Gloves, extra gloves or special types of gloves for preventing percutaneous exposure injuries in healthcare personnel

Mischke, Christina; Verbeek, Jos; Saarto, Annika; Lavoie, Marie‐Claude; Pahwa, Manisha; Ijaz, Sharea

doi:10.1002/14651858.cd009573.pub2

Cited by 76 publications

(73 citation statements)

References 82 publications

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“…Double gloving is an effective way to protect patients and practitioners and is common practice in our institution; however, double gloving, while common, is not universally practiced [7,13,18]. Mischke et al [13] found inner-glove puncture risk could be reduced by 71% with double gloving. We did not evaluate the damage to an inner glove if double gloving was used, as only outer gloves were submitted for testing.…”

Section: Discussionmentioning

confidence: 99%

High Risk of Surgical Glove Perforation From Surgical Rotatory Instruments

Goldman

Haug

Owen

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Surgical gloves can be damaged during the course of a procedure, which can place the surgeon and patient at risk. Glove perforation may not always be readily apparent, and determining the risk factors for glove perforation can aid the surgeon in deciding when a glove change is advisable. Time of wear and needle sticks have been well studied; however, other mechanisms including mechanical stress from surgical equipment have had limited evaluation to date. Questions/purposes We evaluated the risk of glove perforation in gloves that were caught in a surgical rotatory device (such as drills and reamers). The aims of our study were (1) to determine the percentage of undetected microperforations after entanglement on a rotatory tool during orthopaedic procedures, (2) to determine which kinds of rotatory devices most commonly cause such microperforations, and (3) to assess whether time of wear had an effect on the risk of perforation. Methods From July 2014 to September 2015, 33 gloves were obtained from all orthopaedic subspecialties at our Level I trauma center if they were caught in a rotatory device greater than one revolution. Time of glove wear and location of the glove that was caught in a rotatory device were recorded. After an evaluation for macroperforations (C 5 mm), the gloves were evaluated for microperforations (\ 5 mm) via the American Society for Testing and Materials (ASTM) one-liter load test. Time of wear was compared among gloves with macroperforations, microperforations, and no perforations. Results The 33 gloves obtained came from 33 procedures. Seventeen of 33 (52 %) gloves had perforations. Seven of the 17 perforated gloves had macroperforations while 10 had microperforations. Eleven of 33 entanglements were caught by drills, nine by reamers, eight by Kwires, and the remaining five gloves were caught by various other instruments. Eight of 17 perforations were caused by drills, three by reamers, three by K-wires, and three by various other instruments. The average time of wear was 58 minutes which did not differ with pattern of glove damage.

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Section: Discussionmentioning

confidence: 99%

High Risk of Surgical Glove Perforation From Surgical Rotatory Instruments

Goldman

Haug

Owen

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…10 Hashmi A et al estimated that 35% of doctors (n=10) and 47% (n=15) of nurses in MCH Hospital Najran, KSA suffered from sharps injury during first half of 2012. 3 1 Also, around 13% (n=54) had one or more needle stick injury in the previous one month at work and half of them were affected by non-sterile needles. 1 Among the sufferers of sharps injury 45% (n=126) were nursing students and 55% (n=155) were professionals.…”

Section: Discussionmentioning

confidence: 99%

“…3 1 Also, around 13% (n=54) had one or more needle stick injury in the previous one month at work and half of them were affected by non-sterile needles. 1 Among the sufferers of sharps injury 45% (n=126) were nursing students and 55% (n=155) were professionals. In comparison this study concluded that among all (n=155), 45% (n= 69) of health care workers had ever suffered from a needle stick injury ever in their career, whereas 34% (n=53) of them (n=122) suffered from needle stick injuries during the last year.…”

Section: Discussionmentioning

confidence: 99%

“…5 A large fraction of health care personnel when interviewed in tertiary care setting of Karachi, Pakistan had suffered from a needle stick injury. 1 The information on actual burden of the phenomenon is scarce in Pakistan. 1 This study, therefore aims to assess the frequency and the factors contributing to the needle stick and sharp injuries among health care personnel of a tertiary care private hospital of Lahore.…”

Section: Introductionmentioning

confidence: 99%

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Needle Stick and Sharps Injuries; Frequency and the Factors Contributing Among Health Care Workers of a Tertiary Care Private Hospital of Lahore

Nagi¹,

Kazmi²,

Saleem³

et al. 2017

TPMJ

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ABSTRACT… Background: This study, therefore aims to assess the frequency and the factors contributing to the needle stick injuries among health care workers of a tertiary care private hospital of Lahore. Setting: Shalamar Hospital Lahore, Pakistan a tertiary care private institution. Period: July and August 2015. Study Design: Cross-sectional study. Methods: A modified structured pre-tested questionnaire containing both open and close-ended questions was administered to 160 study participants. The selected candidates were thoroughly briefed about the study and informed consent was obtained. Confidentiality and anonymity of the participants was maintained. Data entry was done on SPSS version 20 for Microsoft Windows. Results: The response rate was 97%. Among all respondents (n=122), almost 41% (n= 63) were medical doctors and 34% (n= 53) were nursing staff. A small proportion of 4% (n= 6) belonged to the dental surgical background as well. Of all the surveyed participants, 45% (n=69) had ever suffered from needle stick/ sharps injury during their medical job and career, whereas, 34% (n=53) had suffered from a needle stick injury during the last year. Nearly 63% (n=47) reported that the cause of injury was accidental, 16% (n=25) acknowledged lack of awareness, 7% (n=10) acknowledged improper equipment and 4% (n=6) accused lack of training as the major cause of needle stick injuries. A hefty 34% (n=53) believed that there existed no protocols in the institution regarding needle stick injuries, while another 50% (n=78) stated that they were not aware of the hospital protocols regarding needle stick injuries if there existed any. A disturbing 34% (n=53) assume that they should recap the needles after using them. There was a strong statistical association p<.001 between establishment of hospital protocols regarding needle stick or sharps injury and an event of needle stick injury suffered by the health care workers during last year. Conclusion: The needle stick injuries can be prevented by the eradication of hazard causing equipment's, prevention through engineering measures, administrative controls and last but not the least personal protective measures. Key words:Needle Stick Injury, Sharps Injury, Health-Care Workers (HCW).

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“…Amniotic fluid volume at the time of full-term delivery typically exceeds 500 mL (8). Eye protection used during deliveries has been demonstrated to be contaminated with blood and body fluids (9), and when double layers of gloves are used for procedures and surgeries, the outer layers often have significant perforations, whereas the inner layers are intact or have many fewer perforations (10). Although health care personnel in these settings are at substantial risk for exposure to blood and body fluids, varying levels of adherence to Standard Precautions have been reported in health care settings, including in labor and delivery units (11).…”

Section: Use Of Standard Precautions In Labor and Delivery Settingsmentioning

confidence: 99%

Preventing Transmission of Zika Virus in Labor and Delivery Settings Through Implementation of Standard Precautions — United States, 2016

Olson¹,

Iwamoto²,

Perkins³

et al. 2016

MMWR Morb. Mortal. Wkly. Rep.

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Gloves, extra gloves or special types of gloves for preventing percutaneous exposure injuries in healthcare personnel

Cited by 76 publications

References 82 publications

High Risk of Surgical Glove Perforation From Surgical Rotatory Instruments

High Risk of Surgical Glove Perforation From Surgical Rotatory Instruments

Needle Stick and Sharps Injuries; Frequency and the Factors Contributing Among Health Care Workers of a Tertiary Care Private Hospital of Lahore

Preventing Transmission of Zika Virus in Labor and Delivery Settings Through Implementation of Standard Precautions — United States, 2016

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