Double Gloving: A Risk Reduction Strategy

Twomey, Carolyn L

doi:10.1016/s1549-3741(03)29045-6

Cited by 15 publications

(9 citation statements)

References 19 publications

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“…Surgical site infections contribute significantly to post-operative morbidity and mortality all over the world [9]. In addition to putting patients at risk, glove perforations can cause potential harm for surgical personnel.…”

Section: Discussionmentioning

confidence: 99%

“…One of the approaches suggested to be helpful in reducing the risk of infection prevention during glove perforations is the use of double gloves instead of single glove [9–11]. Previous studies have demonstrated that when double gloves are used, the inner glove had less perforations (as low as 2%), hence reducing cross-infection [9, 10].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have demonstrated that when double gloves are used, the inner glove had less perforations (as low as 2%), hence reducing cross-infection [9, 10]. …”

Section: Introductionmentioning

confidence: 99%

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Incidence and patterns of surgical glove perforations: experience from Addis Ababa, Ethiopia

et al. 2017

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BackgroundSurgical glove perforation is a common event. The operating staff is not aware of the perforation until the procedure is complete, sometimes in as high as 70% of the incidences. Data from Ethiopia indicates that the surgical workforce suffers from a very surgery related accidents, however there is paucity of data regarding surgical glove perforation.The main objective is to describe the incidence and patterns of surgical glove perforation during surgical procedures and to compare the rates between emergency and elective surgeries at one of the main hospitals in Addis Ababa Ethiopia.MethodsThis is a prospective study, performed at the Minilik II referral hospital, Addis Ababa. All surgical gloves worn during all major surgical procedures (Emergency and Elective) from June 1-July 20, 2016 were collected and used for the study. Standardised visual and hydro insufflation techniques were used to test the gloves for perforations. Parameters recorded included type of procedure performed, number of perforations, localisation of perforation and the roles of the surgical team.ResultsA total of 2634 gloves were tested, 1588 from elective and 1026 from emergency procedures. The total rate of perforation in emergency procedures was 41.4%, while perforation in elective surgeries was 30.0%. A statistically significant difference (P < 0.05) was found in between emergency and elective surgeries.There were a very high rate of perforations of gloves among first surgeons 40.6% and scrub nurses 38.8% during elective procedures and among first surgeons (60.14%), and second assistants (53.0%) during emergency surgeries.Only 0.4% of inner gloves were perforated. The left hand, the left index finger and thumb were the most commonly perforated parts of the glove. Glove perforation rate was low among consultant surgeons than residents.ConclusionsOur reported perforation rate is higher than most publications, and this shows that the surgical workforce in Ethiopia is under a clear and present threat. Measures such as double gloving seems to have effectively prevented cutaneous blood exposure and thus should become a routine for all surgical procedures. Manufacturing related defects and faults in glove quality may also be contributing factors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Incidence and patterns of surgical glove perforations: experience from Addis Ababa, Ethiopia

et al. 2017

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“…One of the major problems reported by surgeons when using two pairs of gloves is loss of tactile sensitivity. 1 We have found that these gloves do not significantly affect tactile sensitivity. During proximal locking of a retrograde femoral intramedullary nail, retraction can be difficult when using traditional radio-opaque retractors.…”

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confidence: 71%

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confidence: 71%

A Radiolucent Retractor for Locking Screws

Riley

Sivaji

2009

annals

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sterile drapes is difficult, disrupts surgery and can prolong the duration of anaesthesia. A simple and cheap solution is to use an inflated latex glove and position the patient's hand with interlocking fingers around it as shown in Figure 1, thus maintaining dorsiflexion of the patient's wrist and so preventing arterial line kinking. When performing contaminated abdominal surgery, one of the problems that all surgeons will have experienced is the nasty 'smell' left on their hands after the procedure, even when double-gloving. Surgeons at our institution have found that by using a pair of sterile co-polymer overgloves as undergloves (e.g. Bodyguards ® ; Medisavers, E: sales@medisavers.co.uk) instead of a pair of latex gloves results in no 'smell' being transmitted to the hands. One of the major problems reported by surgeons when using two pairs of gloves is loss of tactile sensitivity. 1 We have found that these gloves do not significantly affect tactile sensitivity. During proximal locking of a retrograde femoral intramedullary nail, retraction can be difficult when using traditional radio-opaque retractors. A 50-ml syringe, such as BD Plastipak™ (BD, The Danby Building, Edmund Halley Road, Oxford Science Park, Oxford, UK), with the catheter tip cut off, either with scissors or a saw, can be placed directly onto bone via the skin incision. This easily retracts the tissues allowing access to the proximal femur with the added benefit of being radiolucent. This allows the surgeon to interpret the fluoroscopy findings accurately and position the proximal locking screw precisely. Furthermore, the surgical assistant is protected from erroneous exposure to radiation whilst screening.A loop transverse colostomy can be performed as an effective method of relieving acute colonic obstruction. In the setting of disseminated intra-abdominal malignancy and resultant abnormal anatomy, the procedure is frequently underestimated. By securing a coin in the right upper quadrant and obtaining a plain film of the abdomen, the location of the proposed colostomy relative to the transverse colon can be estimated pre-operatively. This facilitates less dissection of the peritoneal attachments in order to mobilise the colon to the desired site.

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