Association Between the Frequency of Glove Change and the Risk of Blood and Body Fluid Exposure in Gastrointestinal Surgery View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-07-13

AUTHORS

Minako Kobayashi, Hironori Tsujimoto, Risa Takahata, Takahiro Einama, Koichi Okamoto, Yoshiki Kajiwara, Eiji Shinto, Yoji Kishi, Kazuo Hase, Hideki Ueno

ABSTRACT

BackgroundSurgical gloves are used to prevent the transmission of microorganisms from the surgeon’s hands to the patient and vice versa. Little is known on the optimal frequency of glove changing. Therefore, we aimed to examine the optimal frequency of glove change during surgery by assessing the glove perforation rate in gastrointestinal surgery.MethodsIn this observational prospective cohort study, we investigated the incidence of perforation of 5,267 gloves during gastrointestinal surgeries.ResultsThe overall glove perforation rate was 10.1%. There was no significant difference between single gloving (10.2%) and double gloving (10.0%; p = 0.8491). However, the perforation rate of the inner glove (5.7%) was found to be significantly lower than that of the outer glove (11.6%) (p < 0.0001). A significant difference in perforation rate was observed after wearing inner gloves for 240 min (< 240 min, 4.4%; ≤ 240 min, 7.2%; p = 0.0314), and outer gloves for 60 min (< 60 min, 7.1%; ≤ 60 min, 12.6%; p < 0.0001). We found cumulative perforation rate to rapidly increase until the wear time was 90 min.ConclusionThe inner gloves and outer gloves have a higher perforation rate as the wear time increased. To reduce the risk of intraoperative blood and fluid exposure and prevent healthcare-associated infection, gloves should be changed for approximately every 60–90 min for outer gloves and approximately every 240 min for inner gloves. More... »

PAGES

3695-3701

References to SciGraph publications

  • 2003-12. Risk of Glove Perforation in Minor and Major Plastic Surgery Procedures in AESTHETIC PLASTIC SURGERY
  • 1999-07. Surgical Gloves: Current Problems in WORLD JOURNAL OF SURGERY
  • 2003-10-08. Glove punctures in orthopaedic surgery in INTERNATIONAL ORTHOPAEDICS
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00268-020-05681-1

    DOI

    http://dx.doi.org/10.1007/s00268-020-05681-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1129327727

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/32661693


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