Concentration of bacteria passing through puncture holes in surgical gloves

Harnoss, Julian-Camill; Partecke, Lars-Ivo; Heidecke, Claus–Dieter; Hübner, Nils–Olaf; Krämer, Axel; Assadian, Ojan

doi:10.1016/j.ajic.2009.06.013

Cited by 105 publications

(97 citation statements)

References 20 publications

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“…This value is consistent with other studies, estimated on the average occurrence of 18% (ranging 5-82%) of (micro) perforations/tears in gloves while performing procedures. Such perforations usually occur on the non-dominant hand and in most cases, the index finger, followed by the thumb, on the professionals working as a surgeon, which was confirmed in this study (17)(18)(19)(20)(21)(22) . The fact that the surgeon handles sharp instruments more often than the other team members using their dominant hand is a possible cause of the occurrence of accidents on the opposite hand (19,22) .…”

Section: Discussionsupporting

confidence: 83%

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Evaluation of adherence to measures for the prevention of surgical site infections by the surgical team

Oliveira

Gama

2015

Rev. esc. enferm. USP

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Objective: Evaluate pre-and intraoperative practices adopted by medical and nursing teams for the prevention of surgical infections. Method: A prospective study carried out in the period of April to May 2013, in a surgical center of a university hospital in Belo Horizonte, Minas Gerais. Results: 18 surgeries were followed and 214 surgical gloves were analyzed, of which 23 (10.7%) had postoperative glove perforation detected, with 52.2% being perceived by users. Hair removal was performed on 27.7% of patients in the operating room, with the use of blades in 80% of the cases. Antibiotic prophylaxis was administered to 81.8% of patients up to 60 minutes prior to surgical incision. An average of nine professionals were present during surgery and the surgery room door remained open in 94.4% of the procedures. Conclusion: Partial adhesion to the recommended measures was identified, reaffirming a need for greater attention to these critical steps/ actions in order to prevent surgical site infection. DESCRIPTORSSurgical Wound Infection; Operating Rooms; General Surgery; Gloves, Surgical; Infection Control; Perioperative Nursing. Evaluation of adherence to measures for the prevention of surgical site infections by the surgical teamAvaliação da adesão às medidas para a prevenção de infecções do sítio cirúrgico pela equipe cirúrgica Evaluación de la adhesión a las medidas para la prevención de infecciones del sitio quirúrgico por el equipo quirúrgico

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Section: Discussionsupporting

confidence: 83%

“…Failure in the integrity of the glove enables the transfer of micro-organisms (17) , capable of doubling the risk of SSI (15) . The incidence of perforation of the gloves in this study was 10.7%.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of adherence to measures for the prevention of surgical site infections by the surgical team

Oliveira

Gama

2015

Rev. esc. enferm. USP

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“…8,11 In experimental studies that compared blood transmission through nitrile gloves and simple and double latex gloves through the simulation of piercing-cutting accidents, it was concluded that the nitrile gloves offer greater protection against blood-borne transmission. [30][31] In fact, it was observed that three nitrile gloves were used subsequently for 48 hours, corresponding to 2,280 min, and could be used longer, as they were discarded at the end of the academic period. Nevertheless, the study showed that the nitrile gloves could also be perforated during the activities performed in the manual cleaning phase.…”

Section: 21-22mentioning

confidence: 99%

Index of Perforation of Procedure/Surgical Gloves Used by Workers in the Purging of a Material and Sterilization Center

Trindade

Serra²,

Tipple³

2016

Texto contexto - enferm.

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ABSTRACT:The objectives of this study were to identify the types of gloves the nursing team uses for the manual cleaning of health products and to identify the perforation rates in procedure/surgical gloves used for this purpose. Cross-sectional and descriptive, descriptive study with quantitative approach was developed at a large hospital in Goiânia, Goiás, Brazil. In total, 300 procedure/surgical gloves (Group A), 100 procedure and 100 new surgical gloves (Group B), and six nitrile gloves (Group C) were analyzed. Among the gloves in Group A, 135 (45.0%) were perforated. Superposition of gloves did not prevent perforations and, the longer they were used, the higher the index of perforation (p<0.05). No perforations were identified in Group B, whereas there were four perforations in 48 hours of use in Group C. This study reinforces the idea that procedure/surgical gloves are inappropriate for cleaning health products, representing an ineffective barrier for the safety of workers. DESCRIPTORS:Sterilization. Occupational risks. Surgical gloves. ÍNDICE DE PERFURAÇÃO DE LUVAS DE PROCEDIMENTO/CIRÚRGICA UTILIZADAS POR TRABALHADORES DO EXPURGO DE UM CENTRO DE MATERIAL E ESTERILIZAÇÃO RESUMO:Os objetivos foram identificar os tipos de luvas utilizadas pela equipe de enfermagem para a limpeza manual de produtos para a saúde e identificar os índices de perfurações em luvas de procedimento/cirúrgicas utilizadas para esta atividade. Estudo transversal e descritivo, com abordagem quantitativa, realizado em um hospital de grande porte em Goiânia, Goiás, Brazil. Foram avaliadas 300 luvas de procedimento/cirúrgicas (grupo A), 100 luvas de procedimento e 100 cirúrgicas novas (grupo B) e seis luvas nitrílicas (grupo C). Entre as luvas do grupo A, 135 (45,0%) estavam perfuradas. Sobreposições de luvas não impediram as perfurações e quanto maior o tempo de uso, maior o índice de perfuração (p<0,05). Não houve perfurações no grupo B e no C identificou-se quatro perfurações em 48 horas de uso. O estudo reforça que as luvas cirúrgicas/procedimento são inadequadas para o processo de limpeza manual de produtos para a saúde, constituindo uma barreira ineficaz na segurança dos trabalhadores. DESCRITORES:Esterilização. Riscos ocupacionais. Luvas cirúrgicas. ÍNDICE DE PERFORACIÓN DE GUANTES DE PROCEDIMENTO/ QUIRÚRGICO UTILIZADO POR LOS TRABAJADORES DE PURGA DE UN CENTRO DE MATERIAL Y ESTERILIZACIÓNRESUMEN: Se objetivó identificar los tipos de guantes utilizados por el equipo de enfermería para limpieza manual de productos para la salud y los índices de perforaciones en guantes de procedimiento/quirúrgicos utilizados en esta actividad. Estudio transversal, descriptivo, cuantitativo, realizado en hospital de gran porte de Goiânia, Goiás, Brazil. Fueron evaluados 300 guantes de procedimiento/quirúrgicos (grupo A), 100 guantes de procedimiento y 100 quirúrgicos nuevos (Grupo B) y seis guantes de nitrilo (Grupo C). Entre los guantes del grupo A, 135 (45,0%) estaban perforados. La superposición de guantes no impidió las perforaciones; y a mayor ti...

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“…Alternativ sollten die Handschuhe bei viszeralchirurgischen Eingriffen durch den Operateur und den 1. Assistenten nach spätestens 90 min, durch die weiteren Assistenten und Operationsschwestern nach 150 min gewechselt werden [45,103]. Bei intraoperativer Handschuhbeschädigung müssen 2 frische sterile Operationshandschuhe angelegt werden.…”

Section: Rauchen Ein Verzicht Ist Mindestensunclassified

Hygienevorschriften für die Operationsabteilung

Krämer

Heidecke

2014

Trauma Berufskrankh

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Concentration of bacteria passing through puncture holes in surgical gloves

Cited by 105 publications

References 20 publications

Evaluation of adherence to measures for the prevention of surgical site infections by the surgical team

Evaluation of adherence to measures for the prevention of surgical site infections by the surgical team

Index of Perforation of Procedure/Surgical Gloves Used by Workers in the Purging of a Material and Sterilization Center

Hygienevorschriften für die Operationsabteilung

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