Higher rate of undetected intraoperative damage of latex-free surgical gloves worn by scrub nurses.

IF 2 3区 医学 Q2 ANESTHESIOLOGY
Leon Euler-Schmidt, Artur Barsumyan, Jan Adriaan Graw, Christian Soost, Yvonne Stephan, Rene Burchard
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Abstract

Background: Surgical gloves are a medical product and a cornerstone of prevention from surgical site infections and staff injury. This study aimed to investigate the integrity of surgical gloves worn by scrub nurses during selected procedures in both general and trauma surgery. The frequency of defects such as perforations or tears was identified. Furthermore, differences in durability between latex and latex-free gloves were analyzed.

Methods: In a 3-month period, a total of 139 surgical glove pairs, both latex and latex-free, used during general or trauma surgery in an academic teaching hospital were collected immediately after procedures. The gloves were subjected to watertightness testing following European norm ISO EN 455:2022 standards. Only gloves visually presumed to be intact were tested for any concealed perforations.

Results: The number of perforated glove pairs was similar in both departments (general surgery 25% (n = 14 of 57) vs. trauma surgery 28% (n = 23 of 82), p = 0.79). However, differences in perforation rates by glove models (latex vs. latex-free) were noticed. The likelihood of perforation was increased by a factor of 4.24 with the use of latex-free gloves (χ^2 = 8.48, p = 0.004).

Conclusions: Perforation of surgical gloves worn by scrub nurses is a common event during various surgical procedures in general and trauma surgery. In several cases, members of the surgical team do not notice a perforation of a glove. The risk of undetected damage to a surgical glove is significantly higher when latex-free gloves are used. Further research is needed to investigate if the use of a second layer of gloves could reduce this perioperative risk for surgical staff and patients.

消毒护士佩戴的无乳胶手术手套术中未被发现的损伤率较高。
背景:手术手套是一种医疗产品,是预防手术部位感染和工作人员伤害的基石。本研究旨在调查普通外科和创伤外科手术中消毒护士所戴手术手套的完整性。确定了穿孔或撕裂等缺陷的频率。此外,还分析了乳胶手套和无乳胶手套耐久性的差异。方法:在3个月的时间里,收集某学术教学医院普通外科或创伤外科手术中使用的乳胶和无乳胶手术手套139双。手套按照欧洲标准ISO EN 455:2022标准进行了水密性测试。只有表面上被认为完好无损的手套才会被检测是否有隐藏的穿孔。结果:两科的穿孔手套数量相似(普外科25%(57例中14例)vs创伤外科28%(82例中23例),p = 0.79)。然而,不同型号的手套(乳胶和无乳胶)穿孔率的差异被注意到。使用无乳胶手套,穿孔的可能性增加了4.24倍(χ^2 = 8.48, p = 0.004)。结论:在普通外科和创伤外科的各种外科手术中,消毒护士佩戴的手术手套穿孔是一种常见的事件。在一些情况下,手术小组成员没有注意到手套穿孔。当使用无乳胶手套时,手术手套未被发现损坏的风险明显更高。需要进一步的研究来调查使用第二层手套是否可以降低手术人员和患者的围手术期风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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自引率
3.80%
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55
审稿时长
10 weeks
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