Influence of orthopedic reinforced gloves versus double standard gloves on contamination events during small animal orthopedic surgery

Hayes, Galina; Singh, Ameet; Gibson, Thomas W.G.; Moens, Noël M. M.; Oblak, Michelle L.; Ogilvie, Adam T.; Reynolds, Debbie

doi:10.1111/vsu.12688

Cited by 7 publications

(9 citation statements)

References 16 publications

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“…However, this glove is recommended as an over glove in a double glove technique, which was not performed in this study . In human medicine, a significant decrease in perforation rate has been seen when a double latex glove is used vs a single latex glove, but recent large‐scale, randomized trials have determined that there is no statistically significant difference in perforation rate between orthopedic gloves and double latex gloves during TPLO and other clean orthopedic procedures . This evidence, in conjunction with the lack of recommendation of use by the CDC and WHO to decrease SSI, led the authors to omit the use of a double glove or single glove technique from the revised protocol.…”

Section: Discussionmentioning

confidence: 99%

Protocol changes to reduce implant‐associated infection rate after tibial plateau leveling osteotomy: 703 dogs, 811 TPLO (2006‐2014)

2018

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Section: Discussionmentioning

confidence: 99%

Protocol changes to reduce implant‐associated infection rate after tibial plateau leveling osteotomy: 703 dogs, 811 TPLO (2006‐2014)

2018

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“…In cattle, SSI risk has also been shown to increase with increasing wound contamination (with the lowest incidence associated with clean and the highest reported for dirty wounds) . In addition, the odds of a glove perforation have been shown to increase with surgical time as well as with the invasiveness of the procedure . Although glove perforations tend to occur more commonly in the nondominant hand, there appears to be no difference with regard to surgeon experience (board‐certified vs resident) …”

Section: Managing Risks Associated With Surgical Site Infectionsmentioning

confidence: 99%

“…To reduce the likelihood of a glove failure during a surgical procedure, surgeons often double glove or use reinforced gloves, particularly during orthopedic procedures. In a recent randomized control trial, no difference was found in contamination events (glove failures) between double gloving and the use of reinforced gloves, suggesting that surgeon comfort and dexterity can drive glove selection (either double glove or reinforced gloves) without compromising patient care.…”

Section: Prevention Of Surgical Site Infectionsmentioning

confidence: 99%

Prevention and surveillance of surgical infections: A review

Burgess

2019

Veterinary Surgery

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Optimal patient care cannot be realized without effectively managing risks related to healthcare-associated infections (HAI). Among human hospital admissions in the United States in 2002, there were approximately 4.5 HAI per 100 admissions, with surgical site infections (SSI) accounting for an estimated 20%, or approximately 2 SSI per 100 procedures. When considering the occurrence of disease in a population, it is important to remember that disease does not occur randomly in populations. Therefore, when thinking about managing risks associated with the occurrence of SSI, consideration should be given to key factors in disease development (the agent, the host, and the environment), and a multifaceted approach to prevention efforts should be considered, including the identification of high-risk populations, adherence to aseptic principles, judicious use of antimicrobial drugs, and surveillance targeting SSI to better inform infection control practices within a facility. Although not all HAI are preventable, it is important to focus efforts on the preventable fraction and to take all reasonable precautions to mitigate foreseeable risks.

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“…De ontwikkeling van postoperatieve wondinfecties bij twee honden ondanks perioperatieve toediening van antimicrobiële middelen creased mortality are some of the consequences for patients with an SSI (Kurz et al, 1996;Hayes et al, 2017;Gonzalez et al, 2017). Surgical site infections also result in significantly higher costs for the owner caused by prolonged hospitalization, more intensive postoperative care and frequent control visits (Nicoll et al, 2014).…”

Section: Development Of Surgical Site Infections Despite Perioperativmentioning

confidence: 99%

De ontwikkeling van postoperatieve wondinfecties bij twee honden ondanks perioperatieve toediening van antimicrobiële middelen

Lyssens¹,

Devriendt²,

Stock³

et al. 2019

Vlaams Diergeneeskundig Tijdschrift

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Surgical site infections (SSI) are common complications with a prevalence of 0.8 to 18%. Many risk factors, such as patient, environmental and treatment factors can contribute to the development of SSI. Two dogs that developed a SSI after forelimb amputation are discussed. The first dog was presented with an open comminuted intra-articular fracture of the right elbow. The second dog was diagnosed with a soft-tissue sarcoma at the right elbow. Perioperative cefazolin was administered in both patients. Only in the first patient, antimicrobial therapy was continued in the postoperative period. Both dogs developed an SSI within four to five days postoperatively. Yet, prophylactic antimicrobials can help to prevent SSI, provided that the correct antimicrobial is used at the correct dose, at the right time and given IV. Factors, such as hypothermia, violating the Halsted’s principles and the number of people present in the theater may increase the risk of SSI. Besides the meticulous use of antimicrobials, perioperative management is thus also important in SSI prevention.

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Influence of orthopedic reinforced gloves versus double standard gloves on contamination events during small animal orthopedic surgery

Abstract: Surgeons reluctant to double glove due to perceptions of decreased dexterity and discomfort may safely opt for wearing orthopedic gloves, which may improve their compliance.

Cited by 7 publications

References 16 publications

Protocol changes to reduce implant‐associated infection rate after tibial plateau leveling osteotomy: 703 dogs, 811 TPLO (2006‐2014)

Protocol changes to reduce implant‐associated infection rate after tibial plateau leveling osteotomy: 703 dogs, 811 TPLO (2006‐2014)

Prevention and surveillance of surgical infections: A review

De ontwikkeling van postoperatieve wondinfecties bij twee honden ondanks perioperatieve toediening van antimicrobiële middelen

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