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Physicians' Perceptions About Increased Glove-Wearing in Response to Risk of HIV Infection

Published online by Cambridge University Press:  21 June 2016

Lawrence S. Linn*
Affiliation:
Department of Medicine, the Division of General Internal Medicine, the University of California, Los Angeles, California
Katherine L. Kahn
Affiliation:
Department of Medicine, the Division of General Internal Medicine, the University of California, Los Angeles, California
Barbara Leake
Affiliation:
Department of Medicine, the Division of General Internal Medicine, the University of California, Los Angeles, California
*
Division of General Internal Medicine, University of California, Los Angeles, CA 90024-1 685

Abstract

Glove-wearing attitudes of 375 physicians, representing 56% of all physicians surveyed, were ascertained. Although the majority were comfortable with their current glove use, 33% preferred wearing them more frequently. The most common reasons for not wearing gloves were a low likelihood of disease transmission and fear of offending patients. Many physicians felt that more frequent glove use in examining human immunodeficiency virus- (HIV)-positive patients might reduce rapport and diminish the adequacy of physical examination procedures, but only 11% felt that increased glove use would compromise overall care of HIVpositive patients. With regard to all patients, 33% felt that increased glove use in examinations would compromise care. Additionally, 56% of physicians stated that they were somewhat concerned about HIV infection. Glove-wearing preferences were significantly associated with greater concern about infection, a younger age and more frequent exposure to blood and body secretions. Contact with high-risk patient groups was not associated with glove-wearing preferences.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1990

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References

1. McCray, E, The Cooperative Needlestick Surveillance Group. Occupational risk of the acquired immunodeficiency syndrome among health care workers. New Engl J Med. 1986;314:11271132.10.1056/NEJM198604243141729CrossRefGoogle Scholar
2. Henderson, DK, Saah, AJ, Zak, BJ, et al. Risk of nosocomial infection with human t-cell lymphotropic virus type III/lymphadenopathy-associated virus in a large cohort of intensively exposed health care workers. Ann Intern Med. 1986;104:644647.10.7326/0003-4819-104-5-644CrossRefGoogle Scholar
3. Eickhoff, TC, the Health and Public Policy Committee (American College of Physicians), the Infectious Diseases Society of America. The acquired immunodeficiency syndrome (AIDS) and infection with the human immunodeficiency virus (HIV). Ann Intern Med. 1988;108:460469.Google Scholar
4. Gerberding, JL, Bryant-LeBlanc, CE, Nelson, K, et al. Risk of transmitting the human immunodeficiency virus, cytomegalovirus, and hepatitis B virus to health care workers exposed to patients with AIDS and AIDS-related conditions. J Infect Dis. 1987;156:18.10.1093/infdis/156.1.1CrossRefGoogle ScholarPubMed
5. Weiss, SH, Saxinger, WC, Rechtman, D, et al. HTLV-III infection among health care workers. JAMA, 1985;54:20892093.10.1001/jama.1985.03360150065025CrossRefGoogle Scholar
6. Centers for Disease Control. Update: human immunodeficiency virus infection in health-care workers exposed to blood of infected patients. MMWR. 1987;36:285289.Google Scholar
7. Brennan, TA, The acquired immunodeficiency syndrome (AIDS) as an occupational disease. Ann Intern Med. 1987;107:581583.10.7326/0003-4819-107-4-581CrossRefGoogle ScholarPubMed
8. Friedland, HH, Klein, RS. Transmission of the human immunodeficiency virus. N Engl J Med. 1987;317:11251135.10.1056/NEJM198710293171806CrossRefGoogle ScholarPubMed
9. Link, RN, Feingold, AR, Charap, MH, Freeman, K, Shelov, SP. Concerns of medical and pediatric house officers about acquiring AIDS from their patients. Amer J Public Health 1988;78:455459.10.2105/AJPH.78.4.455CrossRefGoogle ScholarPubMed
10. Wachter, RM. The impact of the acquired immunodeficiency syndrome on medical residency training. N Engl J Med. 1986:314:177180.10.1056/NEJM198601163140310CrossRefGoogle ScholarPubMed
11. Cooke, M, Sande, MA. The HIV epidemic and training in internal medicine. N Engl J Med. 1989;321:13341338.10.1056/NEJM198911093211911CrossRefGoogle Scholar
12. Centers for Disease Control. Recommendations for prevention of HIV transmission in health-care settings. MMWR. 1987;36 (suppl 2);3S18S.Google Scholar
13. Advisory Committee on Infections in Hospitals. Recommendations of the Advisory Committee on Infections in Hospitals: Management of HTLV-III/LAV Infections in the Hospital. Chicago, Il: American Hospital Association; 1986.Google Scholar
14. Gates, RC. Recommendations for prevention of HIV transmission in health-care settings. Public Health Ltr, 1987;9:4548.Google Scholar
15. American Hospital Association. AIDS/HIV infection policy: ensuring a safe hospital environment. Amer Hosp Assoc Report. 1987:120.Google Scholar
16. Centers for Disease Control. Update: universal precautions for prevention of transmission of human immunodeficiency virus. Hepatitis B virus. and other bloodborne pathogens in health care settings. MMWR. 1988;37:377388.Google Scholar
17. Edwards, AL. Techniques of Attitude Scale Construction. New York, NY: Appleton-Century-Crofts, Inc.; 1957.10.1037/14423-000CrossRefGoogle Scholar
18. Linn, LS, Yager, J, Leake, B. Psychiatrists' attitudes toward preventive intervention in routine clinical practice. Hosp Community Psychiatry. 1988;39:6:637642.Google ScholarPubMed
19. Wells, K, Lewis, CE, Leake, B, Ware, JE. Do doctors preach what they practice? A study of physicians' health habits and counseling. JAMA. 1984;252:28462848.10.1001/jama.1984.03350200032016CrossRefGoogle Scholar