Luvas cirúrgicas em procedimentos ortopédicos de trauma: Quantas perdem a integridade?

Barros, Maurício Pandini Monteiro de; Godoi, Thales Thiago Ferreira; Filho, Mario Ferretti; Fernandes, Helio Jorge Alchavian; Reis, Fernando Baldy dos

doi:10.1055/s-0040-1722591

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…A planned glove change could prevent possible unintentional contamination. This is also mentioned in the literature; Kobayashi et al and Kim et al also recommend changing gloves, especially after long duration of wear or before handling sterile materials to prevent infections during surgical interventions [27,28].…”

Section: Tears and Double Glovingmentioning

confidence: 91%

Is Single Gloving Still Acceptable? Investigation and Evaluation of Damages on Sterile Latex Gloves in General Surgery

Enz

Kamaleddine

Groß

et al. 2021

JCM

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(1) Background: The sterile latex surgical glove is an important part of protecting both the patient and the surgical team from infections. However, mechanical stress can damage the integrity of the glove material and thus may lead to infections. (2) Method: A total of 896 gloves from 448 surgeries were tested and evaluated by the water tightening test according to EN455 and ASTM D5151-19. (3) Results: From 448 surgeries, 18.8% of the interventions showed glove damage. In vascular surgery, gloves were damaged in 20.8%, in thoracic surgery 9.1%, in laparoscopic interventions 21.7%, in the subgroup hernia surgeries (TAPP) 17.6% and in open interventions 17.6%. A total of 101 damages were found on 896 gloves; one glove could have several damages. During vascular surgery, 60% of the damages were on the subordinated hand of the surgeon, and 73.3% of the damages had a size of 1 mm. In laparoscopic procedures, the subordinated hand was also more frequently affected (61.3%) than the dominant hand; 64.5% of the damages were 1 mm in size. In the hernia surgery subgroup (TAPP), no damage was larger than 1 mm; 66.7% were in the subordinated hand area. The duration of surgery had no influence on the lesion rate. (4) Conclusion: The damage rate in low impact procedures is high and represents an underestimated problem in soft tissue surgery. The use of single gloving can therefore lead to the risk of infection. EN455 and ASTM D5151-19 does not take into consideration the risk of intraoperative lesions. Double gloving and glove change algorithms should be established.

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Section: Tears and Double Glovingmentioning

confidence: 91%

Is Single Gloving Still Acceptable? Investigation and Evaluation of Damages on Sterile Latex Gloves in General Surgery

Enz

Kamaleddine

Groß

et al. 2021

JCM

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Assessment of glove integrity across various dental specialties in a dental school setting

Alsaegh,

AlSiraj,

Alsadoon

et al. 2024

Front. Oral. Health

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ObjectivesThis study aimed to evaluate the integrity of non-sterile, powder-free latex gloves used by dental students in various dental specialties.Materials and methodsThis cross-sectional study involved dental students from Ajman University who provided gloves during various dental specialty procedures. A total of 177 pairs of latex examination powder-free gloves were included and categorized as follows: 43 pairs (24.3%) were used in operative dentistry, 30 pairs (16.9%) in oral surgery, 28 pairs (15.8%) in endodontics, 24 pairs (13.6%) in periodontics, 21 pairs (11.9%) in pedodontics, 13 pairs (7.3%) in prosthodontics, and 18 pairs (10.2%) as control gloves. After use, glove integrity was assessed with a modified water leak test.ResultsPerforations were identified in 72 cases (40.7%) of gloves, distributed as follows: 22 cases (51.2%) in operative dentistry, 12 cases (40.0%) in oral surgery, 11 cases (39.3%) in endodontics, 11 cases (45.8%) in periodontics, 10 cases (47.6%) in pedodontics, 5 cases (38.5%) in prosthodontics, and 1 case (5.5%) in the control group. There were no statistically significant differences in the loss of glove integrity among different dental specialty procedures (χ2 = 11.899, p = 0.064) or among different glove usage durations (χ2 = 1.732, p = 0.785). However, the location of perforations in the experimental groups was statistically significant (χ2 = 34.427, p < 0.001). The most common locations were the right thumb (n = 18; 13.7%) and the right index finger (n = 17; 13%), with no perforations in the left ring finger and only one perforation in the left little finger (n = 1, 0.08%). There was a statistically significant correlation between the anticipated and actual presence of defects (χ2 = 32.875, p < 0.001).ConclusionsThe study found a high rate of glove perforations during dental procedures by undergraduate students, especially in the right thumb and index finger. To reduce cross-infection risks, strict protocols like double gloving, frequent glove changes, and covering wounds with plaster are recommended.

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Luvas cirúrgicas em procedimentos ortopédicos de trauma: Quantas perdem a integridade?

Cited by 2 publications

References 14 publications

Is Single Gloving Still Acceptable? Investigation and Evaluation of Damages on Sterile Latex Gloves in General Surgery

Is Single Gloving Still Acceptable? Investigation and Evaluation of Damages on Sterile Latex Gloves in General Surgery

Assessment of glove integrity across various dental specialties in a dental school setting

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