Virus-inhibiting surgical glove to reduce the risk of infection by enveloped viruses

被引:22
作者
Bricout, F
Moraillon, A
Sonntag, P
Hoerner, P
Blackwelder, W
Plotkin, S
机构
[1] Hop Hotel Dieu, Cent Microbiol Lab, Paris, France
[2] Ecole Natl Vet, F-94704 Maisons Alfort, France
[3] Hutchinson Res Ctr, Montargis, France
[4] Univ Penn, Doylestown, PA USA
关键词
gloves; surgical infection; hepatitis B; blood-borne viruses; HIV;
D O I
10.1002/jmv.10342
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Needle puncture and other accidents that occur during surgery and other procedures may lead to viral infections of medical personnel, notably by hepatitis C (HCV) and human immunodeficiency virus (HIV), now that hepatitis B can be prevented by vaccination. A new surgical glove called G-VIR, which contains a disinfecting agent for enveloped viruses, has been developed. Herpes simplex type 1 (HSV) was used as a standard enveloped virus in both in vitro and in vivo tests of the virucidal capacity of the glove. Bovine viral diarrhea virus (BVDV) and feline immunodeficiency virus (FIV) were used as models for HCV and HIV, respectively. For in vitro study, a contaminated needle was passed through a glove and residual virus was titrated; for in vivo studies, animals were stuck with a contaminated needle through a glove. Despite variation in virus enumeration inherent in the puncture technique, statistical evaluation showed that infection was reproducibly and substantially reduced by passage through the virucidal layer. For BVDV, the amount of virus passing through the virucidal glove was reduced in 82% of pairwise comparisons with control gloves that lacked the virucidal agent; when plaque counts were adjusted to a common dilution, the median count for the virucidal glove was on the average reduced >10-fold. In experiments in which the proportion of wells infected with FIV was measured, the ratio of TCID50 values (control glove to G-VIR) was >15, and probably much higher. For HSV, the amount of virus passing through the virucidal glove was reduced in 81% of comparisons with control gloves; the median of adjusted plaque counts was reduced on the average approximately eightfold or ninefold. In vivo tests with FIV and HSV in cats and mice, respectively, found smaller percentage reductions in infection than the in vitro tests but confirmed the virucidal effect of the gloves.
引用
收藏
页码:538 / 545
页数:8
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