Clothing means protective equipment used to protect medical personnel from contamination of blood, body fluids, and other infectious substances, or to protect employees from infection. Isolation clothing should open back, can cover all clothing and exposed skin. It is often used in the operation where blood and body fluids may be splashed, when in contact with patients with infectious diseases spread by contact and patients with multi-drug resistant bacteria; And for patients with extensive burns, bone marrow transplants and other protective isolation. Now the clinical use of isolation clothes for the cloth material, usually can not be worn once that is discarded.

1. When cleaning up the vomit of HIV-infected persons, medical staff may be at risk of being contaminated by the vomit of HIV-infected persons, so they need to wear gloves and isolation clothing.

2. Multiple drug-resistant bacteria such as methicillin-resistant staphylococcus aureus (MRSA), resistant to carbon penicillium alkene (CRE), and other Enterobacteriaceae bacteria transmitted mainly for contact transmission, so patients should be single multi-resistant bacteria isolation or same pathogens were central, close operations such as sputum suction, endotracheal intubation should wear protective goggles, could contaminate work clothes to wear protective clothing.

3. There is a low risk of blood and body fluid exposure in the morning care for patients with diabetes and HBV, so it is not necessary to wear isolation clothing.

At present, China has not promulgated national or industrial standards for disposable surgical gowns. What can be referred to is the Guiding Principles for Technical Examination for the Registration of Disposable Operating Gowns (No. 187 [2011] of Food and Drug Administration) issued by the State Food and Drug Administration. According to the guidelines, the disposable gown was divided into standard performance and high performance, high performance gown is applicable to patients with known infectious virus in the blood or emergency rescue unknown whether infectious virus in the blood during an operation, while the standard performance gown is applicable to patients with known surgery without infectious virus in the blood.

Source of exposure to the AIDS terminal patients, occupational exposure with high infectivity, surgery for patients with advanced AIDS, surgeons should take the corresponding protective measures, including wear-resistant infiltration function of gown or waterproof apron-wearing gloves, medical-surgical masks, goggles, wear protection, to avoid HIV occupational exposure.

Disposable surgical gowns can be an alternative to isolation gowns

A disposable operating gown made of non-woven fabric has good anti-penetration barrier function and bacteria-resistance performance to liquid and can form a reliable protective barrier. Although cotton isolation clothes can block a certain amount of microorganisms in the dry state, the blood or wet state of the pathogen will penetrate through the liquid isolation clothes, lose the ability to protect. From the comparison of protective ability, disposable surgical clothing is better than isolation clothing, so it can be used instead of isolation clothing.

Due to the high cost of the disposable surgical gowns and the environmental protection problems caused by their use as medical waste, it is not recommended to routinely use disposable surgical gowns instead of isolation gowns, and they can be used selectively according to different operations.