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Can double gloves improve surgeon-patient barrier efficiency?
Mir Sadat-Ali1, Ibrahim Al-Habdan, Mohammed AlBluwi
1Department of Orthopedic Surgery, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia. drsadat@hotmail.com
International Surgery
|July 19, 2006
Summary
Double gloves (DGs) significantly reduce blood contact during orthopedic surgery compared to single gloves (SGs). DGs offer a more effective barrier, minimizing surgeon exposure to patient blood, enhancing safety in trauma and orthopedic procedures.
Area of Science:
- Surgical Safety
- Infection Control
- Biomedical Engineering
Background:
- Blood contact during surgery poses risks to both patients and surgeons.
- Evaluating protective measures is crucial for enhancing surgical safety.
Purpose of the Study:
- To compare the efficacy of double gloves (DGs) versus single gloves (SGs) in preventing blood contact.
- To assess perforation rates and recognition of glove breaches during orthopedic and trauma surgery.
Main Methods:
- Collected and analyzed 1204 DGs and 830 pairs of SGs from orthopedic operations.
- Assessed gloves for perforations, noting size, site, and number.
- Reviewed medical records for surgical details and outcomes.
- Utilized t-tests for statistical comparison (P < 0.05).
Main Results:
- Perforations occurred in 10.7% of DGs (220 outer, 39 inner) and 13.3% of SGs.
- The incidence of inner glove perforations in DGs was significantly lower at 1.6% (P < 0.001).
- Surgeons recognized perforations in 67% of DG breaches versus only 12% in SG breaches (P < 0.005).
Conclusions:
- Double gloves provide a significantly more effective barrier against blood contact than single gloves.
- The enhanced recognition of perforations with DGs improves surgical safety.
- DGs are recommended for orthopedic and trauma surgery to minimize patient-surgeon blood exposure.