Study of Blood Contact in Simulated Surgical Needlestick Injuries With Single or Double Latex Gloving

Wittmann, Andreas; Kralj, Nenad; Köver, Jan; Gasthaus, Klaus; Hofmann, Friedrich

doi:10.1086/593124

Cited by 32 publications

(27 citation statements)

References 17 publications

(10 reference statements)

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“…It is emphasized that in emergency situations, HCPs need to be more careful. 5,8 According to a study, 31 double gloving provides a significant reduction in the quantity of blood transferred during a needlestick injury. Double gloving offers considerable protection against exposure to contaminants in the blood and body fluids of the patient and should be made routine, especially in developing countries where HIV, hepatitis B and C are widely prevalent.…”

Section: Discussionmentioning

confidence: 99%

Improving Knowledge and Attitudes of Health Care Providers Following Training on HIV/AIDS Related Issues: A Study in an Urban Turkish Area

Köse¹,

Mandıracıoğlu²,

Kaptan³

et al. 2012

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The objective of the study was to assess HIV/AIDS related knowledge, attitudes and risk perception among health care providers in İzmir. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A pretest and posttest patterned intervention study was conducted in 2007 among health care providers participating in a training course on HIV/AIDS and universal precautions. The participants consisted of 158 health care professionals from 7 public hospitals and 2 public dental clinics. Information was collected regarding demographic details, HIV/AIDS related knowledge, attitudes and perceptions about patients at the beginning and the end of the course. Pre-and post-training dichotomous point scale scores were compared. R Re es su ul lt ts s: : Of the participants, 72.6 % were females. Only 30.0 % of the respondents reported a scalpel or needle stick injury at least once last year. Some of the participants (40%) thought that it was necessary to take extra infection control precautions for patients with HIV. The average pre-and post-training mean knowledge scores were 9.32 ± 2.1 (3-13) and 12.76 ± 2.3 (5-17), respectively. The mean pre-and post-training beliefs scores were 12.37 ± 3.1 (3-19) and 15.57± 3.8 (6-22), respectively. There were significant differences in the pre-and post-training mean scores of the responses related to attitudes toward patients with AIDS. C Co on nc cl lu us si io on n: : There was improvement in knowledge and negative attitudes on patients with AIDS at the end of the training. The results of this study suggested that the negative attitudes of health care providers towards individuals with AIDS due to the fear of transmission and inadequate knowledge could be improved with training.K Ke ey y W Wo or rd ds s: : Acquired immunodeficiency syndrome; attitude; HIV; training; knowledge; health personnel Ö ÖZ ZE ET T A Am ma aç ç: : Çalışmanın amacı, İzmir'deki sağlık çalışanlarında HIV/AIDS ile ilgili bilgi, tutum ve risk algısını değerlendirmektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : 2007 yılında HIV/AIDS ve genel önlemler ile ilgili bir eğitime katılan sağlık çalışanlarında ön test ve son test şeklinde girişimsel bir çalışma yapılmıştır. Katılımcılar 7 kamu hastanesi ve 2 kamu diş kliniğinde çalışan 158 sağlık çalışanından oluşmaktadır. Kursun başında ve sonunda, demografik detaylar, HIV/AIDS ile ilgili bilgi, tutum ve hastalara ilişkin algılar hakkında bilgi toplanması amacıyla anket uygulanmıştır. Katılımcıların bu dikotom puanlı (0 ve 1) anketten, eğitimden önce ve sonra aldıkları puanlar karşılaştırılmıştır. B Bu ul lg gu ul la ar r: : Katılımcıların %72,6'sı kadındır. Yanıt verenlerin %30'u geçen yıl en az bir kez bistüri veya iğne ile yaralanmaya maruz kaldığını bildirmiştir. Katılımcıların %40'ı HIV pozitif hastalar için ek enfeksiyon kontrol önlemleri almak gerektiğini düşünüyorlardı. AIDS/HIV ile ilgili ortalama bilgi puanı, kursun sonunda, başlangıca göre istatistiksel açıdan anlamlı bir şekilde daha yüksek sapta...

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Section: Discussionmentioning

confidence: 99%

Improving Knowledge and Attitudes of Health Care Providers Following Training on HIV/AIDS Related Issues: A Study in an Urban Turkish Area

Köse¹,

Mandıracıoğlu²,

Kaptan³

et al. 2012

Turkiye Klinikleri J Med Sci

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“…A range of studies, including randomized trials, have shown that perforations develop in surgical gloves during a wide range of procedures and that double gloving reduces exposure to blood and other bodily fluids. [6][7][8][9][10][11] These data were analyzed in a Cochrane meta-analysis by Mischke and Verbeek, 12 who examined 12 studies showing a statistically significant benefit of double gloving to reduce perforations of a surgeon's innermost glove. The American College of Surgeons supports double gloving as a routine safety practice in its Statement on Sharps Safety.…”

mentioning

confidence: 99%

Practice and attitudes regarding double gloving among staff surgeons and surgical trainees

Lipson¹,

Deardon²,

Switzer³

et al. 2018

cjs

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ReseaRch • RecheRchePractice and attitudes regarding double gloving among staff surgeons and surgical trainees Background: Despite supporting evidence, many staff surgeons and surgical trainees do not routinely double glove. We performed a study to assess rates of and attitudes toward double gloving and the use of eye protection in the operating room. Methods:We conducted an electronic survey among all staff surgeons and surgical trainees at 2 tertiary care centres in Alberta between September and November 2015. We analyzed the data using log-binomial regression for binary outcomes to account for multiple independent variables and interactions. For 2-group comparisons, we used a 2-group test of proportions. Results:The response rate was 34.3% (361/1051); 205/698 staff surgeons (29.4%) and 156/353 surgical trainees (44.2%) responded. Trainees were more likely than staff surgeons to ever double glove in the operating room (p = 0.01) and to do so routinely (p = 0.01). Staff surgeons were more likely than trainees to never double glove (p = 0.01). A total of 300/353 respondents (85.0%) reported using eye protection routinely in the operating room. Needle-stick injury was common (184 staff surgeons [92.5%], 115 trainees [74.7%]). Reduced tactile feedback, decreased manual dexterity and discomfort/poor fit were perceived barriers to double gloving.

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“…For example, the volume of inoculum through a single layer of latex is approximately 0.064 microL, compared with 0.011 microL through 2 layers, which is a nearly 6-fold decrease. 55–58 Furthermore, double-gloving can be used to alert the surgeon to glove failure. 59 Surgeons are often unaware of glove perforations, particularly minute perforations, which can be detected with double-gloving.…”

Section: Strategies For Preventionmentioning

confidence: 99%

Sharps Injuries

Waljee

Malay

Chung

2013

Plastic and Reconstructive Surgery

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Surgeons are at risk for injury in the operating room daily. Despite the ubiquity of occupational hazards, injuries remain prevalent and expensive. Although occupational hazards can include musculoskeletal conditions, psychosocial stress, radiation exposure, and the risk of communicable diseases, sharps injuries remain the most common among surgeons in practice and the most frequent route of transmission of blood-borne pathogens. Therefore, increased attention to the health, economical, personal and social implications of these injuries is essential for appropriate management and future prevention.

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Study of Blood Contact in Simulated Surgical Needlestick Injuries With Single or Double Latex Gloving

Abstract: The results revealed that double gloving leads to a significant reduction in the quantity of blood transferred during needlestick injury.

Cited by 32 publications

References 17 publications

Improving Knowledge and Attitudes of Health Care Providers Following Training on HIV/AIDS Related Issues: A Study in an Urban Turkish Area

Improving Knowledge and Attitudes of Health Care Providers Following Training on HIV/AIDS Related Issues: A Study in an Urban Turkish Area

Practice and attitudes regarding double gloving among staff surgeons and surgical trainees

Sharps Injuries

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