Prävention postoperativer Wundinfektionen

doi:10.1007/s00103-018-2706-2

Cited by 141 publications

(19 citation statements)

References 346 publications

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“…It is, therefore, recommended to use the so-called double gloving (DG), i.e. to wear a second pair of gloves on top of the first pair [2]. The literature indicates that the practice of the DG is not practiced uniformly [11], lack of sensitivity in the finger is considered one of the main reasons among surgeons when dispensing with a second pair of gloves (single gloving) [12].…”

Section: Discussionmentioning

confidence: 99%

“…Surgical gloves with their thin layer of latex are the only mechanical barrier between the patient and the operating team and are intended, apart from various (constructional-) technical requirements in an operating theatre, to protect both sides against infection [1,2]. The sterile latex surgical glove is used in a variety of disciplines, for example in gastroscopy, cardiac catheter interventions or in invasive and minimally invasive orthopedic and traumatological procedures [3,4].…”

Section: Introductionmentioning

confidence: 99%

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Intraoperative damage to surgical gloves during various operations on the musculoskeletal system: a multicenter study

Enz

Kostuj

Warnke

et al. 2020

Arch Orthop Trauma Surg

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Introduction Various orthopedic surgical procedures cause mechanical stress for gloves. In some cases, sharp-edged objects impact on the glove surfaces. The systematic description of lesions is still missing. Methods 2289 gloves from 409 surgeries [primary hip and knee arthroplasties (PA), revisions arthroplasties (RA) and arthroscopic shoulder, hip and knee surgery (AY)] from 3 clinics were examined for lesions using water tightening test according to the European norm EN 455-1. Results Arthroscopies showed the lowest rate of operations with damaged gloves (6.9%). Depending on clinic, 32.7% and 59.2% of PA surgeries generated damaged gloves, while in RA, these numbers rose to 76.0% and 72.8%, respectively. In PA and RA, the most affected finger was the index finger, whereas in arthroscopies, more damage occurred on the middle finger and the thumb. The size of the lesions was rather small with the vast majority being 1 mm or 2 mm in size. Conclusion All investigated interventions led to glove lesions. With increasing mechanical stress, the number of glove defects increased. EN 455 does not account for the intraoperative tear risk. Stricter requirements for gloves should be introduced. Glove change intervals should be defined and implemented, and new materials should be developed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intraoperative damage to surgical gloves during various operations on the musculoskeletal system: a multicenter study

Enz

Kostuj

Warnke

et al. 2020

Arch Orthop Trauma Surg

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“…Therefore, an unresolved discussion was present between surgery and hospital hygiene, if wound infections could be reduced by the use of surgical mouth and nose protection [29,30]. Today, following the recommendations of the RKI (German Robert Koch-Institute for hygiene), the available data indicate that surgical facemasks lower the contamination of indoor air [31].…”

Section: Modern Areamentioning

confidence: 99%

The history and value of face masks

Matuschek¹,

Moll²,

Fangerau³

et al. 2020

Eur J Med Res

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“…Die Normothermie ist eine zentrale Forderung zur Prävention von SSI [22,23]. Hoang et al empfehlen in ihrer Arbeit zur abdominellen Chirurgie, die Normothermie als Teil einer Bündelstrategie zu integrieren.…”

Section: Wärmemanagementunclassified