Glove breach occurrence during surgical procedures: the benefits of double/indicator system gloves

IF 3.9 3区医学 Q1 INFECTIOUS DISEASES

Journal of Hospital Infection Pub Date : 2025-05-02 DOI:10.1016/j.jhin.2025.04.010

M.G. Rippon , A.A. Rogers , K.J. Ousey

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引用次数: 0

Abstract

Background

The use of gloves during surgery aims at preventing surgical site infections (SSIs) and to protect both staff and patients from cross-contamination.

Aim

To assess the rate of surgical glove breaches, whether these pose an increased risk of infection, and, if so, how might this be overcome (using double/indicator system glove techniques).

Methods

A scoping review was undertaken to address the primary research questions identified in the objectives. The search strategy was as follows: ‘surgical AND gloves AND perforations’ with a search date from January 1^st, 1970 to July 31^st, 2024 using the PubMed database. The articles were screened independently by two separate reviewers using the PRISMA-Scr checklist methodology.

Findings

The initial search identified 343 articles that were then screened to provide 129 articles for full review. The results showed that surgical glove perforations are frequently reported to various levels in a variety of different surgical procedures, but that importantly a high proportion of glove breaches go undetected. The incidence of these perforations varies, but analysis of the data indicates that orthopaedic, oral/maxillofacial and obstetrics/gynaecology were pertaining the highest levels, probably due to the use of mechanical procedures that can easily damage the gloves. Increased levels of bacterial transmission and SSIs are associated with increased frequency of surgical glove perforations. The use of indicator system gloves demonstrated significant benefits in terms of identification of surgical glove breaches.

Conclusion

In high-risk surgical procedures the use of an indicator system provides both surgeon and patient added protection with the perforation/breach detection helping prevent bacterial transmission and cross-infection.

查看原文本刊更多论文

手术过程中手套破裂的发生：双/指示系统手套的好处。

目的：评估手术手套破损率，是否会增加感染风险，如果是，如何克服这种情况（使用双/指标系统手套技术）。方法：进行范围审查，以解决在目标中确定的主要研究问题。搜索策略如下：“surgical AND gloves AND perforations”，搜索日期为1970年1月1日至2024年7月31日，使用PubMed数据库。文章由两位独立的审稿人使用PRISMA-Scr检查表方法进行独立筛选。结果：最初的搜索确定了343篇文章，然后筛选出129篇文章进行全面审查。结果表明，在各种不同的外科手术过程中，外科手套穿孔经常被报道为不同程度，但重要的是，很大比例的手套破裂未被发现。这些穿孔的发生率各不相同，但对数据的分析表明，矫形外科、口腔/颌面外科和产科/妇科的发生率最高，可能是由于使用了容易损坏手套的机械手术。细菌传播和手术部位感染（ssi）水平的增加与手术手套穿孔的频率增加有关。使用指示系统手套在识别手术手套破损方面显示了显著的好处。结论：在高危外科手术中，使用指示系统提供了穿孔/缺口检测的额外保护，有助于防止细菌传播和交叉感染。

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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来源期刊

Journal of Hospital Infection 医学-传染病学

CiteScore

12.70

自引率

5.80%

发文量

271

审稿时长

19 days

期刊介绍： The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience. The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that: provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings; provide new insight into cleaning, disinfection and decontamination; provide new insight into the design of healthcare premises; describe novel aspects of outbreaks of infection; throw light on techniques for effective antimicrobial stewardship; describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control; improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change; improve understanding of the use of IT systems in infection surveillance and prevention and control.