{"indexed":{"date-parts":[[2017,10,27]],"date-time":"2017-10-27T05:12:37Z","timestamp":1509081157208},"reference-count":22,"publisher":"Cambridge University Press (CUP)","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"published-print":{"date-parts":[[2015,2]]},"abstract":"\n BACKGROUND<\/jats:title>\n High-level disinfectants (HLDs) are used throughout the healthcare industry to chemically disinfect reusable, semicritical medical and dental devices to control and prevent healthcare-associated infections among patient populations. Workers who use HLDs are at risk of exposure to these chemicals, some of which are respiratory and skin irritants and sensitizers.<\/jats:p>\n <\/jats:sec>\n \n OBJECTIVE<\/jats:title>\n To evaluate exposure controls used and to better understand impediments to healthcare workers using personal protective equipment while handling HLDs.<\/jats:p>\n <\/jats:sec>\n \n DESIGN<\/jats:title>\n Web-based survey.<\/jats:p>\n <\/jats:sec>\n \n PARTICIPANTS<\/jats:title>\n A targeted sample of members of professional practice organizations representing nurses, technologists\/technicians, dental professionals, respiratory therapists, and others who reported handling HLDs in the previous 7 calendar days. Participating organizations invited either all or a random sample of members via email, which included a hyperlink to the survey.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n Descriptive analyses were conducted including simple frequencies and prevalences.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n A total of 4,657 respondents completed the survey. The HLDs used most often were glutaraldehyde (59%), peracetic acid (16%), and ortho-phthalaldehyde (15%). Examples of work practices or events that could increase exposure risk included failure to wear water-resistant gowns (44%); absence of standard procedures for minimizing exposure (19%); lack of safe handling training (17%); failure to wear protective gloves (9%); and a spill\/leak of HLD during handling (5%). Among all respondents, 12% reported skin contact with HLDs, and 33% of these respondents reported that they did not always wear gloves.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION<\/jats:title>\n Findings indicated that precautionary practices were not always used, underscoring the importance of improved employer and worker training and education regarding HLD hazards.<\/jats:p>\n Infect Control Hosp Epidemiol 2014;00(0): 1\u20136<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/ice.2014.37","type":"article-journal","created":{"date-parts":[[2014,12,22]],"date-time":"2014-12-22T08:46:00Z","timestamp":1419237960000},"page":"180-185","source":"Crossref","is-referenced-by-count":1,"title":"Precautionary Practices of Healthcare Workers Who Disinfect Medical and Dental Devices Using High-Level Disinfectants","prefix":"10.1017","volume":"36","author":[{"given":"Scott A.","family":"Henn","affiliation":[]},{"given":"James M.","family":"Boiano","affiliation":[]},{"given":"Andrea L.","family":"Steege","affiliation":[]}],"member":"56","published-online":{"date-parts":[[2014,12,18]]},"reference":[{"key":"S0899823X14000373_ref19","DOI":"10.1016\/S0001-2092(06)62953-0","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref20","DOI":"10.1055\/s-2001-17330","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref16","year":"2013","volume-title":"SAS\/STAT User's Guide, Version 9"},{"key":"S0899823X14000373_ref15","DOI":"10.1002\/ajim.22305","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref9","DOI":"10.1378\/chest.126.4.1048","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref14","year":"2006","volume-title":"Best practices for the safe use of glutarladehyde in health care"},{"key":"S0899823X14000373_ref8","DOI":"10.1136\/thx.50.2.156","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref7","DOI":"10.1034\/j.1398-9995.1999.00239.x","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref12","DOI":"10.2486\/indhealth.45.289","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref6","DOI":"10.1111\/j.1600-0536.1983.tb04639.x","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref11","DOI":"10.1539\/joh.49.155","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref5","volume":"14","first-page":"319","year":"1986","journal-title":"Contact dermatitis"},{"key":"S0899823X14000373_ref10","DOI":"10.1539\/joh.48.413","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref4","DOI":"10.1002\/ajim.10172","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref3","DOI":"10.1111\/j.1600-0536.1988.tb02801.x","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref2","DOI":"10.1097\/00043764-198910000-00012","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref25","volume":"15","first-page":"89","year":"2006","journal-title":"J Gastrointestin Liver Dis"},{"key":"S0899823X14000373_ref24","volume":"48","first-page":"169","year":"2006","journal-title":"J Occup Health"},{"key":"S0899823X14000373_ref23","DOI":"10.1016\/j.jhin.2004.07.003","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref22","DOI":"10.2307\/30145195","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref21","DOI":"10.1053\/ge.1999.v50.99615","doi-asserted-by":"publisher"},{"key":"S0899823X14000373_ref18","DOI":"10.1093\/annhyg\/41.6.691","doi-asserted-by":"publisher"}],"container-title":"Infection Control & Hospital Epidemiology","original-title":[],"link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X14000373","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,4,22]],"date-time":"2017-04-22T18:36:09Z","timestamp":1492886169000},"score":1.0,"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,18]]},"references-count":22,"alternative-id":["S0899823X14000373"],"URL":"http:\/\/dx.doi.org\/10.1017\/ice.2014.37","relation":{"cites":[]},"ISSN":["0899-823X","1559-6834"],"subject":["Microbiology (medical)","Epidemiology","Infectious Diseases"],"container-title-short":"Infect. 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