Perfurações não detectadas de luvas em procedimentos de urgência

Soldá, Silvia Cristine; Assef, José Cesar; Parreira, José Gustavo; Perlingeiro, Jacqueline Arantes Giannini; Candelária, Paulo de Azeredo Passos; Cury, Marcelo P.; Manzione, Thiago da Silveira

doi:10.1590/s0104-42302009000500026

Cited by 10 publications

(11 citation statements)

References 27 publications

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“…In addition, scrub nurses sustained the second highest rate of glove perforation during elective procedures. These findings are in agreement with the literature, as various studies have shown that surgeons and scrub nurses have the highest rates of glove perforations [7, 8, 20]. One possible explanation is that compared to first, second, and third assists, the main surgeons, are the ones using instruments directly and for longer durations in procedures with increased risks for perforations.…”

Section: Discussionsupporting

confidence: 91%

“…In addition, studies that have compared the rate of perforation among elective and emergency surgeries have shown that perforation to be higher in emergency surgical procedures [7, 8]. In addition, one of the major challenges encountered during surgical glove perforation is that the operating staff is not aware of the perforation until the procedure is complete, sometimes in as high as 70% of the incidences [1].…”

Section: Introductionmentioning

confidence: 99%

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Incidence and patterns of surgical glove perforations: experience from Addis Ababa, Ethiopia

et al. 2017

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BackgroundSurgical glove perforation is a common event. The operating staff is not aware of the perforation until the procedure is complete, sometimes in as high as 70% of the incidences. Data from Ethiopia indicates that the surgical workforce suffers from a very surgery related accidents, however there is paucity of data regarding surgical glove perforation.The main objective is to describe the incidence and patterns of surgical glove perforation during surgical procedures and to compare the rates between emergency and elective surgeries at one of the main hospitals in Addis Ababa Ethiopia.MethodsThis is a prospective study, performed at the Minilik II referral hospital, Addis Ababa. All surgical gloves worn during all major surgical procedures (Emergency and Elective) from June 1-July 20, 2016 were collected and used for the study. Standardised visual and hydro insufflation techniques were used to test the gloves for perforations. Parameters recorded included type of procedure performed, number of perforations, localisation of perforation and the roles of the surgical team.ResultsA total of 2634 gloves were tested, 1588 from elective and 1026 from emergency procedures. The total rate of perforation in emergency procedures was 41.4%, while perforation in elective surgeries was 30.0%. A statistically significant difference (P < 0.05) was found in between emergency and elective surgeries.There were a very high rate of perforations of gloves among first surgeons 40.6% and scrub nurses 38.8% during elective procedures and among first surgeons (60.14%), and second assistants (53.0%) during emergency surgeries.Only 0.4% of inner gloves were perforated. The left hand, the left index finger and thumb were the most commonly perforated parts of the glove. Glove perforation rate was low among consultant surgeons than residents.ConclusionsOur reported perforation rate is higher than most publications, and this shows that the surgical workforce in Ethiopia is under a clear and present threat. Measures such as double gloving seems to have effectively prevented cutaneous blood exposure and thus should become a routine for all surgical procedures. Manufacturing related defects and faults in glove quality may also be contributing factors.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Incidence and patterns of surgical glove perforations: experience from Addis Ababa, Ethiopia

et al. 2017

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“…The study glove area that suffered the greatest number of perforations was the finger area (60.7%), a finding corroborated by Xavier et al 4 , Soldá et al 11 , Oliveira Neto et al 8 , and Leal et al 10 .…”

Section: Discussionsupporting

confidence: 58%

Glove perforations after dental care

Fully

Lucena

Dias

et al. 2015

RGO, Rev. Gaúch. Odontol.

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ObjectiveTo assess surgical and procedure glove perforations after dental care. Methods Conclusion There were a considerable number of perforations in the study gloves, which can increase the risk of cross-infection between students and patients.Indexing terms: Dentistry. Exposure to biological agents. Infection. Surgical gloves. RESUMO ObjetivoAvaliar as perfurações que acometem as luvas cirúrgicas e de procedimentos após o uso no tratamento odontológico. MétodosForam analisados 279 pares de luvas, sendo 36 pares de luvas cirúrgicas e 243 pares de luvas de procedimentos, utilizados na prática odontológica nas especialidades de Cirurgia, Dentística, Endodontia, Odontopediatria, Periodontia e Prótese. Para análise das luvas, foi utilizada uma solução de fuccina básica diluída em água, cada luva foi preenchida com 500 ml de solução, seguida de compressão manual na altura do punho da luva por dois minutos. A análise estatística foi realizada pelo método do Qui-quadrado, adotando-se como nível de significância 5%.

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“…oral surgery, endodontic treatment, prosthodontics treatment, periodontics treatment & orthodontic treatment. [12][13][14] A system for identifying intra-operative glove perforations tracking procedure is beneficial. 15 A research had been done to investi gate glove perforation indication system & the results with double gloving in surgery of maxillofacial trauma, which concluded reduced rate of inner gloves as compare to outer gloves.…”

Section: Discussionmentioning

confidence: 99%

Gloves puncture in general dentistry.

Priya

Banglani

Punjabi

et al. 2019

TPMJ

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Objectives: The purpose of current study was to identify particular procedures which are associated with a high risk of glove puncture and thereby assist in limiting the risk of infection, especially those in high risk group. Study Design: Observational study. Setting: Outpatient department of dentistry at Liaquat University hospital, Hyderabad. Period: August 2017 to January 2018. Materials and Methods: In present study gloves perforation were assessed after performing various dental treatments by using Latex Biogel gloves. Total 400 gloves were collected from department of oral and maxillofacial surgery, orthodontics, operative dentistry and prosthodontics, 100 from each department. Simple Water Inflation technique was used to test punctures in gloves to determine the number and position of punctures in used gloves. Data collection was done using SPSS version 22.0. Descriptive statistics were computed and differences between groups were assessed through T- test. P-value ≤ 0.05 was taken as statistically significant. Results: Total 400 gloves were examined 100 from each department. Out of 100, 94 (94%) were found perforated from oral & maxillofacial surgery, 90 (90%) from orthodontics, 73 (73%) from prosthodontics & 80 (80%) from operative dentistry. Gloves puncture of left hand were more 292 (73%) than that of right hand 108 (27%) out of 400 gloves. Conclusion: Perforation of Gloves while several dental procedures have been evaluated and resulted that gloves on left hand were at greater risk unambiguously in the procedures in which wires were used, additional precautions like wearing double gloves during these procedures may therefore be indicated.

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Perfurações não detectadas de luvas em procedimentos de urgência

Abstract: We concluded that the incidence of punctures in gloves during surgical procedures was high, and occurred mostly with surgeons.

Cited by 10 publications

References 27 publications

Incidence and patterns of surgical glove perforations: experience from Addis Ababa, Ethiopia

Incidence and patterns of surgical glove perforations: experience from Addis Ababa, Ethiopia

Glove perforations after dental care

Gloves puncture in general dentistry.

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