Abstract:
BACKGROUND:The reasons for gloving-up for surgery are to protect the surgical field from microorganisms on the surgeon's hands and protect the surgeon from the patient's microorganisms. This study measured the concentration of bacteria passing through glove punctures under surgical conditions. METHODS:Double-layered surgical gloves were worn during visceral surgeries over a 4-month period. The study included 128 outer gloves and 122 inner gloves from 20 septic laparotomies. To measure bacterial passage though punctures, intraoperative swabs were made, yielding microorganisms that were compared with microorganisms retrieved from the inner glove layer using a modified Gaschen bag method. RESULTS:Depending on the duration of glove wear, the microperforation rate of the outer layer averaged 15%. Approximately 82% of the perforations went unnoticed by the surgical team. Some 86% of perforations occurred in the nondominant hand, with the index finger being the most frequently punctured location (36%). Bacterial passage from the surgical site through punctures was detected in 4.7% of the investigated gloves. CONCLUSION:Depending on the duration of wear, surgical gloves develop microperforations not immediately recognized by staff. During surgery, such perforations allow passage of bacteria from the surgical site through the punctures. Possible strategies for preventing passage of bacteria include strengthening of glove areas prone to punctures and strict glove changing every 90 minutes.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Harnoss JC,Partecke LI,Heidecke CD,Hübner NO,Kramer A,Assadian Odoi
10.1016/j.ajic.2009.06.013subject
Has Abstractpub_date
2010-03-01 00:00:00pages
154-8issue
2eissn
0196-6553issn
1527-3296pii
S0196-6553(09)00754-8journal_volume
38pub_type
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journal_title:American journal of infection control
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更新日期:2008-12-01 00:00:00
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journal_title:American journal of infection control
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doi:10.1016/j.ajic.2009.09.003
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doi:10.1016/j.ajic.2009.09.001
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journal_title:American journal of infection control
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2000-02-01 00:00:00
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更新日期:2016-10-01 00:00:00
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更新日期:2017-08-01 00:00:00
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doi:10.1053/ic.1998.v26.a93115
更新日期:1998-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ajic.2013.05.019
更新日期:2013-12-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
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更新日期:2017-08-01 00:00:00