Blunt versus sharp suture needles for preventing percutaneous exposure incidents in surgical staff

Parantainen, Annika; Jh, Verbeek; Mc, Lavoie; Pahwa, Manisha

doi:10.1002/14651858.cd009170

Cited by 27 publications

(22 citation statements)

References 29 publications

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“…21 Evidence supports the use of blunt-tipped suture needles to reduce glove perforation and needle-stick injury, and the use of safety-engineered scalpels, needles and syringes is best practice. [21][22][23][24] When sharps are required, standard procedures for passing and handling these items are important. Many injuries occur during hand-to-hand passing or handling of sharps.…”

Section: Discussionmentioning

confidence: 99%

Practice and attitudes regarding double gloving among staff surgeons and surgical trainees

Lipson¹,

Deardon²,

Switzer³

et al. 2018

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ReseaRch • RecheRchePractice and attitudes regarding double gloving among staff surgeons and surgical trainees Background: Despite supporting evidence, many staff surgeons and surgical trainees do not routinely double glove. We performed a study to assess rates of and attitudes toward double gloving and the use of eye protection in the operating room. Methods:We conducted an electronic survey among all staff surgeons and surgical trainees at 2 tertiary care centres in Alberta between September and November 2015. We analyzed the data using log-binomial regression for binary outcomes to account for multiple independent variables and interactions. For 2-group comparisons, we used a 2-group test of proportions. Results:The response rate was 34.3% (361/1051); 205/698 staff surgeons (29.4%) and 156/353 surgical trainees (44.2%) responded. Trainees were more likely than staff surgeons to ever double glove in the operating room (p = 0.01) and to do so routinely (p = 0.01). Staff surgeons were more likely than trainees to never double glove (p = 0.01). A total of 300/353 respondents (85.0%) reported using eye protection routinely in the operating room. Needle-stick injury was common (184 staff surgeons [92.5%], 115 trainees [74.7%]). Reduced tactile feedback, decreased manual dexterity and discomfort/poor fit were perceived barriers to double gloving.

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Section: Discussionmentioning

confidence: 99%

Practice and attitudes regarding double gloving among staff surgeons and surgical trainees

Lipson¹,

Deardon²,

Switzer³

et al. 2018

cjs

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“…Both subject article sets included recent Cochrane reviews that clearly confirmed the benefit of both practices in reducing percutaneous injury, surgical glove perforations (a proxy for percutaneous injury) or both. 7,8 Since our review would not add to pre-existing, strongly supportive evidence in favour of either practice, we excluded articles pertaining to doublegloving and the use of blunt suture needles. This left 10 arti cles for analysis; they are summarized in Table 1 and discussed in detail in the following sections (in addition to the Cochrane review summaries on the effects of doublegloving and sharp versus blunt suture needles on sharps injuries).…”

Section: Resultsmentioning

confidence: 99%

“…A recently published Cochrane review evaluated 10 RCTs involving nearly 3000 surgeries, including abdominal closure, cesarean sections, vaginal repair or hip replacements, reported outcomes of either glove perforations or self-reported needle stick injuries. 8 The use of blunt needles compared with traditional suture needles reduced the risk of glove perforation, with a relative risk (RR) of 0.46 (95% CI 0.38-0.54), and reduced the risk of self-reported injury, with an RR of 0.31 (95% CI 0.14-0.68).…”

Section: Use Of Blunt Suture Needlesmentioning

confidence: 99%

Use of safety scalpels and other safety practices to reduce sharps injury in the operating room: What is the evidence?

DeGirolamo

Courtemanche

Hill³

et al. 2013

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“…42 Since their development, blunt suture needles have been most commonly used to suture muscle and fascia during abdominal wall closure, where nearly 60% of needlestick injuries occur, and can decrease the incidence of needlestick injures by up to 70%. 24,43 However, blunt tipped needles require greater force for suture placement and are often rated by surgeons as cumbersome. Additionally, electrocautery can be used to create skin incisions rather than scalpel blades.…”

Section: Strategies For Preventionmentioning

confidence: 99%

Sharps Injuries

Waljee

Malay

Chung

2013

Plastic and Reconstructive Surgery

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Surgeons are at risk for injury in the operating room daily. Despite the ubiquity of occupational hazards, injuries remain prevalent and expensive. Although occupational hazards can include musculoskeletal conditions, psychosocial stress, radiation exposure, and the risk of communicable diseases, sharps injuries remain the most common among surgeons in practice and the most frequent route of transmission of blood-borne pathogens. Therefore, increased attention to the health, economical, personal and social implications of these injuries is essential for appropriate management and future prevention.

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Blunt versus sharp suture needles for preventing percutaneous exposure incidents in surgical staff

Cited by 27 publications

References 29 publications

Practice and attitudes regarding double gloving among staff surgeons and surgical trainees

Practice and attitudes regarding double gloving among staff surgeons and surgical trainees

Use of safety scalpels and other safety practices to reduce sharps injury in the operating room: What is the evidence?

Sharps Injuries

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