wastes. Current solutions for 100% recycling of medical textiles are chemical treatment, incineration, and autoclaving. But the most innovative solution of medical textiles is molecular tagging/tagging of fibers. Medical textile market is producing state-of-the-art polymeric textile implantable devices that are redefining traditional materials and methods of surgery. Developing polymer innovation has yielded a wide scope of uses of implantable clinical material or biotextiles. Due to world Covid-19 pandemic situation, the requirement of medical textiles already has been increased almost double from last year. It has been observed that the market value of medical textiles will be in optimum position. In the year 2019, the global market worth of medical textiles was US$ 17.5 billion. In the present world, the current medical textiles like implantable and non-implantable categories are not applying for recycling process or end used of their life cycle. In this paper, we will discuss about potential solutions for recycling medical textiles like—by using conductive polymers, maintaining ε-Poly-lysine, non-fibrous biomass, bioactive fibers, etc. But there are still some challenges for recycling like—maintain 100% polymeric bonds, bacterial effect, flexibility and sustainability for clinical performance after recycling the specific product. In this paper, we are presenting the scientific methods, mechanisms, and procedures that used to overcome the aforementioned challenges in the recycling methods.

A simulation study to assess fluid leakage through the glove-gown interface in isolation settings

BACKGROUND

Isolation gowns are recommended to protect healthcare personnel, patients, and visitors from transfer of microorganisms and body fluids in patient isolation situations. Standards provide limited information about barrier performance of isolation gowns for possible exposure scenarios. One of the most vulnerable areas of the personal protective equipment ensemble is considered the glove-gown interface. However, current isolation gown classification standards do not consider the interface regions of the personal protective equipment system while assessing the level of protection. The purpose of this study was to quantitatively evaluate the fluid leakage through the glove-gown interface by simulating exposures and healthcare personnel arm movements in patient care for isolation settings.

METHODS

We tested fluid leakage of two examination gloves with different cuff lengths and seven isolation gown models designed with varying levels of barrier resistance and multiple cuff types.

RESULTS

Our results demonstrated that leakage through the glove-gown interface depends on multiple factors, including glove cuff length and gown cuff design. Gowns with the thumb loop design provided better protection than the elastic cuff design, and the elastic cuff design provided better protection compared to the knit cuff design for a given AAMI PB70 level. More importantly, a substantial penetration through gown fabrics was observed.

CONCLUSIONS

This research identifies a need to develop a standardized method to evaluate leakage at the glove-gown interface to improve worker protection.

Isolation gowns in health care settings: Laboratory studies, regulations and standards, and potential barriers of gown selection and use

Although they play an important role in infection prevention and control, textile materials and personal protective equipment (PPE) used in health care settings are known to be one of the sources of cross-infection. Gowns are recommended to prevent transmission of infectious diseases in certain settings; however, laboratory and field studies have produced mixed results of their efficacy. PPE used in health care is regulated as either class I (low risk) or class II (intermediate risk) devices in the United States. Many organizations have published guidelines for the use of PPE, including isolation gowns, in health care settings. In addition, the Association for the Advancement of Medical Instrumentation published a guidance document on the selection of gowns and a classification standard on liquid barrier performance for both surgical and isolation gowns. However, there is currently no existing standard specific to isolation gowns that considers not only the barrier resistance but also a wide array of end user desired attributes. As a result, infection preventionists and purchasing agents face several difficulties in the selection process, and end users have limited or no information on the levels of protection provided by isolation gowns. Lack of knowledge about the performance of protective clothing used in health care became more apparent during the 2014 Ebola epidemic. This article reviews laboratory studies, regulations, guidelines and standards pertaining to isolation gowns, characterization problems, and other potential barriers of isolation gown selection and use.