Risk of surgical glove perforation in oral and maxillofacial surgery

Kuroyanagi, Norio; Nagao, Toru; Sakuma, Hajime; Miyachi, Hitoshi; Ochiai, Shigeki; Kimura, Yuichi; Fukano, Hideo; Shimozato, Kazuo

doi:10.1016/j.ijom.2012.02.010

Cited by 20 publications

(18 citation statements)

References 29 publications

(31 reference statements)

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Section: Compliance With Infection Control In Dentistry: a 5‐year Revmentioning

confidence: 99%

“…Research has shown that the unpredictable perforation rate of gloves presents specific challenges, particularly during high‐exposure procedures such as oral and maxillofacial surgery. The results of a Japanese study suggested that double gloving may offer a protection rate of up to 95%. In a study in Iran, improved compliance was reported for the use of double gloving while performing intravenous procedures and working in emergency areas.…”

Section: Compliance With Infection Control In Dentistry: a 5‐year Revmentioning

confidence: 99%

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Compliance with infection prevention and control in oral health-care facilities: a global perspective

Oosthuysen

Potgieter

Fossey

2014

International Dental Journal

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Many publications are available on the topic of compliance with infection prevention and control in oral health-care facilities all over the world. The approaches of developing and developed countries show wide variation, but the principles of infection prevention and control are the same globally. This study is a systematic review and global perspective of the available literature on infection prevention and control in oral health-care facilities. Nine focus areas on compliance with infection-control measures were investigated: knowledge of infectious occupational hazards; personal hygiene and care of hands; correct application of personal protective equipment; use of environmental barriers and disposable items; sterilisation (recirculation) of instruments and handpieces; disinfection (surfaces) and housekeeping; management of waste disposal; quality control of dental unit waterlines, biofilms and water; and some special considerations. Various international studies from developed countries have reported highly scientific evidence-based information. In developed countries, the resources for infection prevention and control are freely available, which is not the case in developing countries. The studies in developing countries also indicate serious shortcomings with regard to infection prevention and control knowledge and education in oral health-care facilities. This review highlights the fact that availability of resources will always be a challenge, but more so in developing countries. This presents unique challenges and the opportunity for innovative thinking to promote infection prevention and control.

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Section: Compliance With Infection Control In Dentistry: a 5‐year Revmentioning

confidence: 99%

Section: Compliance With Infection Control In Dentistry: a 5‐year Revmentioning

confidence: 99%

Compliance with infection prevention and control in oral health-care facilities: a global perspective

Oosthuysen

Potgieter

Fossey

2014

International Dental Journal

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“…Znacznie wyższe wskaźni-ki dotyczące uszkodzeń rękawiczek uzyskali Kuroyanagi i wsp. (20). Badania przeprowadzone przez tę grupę badawczą wskazują, że podczas operacji warg i podniebienia uszkodzeniu ulega około 55% rękawiczek, a podczas ekstrakcji zębów -54,5%.…”

Section: Omówienieunclassified

“…(4). Z kolei Kuroyanagi najczęstsze uszkodzenia odnotował w obrębie palca wskazującego lewej ręki (20).…”

Section: Omówienieunclassified

Do Double Gloves Protect Against Contamination During Cannulation of Blood Vessels? A Prospective Randomized Study

Szarpak¹,

Kurowski²

2014

Med Pr

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StreszczenieWstęp: Nienaruszone rękawiczki medyczne zabezpieczają personel medyczny przed kontaktem z płynami fizjologicznymi pacjenta. Chronią w ten sposób osobę udzielającą pomocy przed kontaminacją skóry dłoni potencjalnie skażonym materiałem biologicznym. Celem pracy jest ocena występowania przekłuć, perforacji i uszkodzeń rękawiczek medycznych podczas kaniulacji naczyń obwodowych. Materiał i metody: W badaniu przeanalizowano 303 pary rękawiczek użytych podczas kaniulacji naczyń obwodowych w warunkach symulowanej resuscytacji. Badanie miało charakter prospektywny randomizowany. Rękawice testowano metodą testu wycieku wody. Wyniki: Testem wodnym wykryto dodatkowo 44 przypadki uszkodzenia rękawiczek stosowanych podczas kaniulacji naczyń obwodowych. Zauważono istotne różnice między częstością uszkodzeń zewnętrznej pary rękawic i pojedynczej pary rękawic a częstością uszkodzeń wewnętrznej pary rękawic. Wnioski: Przeprowadzone badanie wykazało, że stosowanie podwójnych rękawiczek zapewnia większy poziom bezpieczeństwa ratownikowi medycznemu niż stosowanie jednej pary rękawiczek, jednak obniża jego zręczność manualną. Ponadto duża liczba uszkodzeń rękawiczek podczas zabiegu nie jest zauważana przez personel medyczny. Med. Pr. 2014;65(2):271-278 Słowa kluczowe: rękawiczki, podwójne rękawiczki, perforacja, ochrona przed zakłuciem, medycyna pracy Abstract Background: Undamaged medical gloves protect medical personnel from contact with physiological fluids of the patient. Thus they protect the assistance provider from hand skin contamination with potentially infectious biological material. The aim of the study was to evaluate the occurrence of pierce, perforations or damage of medical gloves during cannulation of blood vessels. Materials and Methods: In the prospective randomized study 303 pairs of gloves, used during cannulation of blood vessels under simulated resuscitation, were analyzed. Gloves were tested by the water leak test. Results: The water test revealed 44 cases of damage to the gloves used during cannulation of blood vessels. Significant differences were noted in the frequency of damage to both the outer and single pairs of gloves and the inner pair of gloves. Conclusions: The study showed that the use of double gloves provides a higher level of security for a paramedic than the use of a single pair of gloves, however, double gloves reduce the manual dexterity of a paramedic. A large number of damages to gloves are not noticed by medical personnel during surgery. Med Pr 2014;65(2):271-278

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“…These results indicate the need for the use of more resistant or double gloves. The protection rate offered by double gloving was reported in various studies [4,21,22]. This study has several limitations.…”

Section: Glove Failure In Elective Thyroid Surgery O R I G I N a L P mentioning

confidence: 80%

Glove failure in elective thyroid surgery: A prospective randomized study

Timler¹,

Kusiński

Iltchev³

et al. 2015

Int J Occup Med Environ Health

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Objectives: To analyze perforation rate in sterile gloves used by surgeons in the operating theatre of the Department of Endocrinological and General Surgery of Medical University of Lodz. Material and Methods: Randomized and controlled trial. This study analyses the incidents of tears in sterile surgical gloves used by surgeons during operations on 3 types of thyroid diseases according to the 10th revision of International Statistical Classification of Diseases and Related Health Problems (ICD-10) codes. Nine hundred seventy-two pairs (sets) of gloves were collected from 321 surgical procedures. All gloves were tested immediately following surgery using the water leak test (EN455-1) to detect leakage. Results: Glove perforation was detected in 89 of 972 glove sets (9.2%). Statistically relevant more often glove tears occurred in operator than the 1st assistant (p < 0.001). The sites of perforation were localized mostly on the middle finger of the non-dominant hand (22.5%), and the non-dominant ring finger (17.9%). Conclusions: This study has proved that the role performed by the surgeon during the procedure (operator, 1st assistant) has significant influence on the risk of glove perforations. Nearly 90% of glove perforations are unnoticed during surgery.

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Risk of surgical glove perforation in oral and maxillofacial surgery

Cited by 20 publications

References 29 publications

Compliance with infection prevention and control in oral health-care facilities: a global perspective

Compliance with infection prevention and control in oral health-care facilities: a global perspective

Do Double Gloves Protect Against Contamination During Cannulation of Blood Vessels? A Prospective Randomized Study

Glove failure in elective thyroid surgery: A prospective randomized study

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