Investigation of the barrier performance of disposable isolation gowns

• Published in: American Journal of Infection Control Vol. 51; no. 12; pp. 1401 - 1405
• Main Author: F Selcen, Kilinc-Balci
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01.12.2023; Elsevier BV
• Subjects: AAMI PB70; Barrier resistance; Disposable Equipment; Humans; Liquid penetration; Patient Isolation; Personal Protective Equipment; PPE; Protective Clothing; Strikethrough; Viral penetration; Liquid penetration; Viral penetration; AAMI PB70; PPE; Strikethrough; Barrier resistance
• ISSN: 0196-6553; 1527-3296; 1527-3296
• DOI: 10.1016/j.ajic.2023.09.003

Recent epidemics and pandemics highlighted the need for effective personal protective equipment, including isolation gowns. The most critical property of an isolation gown is its ability to keep liquids and viruses from passing through the gown. Liquid and viral barrier penetration can be measured using laboratory test methods. Association for the Advancement of Medical Instrumentation (AAMI) PB70 standard defines isolation gown barrier performance levels and requirements. In this study, 22 disposable isolation gown models from 6 manufacturers were tested for liquid and viral penetration resistance. Standard test methods were used to evaluate water and viral penetration. Test results were evaluated using AAMI PB70 barrier performance criteria for 4 protection levels. Seven of the 22 tested gown models did not pass liquid and viral penetration testing based on AAMI PB70 at the level claimed by the manufacturer. The majority of these failures occurred at the seam and/or tie attachment areas. The study findings underscore the need for improved processes surrounding activities such as premarket testing and postmarket evaluation of gowns according to standardized test methods by third-party laboratories. This study also supports the recent Food and Drug Administration guidance document that clarified the characteristics of isolation gowns considered to be class II and subject to Food and Drug Administration premarket review. Infection preventionists, hospital purchasers, and safety professionals should seek isolation gowns demonstrating conformance to industry standards from manufacturers. •Barrier resistance is the most critical property identified for isolation gowns.•This study investigates water and viral penetration of 22 isolation gown models.•Seven of the 22 tested gown models did not pass barrier resistance testing.•Isolation gowns on the market should be evaluated periodically.•Results emphasize the need for improved conformity assessment processes.