Glove Perforation in Outpatient Dermatologic Surgery

Dirschka, Thomas; Winter, Kristine; Kralj, Nenad; Hofmann, Friedrich

doi:10.1111/j.1524-4725.2004.30375.x

Cited by 17 publications

(12 citation statements)

References 21 publications

(40 reference statements)

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“…Many glove perforations go unnoticed by the operating physician. 15 Manual manipulations of suture needles with lacing and tying knots increase the risk of this unwanted occurrence. Accordingly, barbed sutures may reduce the incidence of glove perforations.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Novel Technique for Wound Closure Using a Barbed Suture

Murtha

Kaplan

Paglia

et al. 2006

Plastic and Reconstructive Surgery

169

139

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Section: Discussionmentioning

confidence: 99%

Evaluation of a Novel Technique for Wound Closure Using a Barbed Suture

Murtha

Kaplan

Paglia

et al. 2006

Plastic and Reconstructive Surgery

169

139

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“…The preventive effect depends largely on the integrity of the glove. However, gloves may perforate unnoticed or may tear during use so hands can become contaminated [4,9,18-21]. Doebbeling et al [22] showed that 5 to 10% of hands of HCW’s were contaminated after glove removal.…”

Section: Discussionmentioning

confidence: 99%

The durability of examination gloves used on intensive care units

et al. 2013

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BackgroundThe use of examination gloves is part of the standard precautions to prevent medical staff from transmission of infectious agents between patients. Gloves also protect the staff from infectious agents originating from patients. Adequate protection, however, depends on intact gloves. The risk of perforation of examination gloves is thought to correlate with duration of wearing, yet, only very few prospective studies have been performed on this issue.MethodsA total number of 1500 consecutively used pairs of examination gloves of two different brands and materials (latex and nitrile) were collected over a period of two months on two ICU’s. Used gloves were examined for micro perforations using the “water-proof-test” according to EN 455–1. Cox-regression for both glove types was used to estimate optimal changing intervals.ResultsOnly 26% of gloves were worn longer than 15 min. The total perforation rate was 10.3% with significant differences and deterioration of integrity of gloves between brands (p<0.001). Apart from the brand, “change of wound dressing” (p = 0.049) and “washing patients” (p = 0.001) were also significantly associated with an increased risk of perforation.ConclusionMedical gloves show marked differences in their durability that cannot be predicted based on the technical data routinely provided by the manufacturer. Based on the increase of micro perforations over time and the wearing behavior, recommendations for maximum wearing time of gloves should be given. Changing of gloves after 15 min could be a good compromise between feasibility and safety. HCWs should be aware of the benefits and limitations of medical gloves. To improve personal hygiene hand disinfection should be further encouraged.

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“…and are found to be directly related to the experience of the surgeon, type of procedure being carried out,[9] and duration of the procedure. [10] Also, certain areas are more prone to being punctured than others. Using a double gloving technique to carry out high-risk surgical procedures involving wiring in patients who are infected with or carriers of blood borne disorders such as HIV reduces the risk of cross infection significantly.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of double gloving technique in major and minor oral surgical procedures: A prospective study

Padhye

Girotra

Khosla

et al. 2011

Ann Maxillofac Surg

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Background:A prospective analysis was carried out over a 1-year period to assess gloves used during 100 major and 100 minor oral surgical procedures to test for efficacy of double gloving in oral surgical procedures.Purpose:The purpose of this study was to assess the efficacy of double gloving technique in preventing cross infection in both major and minor oral surgical procedures.Materials and Methods:Gloves used during 100 major and 100 minor oral surgical procedures were analyzed to check for glove perforations and skin punctures. 100 sterile gloves were tested as control.Statistical Analysis Used:Chi-square test was used to determine whether there was any difference between the expected and observed values in various categories.Results:A higher number of glove perforations was seen in minor oral surgical procedures compared with major surgeries, dominant hand compared with the nondominant, outer gloves compared with the inner, in procedures which took a longer duration of time to complete, in procedures involving wiring and in the index finger followed by the thumb and the palm.Conclusion:Double gloving technique using sterile gloves can be used as an effective means of infection control for all major and minor surgical procedures, especially high-risk procedures involving patients who maybe suffering from or carriers of blood-borne infections.

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Glove Perforation in Outpatient Dermatologic Surgery

Cited by 17 publications

References 21 publications

Evaluation of a Novel Technique for Wound Closure Using a Barbed Suture

Evaluation of a Novel Technique for Wound Closure Using a Barbed Suture

The durability of examination gloves used on intensive care units

Efficacy of double gloving technique in major and minor oral surgical procedures: A prospective study

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