Unnoticed Glove Perforation During Thoracoscopic and Open Thoracic Surgery

Kojima, Yuko; Ohashi, Masahiko

doi:10.1016/j.athoracsur.2005.03.063

Cited by 37 publications

(41 citation statements)

References 11 publications

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“…Solda et al [8] used water leak method to check the integrity of used gloves and found that punctures were found in 16.3 % of gloves used in emergency surgical procedures with a larger percentage occurring in traumatic emergencies. Kojima and Ohashi [9] reported perforation rate to be 12 and 41 % in gloves used in thoracoscopic and open thoracotomy procedures, respectively. Hagos et al [10] not only raised the issue of physical integrity in reprocessed gloves but also pointed out that such gloves failed sterility tests in 41 % of cases.…”

Section: Discussionmentioning

confidence: 99%

Gloves Reprocessing: Does It Really Save Money?

et al. 2015

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Gloves are reprocessed and reused in health-care facilities in resource-limited settings to reduce the cost of availability of gloves. The study was done with the aim to compute the cost of reprocessing of gloves so that an economically rationale decision can be taken. A retrospective recordbased cross-sectional study was undertaken in a central sterile supply department where different steps during reprocessing of gloves were identified and the cost involved in reprocessing per pair of gloves was calculated. The cost of material and manpower was calculated to arrive at the cost of reprocessing per pair of gloves. The cost of a reprocessed pair of surgical gloves was calculated to be Indian Rupee (INR) 14.33 which was greater than the cost of a new pair of disposable surgical gloves (INR 9.90) as the cost of sterilization of one pair of gloves itself came out to be INR 10.97. The current study showed that the purchase of sterile disposable single-use gloves is cheaper than the process of recycling. Reprocessing of gloves is not economical on tangible terms even in resource-limited settings, and from the perspective of better infection control as well as health-care worker safety, it further justifies the use of disposable gloves.

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Section: Discussionmentioning

confidence: 99%

Gloves Reprocessing: Does It Really Save Money?

et al. 2015

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“…Conclusion: Because the perforation rate and thus the time for glove changing depend on the type of the surgery, the results found in visceral surgery can not be transferred to other surgical specialties without additional scientific evidence. Further * Nach einem Vortrag auf der 17 Viszeral-, Gefäß-und Unfallchirurgie nach 120 min [20] diverse (Review) nach 30 min [16] verschiedene chirurgische Disziplinen nach 120-180 min [15] alle operativen Fächer nach 120-180 min [3] Thoraxchirurgie nach 120 min [14] Orthopädie nach 120 min [9] Chirurgie, Urologie, Gynäkologie nach 90 min [24] Viszeralchirurgie nach 90 min [22] Handlungsempfehlungen mit fachspezifischen Perforationsraten korrelieren, um den Schutz für Patient und medizinisches Personal zu verbessern.…”

Section: üBersicht 25unclassified

“…Aus den gleichen Gründen ist die Empfehlung von Misteli et al [20] zum Handschuhwechsel nach 120 min nicht nachvollziehbar. Der Zeitpunkt des Handschuhwechsels war nicht eigentlicher Gegenstand der Studie, sondern beruht auf den Daten von Kojima et al [14]. Außerdem wurden keine fachspezifischen Perforationsraten berücksichtigt.…”

Section: üBersicht 25unclassified

Wann sollte in Operationsräumen ein Wechsel chirurgischer Handschuhe erfolgen?

Harnoss

Kramer²,

Heidecke³

et al. 2010

Zentralbl Chir

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Because the perforation rate and thus the time for glove changing depend on the type of the surgery, the results found in visceral surgery can not be transferred to other surgical special-ties without additional scientific evidence. Further studies are needed that correlate the types of surgical procedures with specific perforation rates in order to provide basis for solid -recommendations helping to improve patients' and medical staff's safety.

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“…Between 8% and 50% of gloves have been shown to be perforated by 2 hours after the commencement of surgery. 40,41 Although the effect of these events on SSI has been shown to be partially mitigated by the use of parenteral prophylactic antibiotics, we recommend that all members of the operative team change their gloves after 2 hours of operating. 5.…”

mentioning

confidence: 98%