Surgical antisepsis practices and use of surgical gloves as a potential risk factors to intraoperative contamination

Oliveira, Adriana Cristina de; Gama, Camila Sarmento

doi:10.5935/1414-8145.20160051

Cited by 8 publications

(15 citation statements)

References 15 publications

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“…Furthermore, this solution is widely effective against gram-positive and gram-negative bacteria, presenting bactericide and bacteriostatic action and also acting on some viruses, including HIV (18) . The addition of chlorhexidine to alcohol solution may result in residual activity and the microbial action of alcohol leads to the denaturation of proteins, impairing cellular functions (19) . A study conducted in a ICU points that professionals from the multidisciplinary team consider these as essential materials in the prevention of health care-related diseases and that factors such as lack of, waste and improvisation of materials contribute to non-compliance (20) .…”

Section: Discussionmentioning

confidence: 99%

Knowledge and behavior of professionals about bundled strategies of central venous catheter

et al. 2019

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Objective: To investigate the factors that influence the knowledge and behavior of professionals of neonatal and pediatric units about bundled strategies of insertion of central venous catheter. Method: This is a cross-sectional study, conducted in one neonatal and one pediatric intensive care units in a public hospital in Belo Horizonte, Brazil, from April to July, 2016. The sample consisted of 255 professionals who answered a structured instrument. Descriptive and comparative analyses were made using the SPSS software. Results: The category nursing professional (p = 0.010), working hours of 12×36 scale (p < 0.001), training as a form of acquiring knowledge (p < 0.001) and participation in training programs (p < 0.001) are associated to greater knowledge about the bundle. Regarding behavior, no significant associations were observed. Conclusion: The study showed that there are factors that influence the knowledge about bundled strategies of insertion of central venous catheter, reflecting the need to consider these practices for making more effective educational practices in health care.

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Section: Discussionmentioning

confidence: 99%

Knowledge and behavior of professionals about bundled strategies of central venous catheter

et al. 2019

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“…При этом в структуре ранних ревизий, особенно в течение первого года после замены сустава, инфекции занимают абсолютно лидирующее положение [4]. В свою очередь одним из факторов риска контаминации операционной раны патогенными микроорганизмами с последующим развитием перипротезной инфекции может рассматриваться повреждение хирургических перчаток [5]. В то же время хирургические перчатки, помимо средства соблюдения асептики и антисептики, служат защитным биологическим барьером между руками членов хирургической бригады и пациентом, и способствуют снижению риска передачи гемоконтактных инфекций, таких как ВИЧ, вирусные гепатиты и т. д.…”

Section: обоснованиеunclassified

Glove damage in total hip arthroplasty

Boyarov

Александрович²,

Тихилов

et al. 2019

Pediatr Traum Orthop Reconstr Surg

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Background. Glove damage during orthopedic operation can reach an incidence of 26.1%, whereas perforations in gloves go unnoticed by surgical team members in most cases (up to 82%), which certainly increases the risk of wound contamination and hemocontact infection transmission. Aim. The aim of this study was to assess the frequency of glove damage among hip arthroplasty surgical team members, to identify the nature, location, and risk factors of damage to surgical gloves. Materials and methods. A total of 1418 surgical gloves (709 pairs) that were used by surgeons, assistants, and surgical nurses during 154 primary and revision total hip arthroplasty (THA) were included in the analysis in this study. Results. Damage to surgical gloves was observed in 69 (44.8%) operations: 54 operations of the primary THA (42.2%) and 15 revision THA (57.7%). Of 1418 gloves used, 95 were damaged (6.7%); 68 of 1166 gloves (5.8%) were damaged during primary hip arthroplasty and 27 of 252 gloves (10.7%) were damaged during revision THA. During primary and revision arthroplasties, glove perforations were observed in most cases: 83.6% and 85.7%, respectively. Most of the cases of glove damage were found in surgeons (45.2% of cases), and 41.1% and 13.7% of the cases of glove damage were experience by assistants and operating room nurses, respectively. The most frequent location of damage in the gloves was on the second finger of both hands: on the left, 40.3%, and on the right, 33.3%. Gloves were damaged in 42.1% of cases in primary arthroplasties lasting up to 70 min and in 42.3% of cases in those lasting more than 70 min. In revision hip arthroplasties lasting up to 95 min, gloves were damaged in 38.5%, and in revisions that lasted more than 95 min, in 76.9% cases. Discussion. Glove damage during revision THA most often occurs to the surgeon suturing the wound (87.4%) and usually remains unnoticed. Risk factors for glove damage are the length of the operations and the use of sharp tools, knitting needles, and wire. Conclusion. Use of apodactyl operational techniques and periodic change of surgical gloves can reduce the risk of damage to gloves and, as a result, reduce wound contamination and the transmission of blood-borne infections.

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“…However, surgical site infections (SSIs) remain a frequent complication in patients undergoing surgeries and reportedly accounts for complications in 0.8 % to 18.1 % of small animal surgical procedures (Walker et al, 2012;Andrade et al, 2016). Although the causes of SSI are reported to be complex and multi-factorial, the surgical team has a key role in the prevention of factors associated with the occurrence of SSI during the pre-and intra-operative periods (De Oliveira et al, 2016). Surgical hand antisepsis and the use of sterile surgical gloves are well known practices that contribute to the reduction/elimination of microorganisms that may cause SSI and therefore strongly recommended by organizations such as the World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC) (De Oliveira et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…Although the causes of SSI are reported to be complex and multi-factorial, the surgical team has a key role in the prevention of factors associated with the occurrence of SSI during the pre-and intra-operative periods (De Oliveira et al, 2016). Surgical hand antisepsis and the use of sterile surgical gloves are well known practices that contribute to the reduction/elimination of microorganisms that may cause SSI and therefore strongly recommended by organizations such as the World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC) (De Oliveira et al, 2016). The effectiveness of these practices is however dependent on the antiseptic agent use with their application method, and duration of surgical procedures.…”

Section: Introductionmentioning

confidence: 99%

Contamination of Gloved Hands by Multidrug Resistant Bacteria ‎During Small Animal Surgery Wet-labs and its Potential Implication for ‎Occurrence of Surgical Site Infections

Muhammad

Mamman

Abdurrahman

et al. 2020

SJVS

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This study was carried out to evaluate the level of asepsis at various stages of the surgical procedures during the undergraduate students’ wet-lab sessions. Skin and/or wound swabs were collected from different wet lab groups, sessions and stages. The swabs were processed for bacteriological isolation using standard microbiological procedures. A total of 62 isolates of bacteria belonging to 8 genera: Staphylococcus (n=38), Streptococcus (n=1), Corynebacterium n=4), Escherichia (n=7), Proteus (n=8), Klebsiella (n=2), Serratia (n=1) and Acinetobacter (1), were isolated. The most commonly isolated species of bacteria were Staphylococcus equorum (n=31) and Proteus spp. (n=7), which were detected in swabs from ungloved and gloved hands of surgeon and his assistant, patient’s surgical sites and surgical site infections. All the isolates (Gram-positive and negative) were resistant to at least one antibiotic with resistance to the β-lactam antibiotics: ampicillin (89.3% and 100% and amoxicillin (75% and 100%) most observed. The bacteria were more susceptible to doxycycline (75%) and imipenem (87.5%) respectively. Majority of the isolates (83.3%, n=30) were multidrug resistant, presenting in one of 24 different multidrug resistance patterns. The detection of these bacteria from the normally aseptic surgical procedure indicates a break in asepsis. Similarly, the danger of spreading multidrug resistant bacteria to the surgical wounds may result in wound infection, dehiscence, delayed healing and increased cost of post-surgical management. It is recommended that adherence to stringent pre-surgical and intra-surgical asepsis should be observed.

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Surgical antisepsis practices and use of surgical gloves as a potential risk factors to intraoperative contamination

Cited by 8 publications

References 15 publications

Knowledge and behavior of professionals about bundled strategies of central venous catheter

Knowledge and behavior of professionals about bundled strategies of central venous catheter

Glove damage in total hip arthroplasty

Contamination of Gloved Hands by Multidrug Resistant Bacteria ‎During Small Animal Surgery Wet-labs and its Potential Implication for ‎Occurrence of Surgical Site Infections

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