Incidence of Microperforation for Surgical Gloves Depends on Duration of Wear

2009 ◽  
Vol 30 (5) ◽  
pp. 409-414 ◽  
Author(s):  
Lars Ivo Partecke ◽  
Anna-Maria Goerdt ◽  
Inga Langner ◽  
Bernd Jaeger ◽  
Ojan Assadian ◽  
...  
Keyword(s):  
Left Index Finger ◽  
Infectious Agents ◽  
Surgical Team ◽  
Surgical Gloves ◽  
Team Members ◽  
Left Hand ◽  
Surgical Nurses ◽  
Significant Difference ◽  
European Norm ◽  
Hand Cream

Background.The use of sterile gloves is part of general aseptic procedure, which aims to prevent surgical team members from transmitting infectious agents to patients during procedures performed in an operating room. In addition, surgical gloves also protect team members against patient-transmitted infectious agents. Adequate protection, however, requires that the glove material remain intact. The risk of perforations in surgical gloves is thought to correlate with the duration of wear, yet very few prospective studies have addressed this issue.Methods.We prospectively collected 898 consecutive pairs of used surgical gloves over a 9-month period in a single institution. After surgical team members wore the gloves during surgical procedures, the gloves were examined for microperforations using the watertight test described in European Norm 455, part 1. The gloves were analyzed as a pair; if 1 glove had a perforation, the pair was considered to be perforated. In addition, we evaluated the use of a hand cream that contained a suspension of cornstarch and ethanol to determine its potential influence on the rate of microperforation.Results.Wearing gloves for 90 minutes or less resulted in microperforations in 46 (15.4%) of 299 pairs of gloves, whereas wearing gloves for 91-150 minutes resulted in perforation of 54 (18.1%) of 299 pairs, and 71 of (23.7%) of 300 pairs were perforated when the duration of wear was longer than 150 minutes (P = .05). Subgroup analysis revealed no significant difference in the rates of microperforation for surgeons (56 [23.0%] of 244 pairs of gloves perforated), first assistants (43 [19.0%] of 226 pairs perforated), and surgical nurses (53 [20.5%] of 259 pairs perforated). Of 171 microperforations, 114 (66.7%) were found on the left hand glove (ie, the glove on subjects' nondominant hand), predominantly on the left index finger (55 [32.3%]). The use of the hand cream had no influence on the rate of microperforation.Conclusion.Because of the increase in the rate of microperforation over time, it is recommended that surgeons, first assistants, and surgical nurses directly assisting in the operating field change gloves after 90 minutes of surgery.

scholarly journals Study of Glove Perforation during Hip Replacement Arthroplasty: Its Frequency, Location, and Timing

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Li Xiao Tao ◽  
Deepak Kumar Basnet
Keyword(s):  
Hip Replacement ◽  
Index Finger ◽  
Surgical Team ◽  
Perforation Rate ◽  
Surgical Gloves ◽  
Team Members ◽  
Hip Replacement Arthroplasty ◽  
Glove Perforation ◽  
Replacement Arthroplasty ◽  
Primary Hip Replacement

Objective. The aim of the study was to evaluate the location, timing, and frequency of glove perforation during hip replacement arthroplasty. Methods. Gloves worn by surgical team members in 19 primary hip replacement arthroplasties were assessed. The study was of a single gloving system. All the used gloves were collected at the end of the surgery and assessed visually and by using water inflation technique. Relevant data were collected at the time of surgery. Results. A total of one hundred and ninety-one surgical gloves were evaluated. Twenty-three glove perforations were noted in nineteen of the operations. Of these perforations 14 belonged to gloves worn by surgeon and first assistant (60.1%). Glove perforation in thumb, index finger, and palm was more common. More perforation occurred in the gloves worn in nondominant hand (52%) but was insignificant. Conclusion. Glove perforation in surgeries such as total hip arthroplasty is not uncommon. In this study of single gloving system glove perforation rate was 12.04%, whereas literature reports of glove perforation rate as low as 3.3% in elective orthopedic surgeries with double gloving system. As such emphasis should be given to wear double pair of gloves wherever this practice is uncommon.

scholarly journals Glove damage in total hip arthroplasty

2019 ◽  
Vol 7 (3) ◽  
pp. 55-62
Author(s):  
Andrei A. Boyarov ◽  
Rashid M. Tikhilov ◽  
Igor I. Shubnyakov ◽  
Ali I. Midaev
Keyword(s):  
Risk Factors ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Surgical Team ◽  
Surgical Gloves ◽  
Team Members ◽  
Total Hip ◽  
Wound Contamination ◽  
Revision Tha ◽  
The Right

Background. Glove damage during orthopedic operation can reach an incidence of 26.1%, whereas perforations in gloves go unnoticed by surgical team members in most cases (up to 82%), which certainly increases the risk of wound contamination and hemocontact infection transmission. Aim. The aim of this study was to assess the frequency of glove damage among hip arthroplasty surgical team members, to identify the nature, location, and risk factors of damage to surgical gloves. Materials and methods. A total of 1418 surgical gloves (709 pairs) that were used by surgeons, assistants, and surgical nurses during 154 primary and revision total hip arthroplasty (THA) were included in the analysis in this study. Results. Damage to surgical gloves was observed in 69 (44.8%) operations: 54 operations of the primary THA (42.2%) and 15 revision THA (57.7%). Of 1418 gloves used, 95 were damaged (6.7%); 68 of 1166 gloves (5.8%) were damaged during primary hip arthroplasty and 27 of 252 gloves (10.7%) were damaged during revision THA. During primary and revision arthroplasties, glove perforations were observed in most cases: 83.6% and 85.7%, respectively. Most of the cases of glove damage were found in surgeons (45.2% of cases), and 41.1% and 13.7% of the cases of glove damage were experience by assistants and operating room nurses, respectively. The most frequent location of damage in the gloves was on the second finger of both hands: on the left, 40.3%, and on the right, 33.3%. Gloves were damaged in 42.1% of cases in primary arthroplasties lasting up to 70 min and in 42.3% of cases in those lasting more than 70 min. In revision hip arthroplasties lasting up to 95 min, gloves were damaged in 38.5%, and in revisions that lasted more than 95 min, in 76.9% cases. Discussion. Glove damage during revision THA most often occurs to the surgeon suturing the wound (87.4%) and usually remains unnoticed. Risk factors for glove damage are the length of the operations and the use of sharp tools, knitting needles, and wire. Conclusion. Use of apodactyl operational techniques and periodic change of surgical gloves can reduce the risk of damage to gloves and, as a result, reduce wound contamination and the transmission of blood-borne infections.

scholarly journals Unnoticed surgical gloves perforation: A multicentric study of the leading factors.

2020 ◽  
pp. 9-12
Keyword(s):  
Healthcare Workers ◽  
Left Index Finger ◽  
Dominant Hand ◽  
University Hospitals ◽  
Operating Theater ◽  
Cross Sectional ◽  
Multicentric Study ◽  
Surgical Gloves ◽  
Significance Threshold ◽  
European Norm

Background Surgical gloves act as protective barrier against blood-borne pathogens transmission from patients to healthcare workers and vice versa. The aim of this study was to assess the rate of surgical gloves intraoperative perforation and to highlight its leading factors. Methods A descriptive cross-sectional multicentric study was conducted at three different Tunisian university hospitals: Charles Nicolle, La Rabta and Mongi Slim. Four different surgical departments were involved: cardiovascular surgery, urology, general surgery and otorhinolaryngology. The gloves were collected and tested immediately at the sterilization units using the leak test as described in European Norm EN 455-1.19. Results were produced using the statistical package for social sciences version 19.0 and the X2 was used with a significance threshold of 5%. Results A total of 320 gloves were collected. Seventy-two were found to be perforated (22.5%). The majority of the perforated gloves were collected after cardiovascular procedures (40%, p=0.001), on the non-dominant hand (71%, p=0.0001), when the duration of the procedure exceeded 90 minutes (p=0.0001) and for thinner gloves (61%,p=0.018). The left index finger of the surgeon’s glove is more likely to be perforated (38%). Conclusion This study showed considerable gloves perforation rate during surgical procedures that could indicate the implementation of new rules and policies in the operating theater practices. Key words Perforation, surgical gloves, operating theater, associated factors.

scholarly journals Detection of SARS-CoV-2 and Other Infectious Agents in Lower Respiratory Tract Samples Belonging to Patients Admitted to Intensive Care Units of a Tertiary-Care Hospital, Located in an Epidemic Area, during the Italian Lockdown

2021 ◽  
Vol 9 (1) ◽  
pp. 185
Author(s):  
Adriana Calderaro ◽  
Mirko Buttrini ◽  
Sara Montecchini ◽  
Giovanna Piccolo ◽  
Monica Martinelli ◽  
...  
Keyword(s):  
Intensive Care ◽  
Respiratory Tract ◽  
Intensive Care Units ◽  
Lower Respiratory Tract ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Infectious Agents ◽  
Epidemic Area ◽  
Significant Difference

The aim of this study was the detection of infectious agents from lower respiratory tract (LRT) samples in order to describe their distribution in patients with severe acute respiratory failure and hospitalized in intensive care units (ICU) in an Italian tertiary-care hospital. LRT samples from 154 patients admitted to ICU from 27 February to 10 May 2020 were prospectively examined for respiratory viruses, including SARS-CoV-2, bacteria and/or fungi. SARS-CoV-2 was revealed in 90 patients (58.4%, 72 males, mean age 65 years). No significant difference was observed between SARS-CoV-2 positives and SARS-CoV-2 negatives with regard to sex, age and bacterial and/or fungal infections. Nonetheless, fungi were more frequently detected among SARS-CoV-2 positives (44/54, 81.4%, p = 0.0053). Candida albicans was the overall most frequently isolated agent, followed by Enterococcus faecalis among SARS-CoV-2 positives and Staphylococcus aureus among SARS-CoV-2 negatives. Overall mortality rate was 40.4%, accounting for 53 deaths: 37 among SARS-CoV-2 positives (mean age 69 years) and 16 among SARS-CoV-2 negatives (mean age 63 years). This study highlights the different patterns of infectious agents between the two patient categories: fungi were prevalently involved among SARS-CoV-2-positive patients and bacteria among the SARS-CoV-2-negative patients. The different therapies and the length of the ICU stay could have influenced these different patterns of infectious agents.

The Heartguard: A Humanitarian Pediatric Cardiac Surgery Program in Rural China

2021 ◽  
Author(s):  
Xun E. Zhang ◽  
Zhi Geng ◽  
Jun Shao ◽  
Hao Yao ◽  
Lu Wang ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Endovascular Procedures ◽  
Rural China ◽  
Surgical Team ◽  
Physical And Mental Health ◽  
Team Members ◽  
Financial Difficulties ◽  
The Government ◽  
Receive Treatment

Abstract Background Congenital heart disease (CHD) accounts for the most common birth defects in China, pressuring both the physical and mental health in children. The inaccessibility of CHD children in rural China due to financial difficulties is demanding inputs from both the government and society. The Heartguard project is a program developed to improve the delivery of CHD care in rural China. Methods The Heartguard project partners with county hospitals and performs CHD screening to diagnose patients with CHD in rural China. Diagnosed children with CHD who are unable to afford therapy will subsequently receive treatment sponsored by the financial partners. All patients are followed up by the local partner and visiting surgical team members. Results More than 10,000 children across 9 provinces underwent CHD screening. A total of 240 (accounting for an incidence of 2.4%) was treated by the program, of which 226 patients were managed invasively, the other 14 patients conservatively. Open surgery was performed in 162 patients, while endovascular procedures were applied in another 64. No mortality or significant complications occurred during the transfer. There was no perioperative or late death. Conclusion This humanitarian cardiac surgery program is able to promote accessibility of care for CHD children in rural China. The quality of life of these patients can be improved with continuous input from the society.

scholarly journals Impact of Surgical Table Orientation on Flow Disruptions and Movement Patterns during Pediatric Outpatient Surgeries

2021 ◽  
Vol 18 (15) ◽  
pp. 8114
Author(s):  
Anjali Joseph ◽  
David Neyens ◽  
Sahar Mihandoust ◽  
Kevin Taaffe ◽  
David Allison ◽  
...  
Keyword(s):  
Ambulatory Surgery ◽  
Surgical Team ◽  
Scrub Nurse ◽  
Work Zones ◽  
Convenience Sample ◽  
Operational Strategies ◽  
Team Members ◽  
Video Recordings ◽  
Safety Risks ◽  
Flow Disruptions

(1) Background: The surgical table within a typical ambulatory surgery operating room is frequently rotated and placed in different orientations to facilitate surgery or in response to surgeon preferences. However, different surgical table orientations can impact access to different work zones, areas and equipment in the OR, potentially impacting workflow of surgical team members and creating patient safety risks; (2) Methods: This quantitative observational study used a convenience sample of 38 video recordings of the intraoperative phase of pediatric outpatient surgeries to study the impacts of surgical table orientation on flow disruptions (FDs), number of contacts between team members and distance traveled; (3) Results: This study found that the orientation of the surgical table significantly influenced staff workflow and movement in the OR with an angled surgical table orientation being least disruptive to surgical work. The anesthesia provider, scrub nurse and circulating nurse experienced more FDs compared to the surgeon; (4) Conclusions: The orientation of the surgical table matters, and clinicians and architects must consider different design and operational strategies to support optimal table orientation in the OR.

Prevalence Rates for Medical Problems among Flautists: A Comparison of the UNT-Musician Health Survey and the Flute Health Survey

2001 ◽  
Vol 16 (3) ◽  
pp. 99-101
Author(s):  
Cari Spence
Keyword(s):  
Health Survey ◽  
Sleep Disturbances ◽  
Data Sets ◽  
Prevalence Rates ◽  
Medical Problems ◽  
North Texas ◽  
University Of North Texas ◽  
Left Hand ◽  
Significant Difference ◽  
The University

The purpose of this study was to identify prevalence rates of medical problems among flautists. The Flute Health Survey (FHS), a questionnaire with items regarding musculoskeletal and nonmusculoskeletal problems, was distributed at the 1999 National Flute Association annual meeting (n = 40). This questionnaire was pilot tested at the 1999 Texas Flute Festival, which is hosted by the Texas Flute Society. The University of North Texas has posted on the Internet a similar questionnaire regarding the medical problems of all musicians. Responses from the University of North Texas Musician Health Survey (UNT-MHS) were filtered to include only those respondents who denoted flute as their primary instruments (n = 328). Data sets from both surveys were then processed using comparative statistics. Findings show that there was no significant difference between the demographics of the two populations. Only one musculoskeletal site, the left hand, was found to be statistically significant between the two groups. Four nonmusculoskeletal items, depression, earache, headache, and sleep disturbances, were found to be different between the two groups. The overall findings of this comparison show that there are many medical problems facing the flute playing community. Further investigation and observations of this population are necessary.

Psychiatric illness, medication and driving: an audit of documentation

2015 ◽  
Vol 33 (3) ◽  
pp. 171-174 ◽  
Author(s):  
A. Gallagher ◽  
S. Shah ◽  
W. Abassi ◽  
E. Walsh
Keyword(s):  
Road Safety ◽  
Psychiatric Patients ◽  
Fitness To Drive ◽  
Team Members ◽  
The Road ◽  
Significant Difference ◽  
New Guidelines ◽  
A Minor ◽  
Inpatient Psychiatric Unit ◽  
Minor Improvement

ObjectivesGuidelines on advising patients on fitness to drive have been published recently by the Road Safety Authority in collaboration with the Royal College of Physicians of Ireland. The aim of this audit is to assess if the new guidelines are being adhered to.MethodExamination of the documentation and adherence to the guidelines in the inpatient psychiatric unit, Mayo General Hospital.ResultsOf the 100 patients included in audit cycle one, none had any specific documentation about driving. One patient was admitted with alcohol misuse and was driving. On re-auditing, following presentation at academic meeting and education of team members on the guidelines, there was a minor improvement of 7%.ConclusionThere was no significant difference in documentation on re-audit. However, an increase of 7% is nonetheless encouraging. Information concerning driving should be a standard part of advice given to all psychiatric patients.

scholarly journals Mobile Learning Module Improves Knowledge of Medical Shock for Forward Surgical Team Members

2012 ◽  
Vol 177 (11) ◽  
pp. 1316-1321 ◽  
Author(s):  
Carl I. Schulman ◽  
George D. Garcia ◽  
Mary M. Wyckoff ◽  
Robert C. Duncan ◽  
Kelly F. Withum ◽  
...  
Keyword(s):  
Mobile Learning ◽  
Surgical Team ◽  
Team Members ◽  
Learning Module

scholarly journals Mentally Challenged Children’s Performance Comparison to Evaluate their Motor Function of the Brain – By Applying Finger Tapping Sub-test Test of Neuropsychological Battery

2017 ◽  
Vol 4 (4) ◽  
Author(s):  
Mr. Anjan N. Patel ◽  
Dr. D.J Panchal
Keyword(s):  
Mental Retardation ◽  
Motor Function ◽  
Performance Comparison ◽  
Finger Tapping ◽  
Neuropsychological Battery ◽  
Left Hand ◽  
Similar Performance ◽  
Right Hand ◽  
Significant Difference ◽  
Finger Tapping Test

“Mentally challenged children’s performance comparison to evaluate their brain’s motor function – by applying finger tapping subtest test of neuropsychological battery” this is a research problem to know that mental retardation is affecting their motor co-ordination function on not”. Neuro-psychological assessment test battery which was developed by NIMHANS, Bangalore in the year of 2004 and its sub-test Finger tapping test was administered for research. By random sampling method, samples were collected from B.M Institute of Mental Health, Ahmedabad in the year of 2012. Based on Government Civil hospital’s IQ certificate 75 mild category of MR children of above and below graduate parents were taken for research with prior permission. Mental Retardation based on various diagnosis like; Down syndrome, microcephaly, hydrocephaly, trisomy-13, trisomy-18 or multiple disabilities are included. Flowingly, Children’s age group and gender are also kept different to compare their performance on finger tapping test. The results shows the “t” value of Neuropsychological functions of finger tapping test (Right hand) of mild children of different educational level of parents is 0.12. The mean scores of finger tapping test (Right hand) of mild children of above and below graduate parents were found 36.08 and 36.38 respectively with SD 8.50 and 12.56. The results indicate that significant difference does not exist between mild children of below and above graduate parents with regard to finger tapping test (Right hand). In the light of the hypothesis that there will be no significant difference between mild children of below and above graduate parents on finger tapping test (Right hand). It implies that mild children of below and above graduate parents have no significant difference of performance on finger tapping test (Right hand). Based on the result it depicts that mild children of below and above graduate parents’ children have similar performance on finger tapping test (Right hand). The results shows the “t” value of Neuropsychological functions of finger tapping test (Left hand) of mild children of educational level of parents is 0.55. The mean scores of finger tapping test (Left hand) of mild children of above graduate parents were found 34.49 and 35.92 respectively with SD 9.18 and 13.03. The results indicate that significant difference exist between mild children of below graduate parents and mild children of above graduate parents with regard to finger tapping test (Left hand). In the light of the hypothesis that there will be no significant difference between mild children of below and above graduate parents on finger tapping test (Left hand). It implies that mild children of below and above graduate parents have no significant difference on finger tapping test (left hand). Mild children of above and below graduate parent’s children have similar performance on finger tapping test (left hand). On the basis of result it is concluded that Mild MR category of above and below graduate parent’s children have similar performance on Finger tapping test in both Right and Left hand. It depicts that these children are fair in their motor function of motor speed and co-ordination. 75 children’s mental retardation does not affected on their brain’s motor function performance.

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