Surgical Glove Perforation and the Risk of Surgical Site Infection

Misteli, Heidi

doi:10.1001/archsurg.2009.60

Cited by 178 publications

(128 citation statements)

References 39 publications

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“…Glove perforations increase the risk of infection for both the surgical team and the patient [24][25][26][27]. This study is the first to demonstrate the incidence of glove perforation during revision TJA.…”

Section: Discussionmentioning

confidence: 66%

A Prospective Analysis of Glove Perforation in Primary and Revision Total Hip and Total Knee Arthroplasty

Carter¹,

Casper²,

Parvızı³

et al. 2012

The Journal of Arthroplasty

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Section: Discussionmentioning

confidence: 66%

A Prospective Analysis of Glove Perforation in Primary and Revision Total Hip and Total Knee Arthroplasty

Carter¹,

Casper²,

Parvızı³

et al. 2012

The Journal of Arthroplasty

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“…Another study by Harpaz et al also concluded that a surgeon may have transmitted hepatitis B to patients with perforated gloves as a probable cause [5]. Misteli et al found that the risk of surgical site infection (SSI) increases significantly in procedures in which gloves are perforated and microbial prophylaxis has not been administered [6]. It can be safely assumed that if reprocessed gloves with micro perforations are used, it may result in increasing the opportunity for transmission of infections from the patient to the treating team and vice versa.…”

Section: Discussionmentioning

confidence: 99%

Gloves Reprocessing: Does It Really Save Money?

et al. 2015

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Gloves are reprocessed and reused in health-care facilities in resource-limited settings to reduce the cost of availability of gloves. The study was done with the aim to compute the cost of reprocessing of gloves so that an economically rationale decision can be taken. A retrospective recordbased cross-sectional study was undertaken in a central sterile supply department where different steps during reprocessing of gloves were identified and the cost involved in reprocessing per pair of gloves was calculated. The cost of material and manpower was calculated to arrive at the cost of reprocessing per pair of gloves. The cost of a reprocessed pair of surgical gloves was calculated to be Indian Rupee (INR) 14.33 which was greater than the cost of a new pair of disposable surgical gloves (INR 9.90) as the cost of sterilization of one pair of gloves itself came out to be INR 10.97. The current study showed that the purchase of sterile disposable single-use gloves is cheaper than the process of recycling. Reprocessing of gloves is not economical on tangible terms even in resource-limited settings, and from the perspective of better infection control as well as health-care worker safety, it further justifies the use of disposable gloves.

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“…[1,2,6]. Perforations can increase the risk of surgical-site infection, and expose the surgeon to blood-borne diseases such as HIV, hepatitis C virus, and hepatitis B virus [10,14]. Understanding the clinical situations in which perforations occur can aid the surgeon in taking steps to minimize the risk of infection to the patient and to minimize the risk of viral exposure to the surgeon.…”

Section: Introductionmentioning

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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Surgical Glove Perforation and the Risk of Surgical Site Infection

Abstract: Without surgical antimicrobial prophylaxis, glove perforation increases the risk of SSI.

Cited by 178 publications

References 39 publications

A Prospective Analysis of Glove Perforation in Primary and Revision Total Hip and Total Knee Arthroplasty

A Prospective Analysis of Glove Perforation in Primary and Revision Total Hip and Total Knee Arthroplasty

Gloves Reprocessing: Does It Really Save Money?

High Risk of Surgical Glove Perforation From Surgical Rotatory Instruments

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