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Related Experiment Videos

Double gloving: a risk reduction strategy.

Carolyn LeSac Twomey1

  • 1Regent Medical, Norcross, Georgia, USA. Carolyn.Twomey@SSL-Americas.com

Joint Commission Journal on Quality and Safety
|July 15, 2003
PubMed
Summary

Double gloving significantly reduces surgical glove perforations, lowering pathogen exposure risks for patients and surgical teams. Despite concerns about dexterity and cost, it offers substantial safety benefits.

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Area of Science:

  • Surgical Safety
  • Infection Control
  • Medical Device Efficacy

Background:

  • Sterile surgical gloves are standard in perioperative care, but barrier failure can transmit pathogens.
  • Double gloving, wearing two pairs of gloves, is a strategy to mitigate exposure risks during surgery.

Purpose of the Study:

  • To evaluate the efficacy of double gloving in reducing surgical glove perforations.
  • To assess the impact of double gloving on tactile sensitivity and practitioner acceptance.
  • To analyze the cost-benefit of double gloving in terms of infection risk reduction.

Main Methods:

  • Review of 18 studies on double gloving in various surgical settings.
  • Analysis of data on glove perforations and pathogen transfer.
  • Assessment of practitioner feedback on dexterity, tactile sensitivity, and fit.

Main Results:

  • Double gloving significantly reduces perforations in the innermost glove.
  • Studies report a 70%-78% risk reduction for glove perforations with double gloving.
  • Good acceptance reported, with no significant loss of tactile sensitivity or dexterity.

Conclusions:

  • Modern surgical demands necessitate robust barrier protection.
  • Double gloving is an effective strategy to ensure barrier integrity and reduce pathogen transmission.
  • Addressing practitioner concerns through data sharing and fitting stations can facilitate adoption.

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