scholarly journals THE INCIDENCE & PATTERN OF MICRO PERFORATION OF SURGICAL GLOVES AFTER SINGLE USE

2020 ◽  
Vol 6 (1) ◽  
pp. 06-09 ◽  
Author(s):  
Parveen Akhter Lone ◽  
Mubashar Akram ◽  
Azhar Malik ◽  
Vishal Loona ◽  
Arif Rashid

Aim & Objectives: Concern about the transmission of infection from patients to healthcare workers & vice versa is increasing. According to occupational safety & health administration, USA guidelines, gloves must be worn whenever there is a reasonable likelihood of contact of body fluids of patients to health personnel's in order to prevent contamination. The aim of this study is to report the pattern & incidence perforation of surgical gloves after single-use during different dental &maxillofacial surgical procedures & also to compare the perforation rate in single & double gloving methods during different elective& emergency oral & surgical procedures.Material & Methods: This prospective study was done for six months in the department of oral &maxillofacialsurgery. All the gloves used during elective & emergency, minor & major surgical procedures were collected. Both visual & hydro insufflations techniques were used to check the gloves for perforation & parameters were recorded.Results: A total of 1000 gloves were recorded, used in emergency& elective procedures. The percentage of operating doctor, assistant nurses was recorded. 34.54% gloves used in IMF were perforated.22.14% gloves used in Trans alveolar extraction with burs and 13.33% sharp surgical instruments perforated gloves.Suture needles perforated 18% gloves and needle pricks during extraction perforated 12% gloves. The overall perforation rate in all surgical procedures mentioned above was 18.62%.The chi square value: 114.129 and p value < 0.001.Conclusions: Double gloving method reduces the risk of contamination from patient to operating staff & vice versa by reducing the inner glove perforation

PROMOTOR ◽  
2021 ◽  
Vol 4 (2) ◽  
pp. 114
Author(s):  
Firdha Wahyuni Ardianty ◽  
Anissatul Fathimah ◽  
Andi Asnifatima

<div class="WordSection1"><p>Amerika Serikat, berdasarkan <em>National Institute for Deafness and Communication Disorders </em>(NICDC) dan <em>National Occupational Safety and Health Administration </em>(OSHA) pada  tahun 2008 mengatakan bahwa lebih dari 30-40 juta masyarakat Amerika Serikat terpajam bunyi bising yang menyebabkan gangguan <em>non audiotory</em>. Selain itu menurut <em>National Institute For Occupational Safety And Health </em>(NIOSH) diketahui bahwa 22 juta pekerja memiliki potensi mengalami gangguan <em>non audiotory </em>setiap tahunnya. Di berbagai industri di Indonesia, angka kebisingan ini berkisar antara 30-50%. Sehingga gangguan <em>non audiotory </em>menjadi permasalahan yang patut diperhatikan bagi perindustrian di Indonesia. Pada tahun 2007, sekitar 23.000 orang kasus dilaporkan sebagai gangguan <em>non audiotory </em>akibat mesin-mesin yang menghasilkan intensitas kebisingan di ats NAB (Muslim, 2015). Kebisingan di tempat kerja dapat menimbulkan dampak negatif bagi kesehatan yaitu  gangguan <em>audiotory </em>dan gangguan <em>non audiotory</em>. Penelitian ini bertujuan untuk mengetahui hubungan antara pajanan kebisingan dengan gangguan <em>non audiotory </em>pada petugas keamanan dalam (PKD) pada PT Kereta Api Indonesia (KAI) di stasiun bogor. Variabel yang digunakan dalam penelitian ini yaitu variabel independen meliputi pajanan kebisingan, umur pekerja, masa kerja, pendidikan, lama pajanan/jam kerja dan alat pelindung telinga sedangkan variabel dependennya yaitu gangguan <em>non audiotory</em>. Penelitian ini menggunakan metode kuantitatif deskriptif. Teknik pengambilan sampel menggunakan <em>Non-probability Sampling </em>dengan jumlah sampel penelitian sebesar 75 responden. Pengambilan data kebisingan dengan menggunakan alat <em>sound level meter</em>, menyebarkan kuesioner serta wawancara mendalam mengenai alat pelindung telinga. Analisis data penelitian menggunakan aplikasi statistic dengan menggunakan uji <em>chi-square</em>. Berdasarkan hasil penelitian ini, kebisingan pada petugas keamanan dalam stasiun bogor di empat titik pengukuran nilai minimum sebesar 84,5 dBA dan nilai maksimum sebesar 92,5 dBA dan hasil penelitian ini menunjukkan bahwa 50 pekerja (66,7%) tidak mengalami gangguan <em>non audiotory </em>dan 25 pekerja (33,3%) mengalami gangguan <em>non audiotory</em>. Hasil uji statistic <em>Chi-Square Test </em>diperoleh dari enam variabel yang diteliti diketahui bahwa semua variabel tidak bermakna dengan nilai  pajanan  kebisingan (<em>p-value</em>=0,111), umur (<em>p-value</em>=0,683), masa kerja (<em>p-value</em>=0,173) yang memiliki nilai (<em>p-value</em>&gt;0,05) artinya dari variabel tersebut tidak ada hubungan yang bermakna dengan gangguan <em>non audiotory </em>pada petugas keamanan dalam pada PT Kereta Api Indonesia di stasiun bogor. Kesimpulan dari penelitian ini adalah tidak ada hubungan yang bermakna antara pajanan kebisingan, umur dan masa kerja dengan gangguan <em>non audiotory </em>pada petugas keamanan dalam pada PT Kereta Api Indonesia di stasiun bogor. Saran bagi PT KAI yaitu melakukan pergantian petugas setiap 4 jam sekali dari tempat kerja yang bising ke tempat yang tidak terpapar bising sedangkan saran bagi  pekerja memanfaatkan waktu sebaik mungkin untuk mencari tempat yang tidak bising pada saat istirahat, agar tubuh menjadi lebih rileks sehingga dapat menurunkan risiko terjadinya gangguan <em>non audiotory</em>.</p></div>


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Li Xiao Tao ◽  
Deepak Kumar Basnet

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.


2021 ◽  
Vol 30 (02) ◽  
pp. 103-106
Author(s):  
Ajeet Kumar ◽  
◽  
Naveed Iqbal ◽  
Javaria Farooq ◽  
Saad Uddin Siddiqui

OBJECTIVE: This study was performed to compare incidence of perforations in Latex and Nitrile examination gloves during Minor Oral surgical procedures performed under local anesthesia. METHODOLOGY: 100 pairs of latex and 100 pairs of Nitrile examination gloves where used to perform 200 minor oral surgical procedures under local anesthesia. After completion of every minor oral surgical procedure each gloves was examined by Water Inflation method to observe presence or absence of Perforations. A data sheet was used to collect data including type of Gloves used (Latex or Nitrile) presence of perforations, sites of perforations and nature of minor oral surgical procedures. Data was entered and analyzed using SPSS version 20. Descriptive analysis was conducted to calculate frequency and percentages of Number and sites of perforations for both Nitrile and latex examination gloves. Chi Square test was used to find out statistical significance of difference of perforations rate between Nitrile and Latex gloves. P value of < 0.05 was considered significant. RESULTS: Out of 200 latex gloves 23 (11.5) had 29 perforations whereas out of total 200 Nitrile gloves 28 (14%) had 22 perforations. Nitrile gloves had a statistically significant higher rate of perforations as compared to Latex gloves. (P value 0.043). For both Nitrile and Latex gloves left non dominant hand had highest frequency of perforations Latex 18 (81.81%) perforations and Nitrile 18(62.06%). Index finger and thumb were most frequent sites of perforations in both Latex and Nitrile gloves. CONCLUSION: Gloves perforations were more common in Nitrile examination gloves however total number of perforations was more in Latex examination gloves.


2021 ◽  
Vol 17 (2) ◽  
pp. 151
Author(s):  
Deni Maulana ◽  
Yoyos Dias Ismiarto ◽  
Widya Arsa

Abstract: Post-operative infection is still one of the most common nosocomial diseases that can cause great losses because it will increase the length of stay, use of drugs, and reduce the quality of life of the patients. The risk will increase if the number of colonies is> 105 bacteria per gram of tissue. Various ways have been done to reduce the number of bacteria in the operation area, including the use of surgical gloves. This study analyzed the comparison of the level of bacterial colonies that grew on the surface of single, double, and orthopedic surgical gloves in closed fracture management for more than 2 hours at Hasan Sadikin Hospital. The statistical analysis was done with p-value = 0.011 (<0.05), which means a significant difference in the number of germ colonies that grow between single, double, and orthopedic gloves. Double gloves and orthopedic gloves have a better ability to reduce bacterial colony growth. Meanwhile, there was no significant difference in the number of bacterial colonies formed between double gloves and orthopedics. Perforation is a factor affecting the number of germ colonies that formed. The use of double gloves and orthopedic gloves in closed fracture surgery for more than 2 hours shows the number of bacterial colonies formed is less than single gloves. There was a significant difference in the rate of perforation between standard surgical gloves and orthopedic gloves. Keywords: Bacteria colony, Single glove, Double glove, Orthopaedic glove, Perforation


2020 ◽  
Vol 3 (1) ◽  
pp. 91-96
Author(s):  
Rosita Ginting ◽  
Irmayani Irmayani ◽  
Anggi Isnani Parinduri ◽  
Muhammad Dani Harahap

Work accidents are unwanted and unexpected events. Based on the Loss Caution Model theory, the direct causes of accidents are unsafe action and unsafe conditions. The purpose of this study was to analyze the relationship between personal factors and work supervision and unsafe action in welding workers at the Abun Las Workshop. This research type is quantitative with cross sectional research design. The population in this study were all welding workers, amounting to 34 people. The sampling technique was using the total sampling technique. The research instruments used in this study were questionnaires and observation sheets. The data obtained were processed by using the chi square statistical test with the degree of significance (α) = 0.05. The results of the analysis of the relationship between personal factors and work supervision with unsafe action on welding workers at the Las Abun Workshop are described as follows: personal factors (p value = 0.002) <α (0.05), this means that there is a significant relationship between personal factors (knowledge) and unsafe action on welding workers at the Las Abun Workshop, work supervision (p value = 0.038) <α (0.05), this means that there is a significant relationship between work supervision and unsafe action on welding workers at the Las Abun Workshop. Suggestions for the Abun Welding Workshop industry It is better if the Welding Workshop Industry has Occupational Safety and Health (K3) experts who can control and supervise all activities of welding workers at any time.


VASA ◽  
2001 ◽  
Vol 30 (2) ◽  
pp. 122-124 ◽  
Author(s):  
P. Aarnio ◽  
T. Laine

Background: In surgery intact gloves act as a sterile barrier between surgeon and patient. The impermeable gloves protect the surgeon from bloodborne pathogens such as HIV, hepatitis B, and hepatitis C. On the other hand, the surgical wound is protected from micro-organisms from the skin of the surgeon. One objective of this study was to compare puncture rates between the double gloving color indication system and single-use gloves and the other to determine the extent to which glove perforations remain undetected during the course of vascular surgical operations. Patients and methods: The study material comprised all gloves used in vascular surgical operations at Satakunta Central Hospital for a period of two months. The analysis was made by the glove type in a prospective and randomised manner. Gloves were tested immediately after the surgical procedure using the approved standardized water-leak method. With this method the glove is filled with water using a special filling tube, and the water-filled glove is then checked for two minutes to detect any holes. The gloves used in this study were either double gloves with indicator, or the standard glove used at our hospital. Results: In 73 operations altogether 200 gloves were tested, half of them were double gloves and half were single gloves. The perforation occurred in the double gloves 3 times and with single gloves 12 times. The overall perforation rate was 15 out of 200 gloves (7.5%). The detection of perforation during surgery was 60%. Most frequently the perforation was located in the second finger of the left hand, 9 out of 15 perforations. Conclusion: In view of the critical importance of safety at work both transmitting the pathogens from the skin of the surgeon to the wound and transmitting the bloodborne pathogens from the patient to the surgeon, it is very important to use double gloving at least in operations where there is a high risk of glove perforation.


2020 ◽  
Vol 8 (1) ◽  
pp. 916-921
Author(s):  
Endang Nur Amaludin ◽  
Suzana Indragiri

Sumberdaya manusia sebagai tenaga kerja tidak lepas dari masalah-masalah yang berkaitan dengan keselamatan dalam bekerja yang langsung berhubungan dengan peralatan dan mesin untuk menunjang proses produksi. Penggunaan berbagai alat dan mesin ini menyebabkan tenaga kerja tidak akan terlepas dari resiko yang menyangkut keselamatan dan kesehatan kerja. Risiko ini dapat menimpa tenaga kerja kapan dan dimana saja, sehingga membutuhkan perhatian khusus dari berbagai pihak yang berkaitan seperti pengusaha, tenaga kerja dan perusahaan. Perusahaan yang mempekerjakan tenaga kerja dan mempunyai potensi bahaya yang ditimbulkan oleh proses produksi yang dapat mengakibatkan kecelakaan kerja seperti peledakan, kebakaran, pencemaran dan penyakit akibat kerja, wajib menerapkan keselamatan dan kesehatan kerja. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan sikap dengan penggunaan APD pada tenaga kerja bagian jaring di PT. Arteria Daya Mulia (ARIDA) Cirebon. Metode penelitian yang dilakukan adalah deskriptif analitik dengan pendekatan yang bersifat studi cross sectional. Populasi dalam penelitian ini adalah seluruh tenaga kerja bagian jaring sebanyak 222 tenaga kerja, jumlah sample 89 tenaga kerja yang dipilih berdasarkan metode proporsional random sampling. Pengumpulan data dilakukan dengan pengisian kuesioner, metode pengolahan data dengan menggunakan wawancara analisa data dengan menggunakan uji statistik. Hasil penelitian menunjukan bahwa berdasarkan uji statistik (Chi-Square) menunjukan bahwa tidak ada hubungan antara pengetahuan dengan penggunaan alat pelindung diri (APD) nilai P value = 0,946, dan ada hubungan antara sikap dengan penggunaan alat pelindung diri (APD) nilai P value = 0,000, pada tenaga kerja bagian jaring PT. Arteria Daya Mulia (ARIDA) Cirebon Tahun 2016.  Kata Kunci : Pengetahuan, sikap, penggunaan alat pelindung diri   ABSTRACT Human resources as labor can not be separated from issues relating to safety in work directly related to the equipment and machinery to support the production process. The use of various tools and machinery have led to labor will not be separated from the risks relating to occupational safety and health. This risk can override the workforce anytime and anywhere, thus requiring special attention from various parties associated as employers, labor and business. Companies that employ workers and have the potential dangers posed by the production process that can cause accidents such as explosions, fires, pollution and occupational diseases, shall implement occupational safety and health. This study aims to determine the relationship of knowledge and attitudes to the use of PPE in the labor section nets in PT. Arteria Daya Mulia (ARIDA) Cirebon. The research method is descriptive analytic approach that is both cross-sectional study. The population in this study is a part of the net the entire workforce of 222 workers, the number of workers 89 samples were selected based on proportional random sampling method. Data were collected by questionnaires, data processing method using interview data analysis using statistical tests. The results showed that, based on statistical tests (Chi-Square) shows that there is no relation between knowledge and the use of personal protective equipment (PPE) P value = 0.946, and there is a relationship between attitudes to the use of personal protective equipment (PPE) P value = 0,000, the labor section nets PT. Arteria Daya Mulia (ARIDA) Cirebon 2016.Keywords : knowledge, attitude, use of personal protective equipment


2021 ◽  
Vol 10 (6) ◽  
pp. e2610615290
Author(s):  
Lívia Mirelle Barbosa ◽  
Sylvia Sampaio Peixoto ◽  
João Luiz Gomes Carneiro Monteiro ◽  
Caroline Dantas Albuquerque Carneiro ◽  
Lívia Maria Lopes de Oliveira ◽  
...  

Propouse: surgical teams sometimes neglect surgical glove perforation. The aim of this study was to determine the prevalence of sterile glove perforation in maxillofacial surgical procedures. Methods: Two studies were performed. The first one evaluated 200 pairs of surgical gloves (50 in each group) used by first, second, and third-year residents (R1,R2,R3). In the second study, 150 pairs of surgical gloves were evaluated: 100 pairs were used by a third-year resident, including 50 pairs in oral surgery procedures and 50 pairs in trauma surgeries, and 50 pairs of unused gloves were tested as control. The gloves were examined for perforations by filling them with water and testing for leaks. Results: In the first study, 29 pairs (19.3%) were perforated. Of the 50 pairs of control gloves, 7 pairs (14%) showed perforations on either side. The thumb and index finger and the right-hand (dominant hand) gloves, were the most frequently perforated sites. In the second study, 6% of the gloves in the control group, 6% of the gloves used in oral surgeries, and 10% of the gloves used in trauma surgeries showed perforations. The index finger and thumb were the most affected sites. Conclusion: The perforation rate was higher for the dominant right hand. In both studies, the frequency of perforation of unused gloves was significant, indicating the need for better quality control of the gloves evaluated in this study.


2020 ◽  
Vol 8 (2) ◽  
pp. 105-114
Author(s):  
Ainul Mardhiah ◽  
Nova Hasbani Prima Dewi ◽  
Aminy Aminy

The family planning program also aims to improve the quality of the family in order to generate a sense of security, peace and hope of a better future in realizing the prosperity of birth and inner happiness. Allegedly the factor causing EFA participation in the family planning program is characteristic. The purpose of this research is to know the relationship of attitude and characteristic of Elderly Age Couple (PUS) with participation in family planning program at UPT Puskesmas Sungai Raya Sungai Raya District, East Aceh regency 2018. The research design used was analytic survey with cross sectional design. The population of this study is all Pairs Age of Fertile located in Work Area UPT Sungai Raya Public Health Service Center in January to December 2017 which amounted to 1897 people. Sampling using Slovin formula, obtained as many as 95 samples. The study was conducted from 7-17 July 2018 using questionnaires by interview. Statistical test using chi-square test. Result of research indicate that majority of fertile couple couples (PUS) participate in family planning program as much as 67 respondents (70,5%). Statistically there is relationship of attitude and characteristic of Elderly Age Couple (EFA) with non participation in family planning program in Working Area of UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh Regency 2018 with p value <0,1. It is recommended that the family planning program holders in UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh District to invite cross-sectoral figures to hold meetings to create mini workshop plans at least once a month to increase the participation of the Elderly Age Couple (PUS) in family planning programs. Keyword : Family Planning Program, Attitudes, CharacteristicsABSTRAKProgram KB juga bertujuan untuk meningkatkan kualitas keluarga agar dapat timbul rasa aman, tentram, dan harapan masa depan yang lebih baik dalam mewujudkan kesejahteraan lahir dan kebahagiaan batin. Diduga faktor yang menyebabkan ketidakikutsertaan PUS dalam program KB adalah karakteristik. Tujuan penelitian ini untuk mengetahui hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan keikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018. Desain penelitian yang digunakan adalah survei analitik dengan rancangan bedah lintang. Populasi dari penelitian ini adalah seluruh Pasangan Usia Subur yang berada di Wilayah Kerja UPT Puskesmas Sungai Raya pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 1.897 orang. Pengambilan sampel menggunakan rumus Slovin, didapatkan sebanyak 95 sampel. Penelitian dilaksanakan dari tanggal 7-17 Juli tahun 2018 menggunakan kuesioner dengan cara wawancara. Uji statistik menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa mayoritas Pasangan Usia Subur (PUS) ikut serta dalam program KB yaitu sebanyak 67 responden (70,5%). Secara statistik ada hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan ketidakikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018 dengan p value < 0,1. Sebaiknya pemegang program KB di UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur agar mengajak tokoh lintas sektor agar mengadakan pertemuan untuk membuat rencana loka karya mini setidaknya satu bulan sekali untuk meningkatkan keikutsertaan Pasangan Usia Subur (PUS) dalam program KB.Kata Kunci : Program KB, Sikap, Karakteristik


2020 ◽  
Vol 1 (2) ◽  
pp. 9
Author(s):  
Yunita Mansyah Lestari ◽  
Suzy Yusna Dewi ◽  
Aulia Chairani

ABSTRAK   Alexithymia ditandai dengan ketidakmampuan dalam mengenali dan mengekpresikan emosi serta pemikiran yang berorientasi eksternal sehingga mereka memiliki hubungan interpersonal yang buruk. Remaja dengan alexithymia cenderung menjadi kecanduan media sosial.Penelitian ini bertujuan untuk mengetahui hubungan antara Alexithymia terhadap kecanduan media sosial pada remaja di Jakarta Selatan. Subjek penelitian adalah remaja yang berusia 13-19 tahun dan tinggal di Jakarta selatan. Pengambilan data menggunakan metode consecutive sampling dan snowball sampling dengan menyebar kuesioner menggunakan link googleform. Jumlah subjek penelitian sebanyak 207 orang (41 = laki-laki, 166 = perempuan). Skala yang digunakan adalah Toronto Alexithymia Scale (TAS-20) dan Social Media Disorder (SMD). Analisa data menggunakan metode chi-square pada SPSS 25. Hasil penelitian didapatkan 85 orang mengalami alexithymia, 88 mengalami kecanduan dan 62 orang mengalami alexithymia dan kecanduan media sosial. p-value didapatkan 0,000. Hal ini berarti terdapat hubungan antara Alexithymia dengan Kecanduan Media Sosial pada remaja di Jakarta Selatan. Kata Kunci :Alexithymia, Kecanduan Media Sosial, Remaja     ABSTRACT   Alexithymia is characterized by an inability to recognize and express emotions and have external oriented thoughts so that they have poor interpersonal relationships. Teenagers with alexithymial tend to become addicted to social media. This study aims to determine the relationship between Alexithymia towards social media addiction in adolescents in South Jakarta. The research subjects were adolescents aged 13-19 years and lived in south Jakarta. Retrieval of the data was using consecutive sampling and snowball sampling method by distributing questionnaires using the googleform link. The number of research subjects was 207 people (41 = men, 166 = women). The scale was used is the Toronto Alexithymia Scale (TAS-20) and Social Media Disorder (SMD). Data analysis using the chi-square method in SPSS 25. The results showed that 85 people had alexithymia, 88 were addicted and 62 people had alexithymia and were addicted to social media. p-value obtained is 0,000. This means that there is a relationship between Alexithymia and Social Media Addiction in adolescents in South Jakarta. Keyword : Adolescents, Alexithymia, Social Media Addiction


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