Mehdi Jahangiri1, Alireza Choobineh1, Mahdi Malakoutikhah2, Soheil Hassanipour3, Asma Zare4. 1. Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. 2. Department of Occupational Health Engineering, School of Health, Kashan University of Medical Sciences, Kashan, Iran. 3. Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran. 4. Department of Occupational Health Engineering, Sirjan School of Medical Sciences, Sirjan, Iran.
Abstract
BACKGROUND: Surgeon's hands are exposed to a range of chemical and physical stressors that influence the integrity of gloves. Thus, glove perforation facilitates pathogen transmission through the holes. Numerous studies have shown that glove perforation is of great importance, but there is still no complete consensus. OBJECTIVE: This study aimed to investigate the safety conditions of surgical gloves based on the incidence of glove perforation among surgical teams. METHODS: A literature review was conducted by searching PubMed, Embase, Scopus, ISI, and ProQuest databases. The incidence of glove perforation was reviewed in eight categories. A total of 580 articles were found in the initial search. RESULTS: 109 articles containing 130 datasets were analyzed. The overall incidence of glove perforation was 14.44 %. Surgeons had the highest incidence of glove perforation (23.09 %). An increase in the duration of surgery increased the odds of perforation. It was found that 68.58% of the glove perforations were not identified by practitioners. CONCLUSION: Despite major advances in the design of surgical gloves, the issue of safety and integrity of gloves has not improved. Due to the high incidence of surgical glove perforations, most of which had not been identified, it is imperative to consider strategies to minimize the incidence of perforation. The results of the present study can be used to integrate information related to the rate of perforation of surgical gloves in different surgeries.
BACKGROUND: Surgeon's hands are exposed to a range of chemical and physical stressors that influence the integrity of gloves. Thus, glove perforation facilitates pathogen transmission through the holes. Numerous studies have shown that glove perforation is of great importance, but there is still no complete consensus. OBJECTIVE: This study aimed to investigate the safety conditions of surgical gloves based on the incidence of glove perforation among surgical teams. METHODS: A literature review was conducted by searching PubMed, Embase, Scopus, ISI, and ProQuest databases. The incidence of glove perforation was reviewed in eight categories. A total of 580 articles were found in the initial search. RESULTS: 109 articles containing 130 datasets were analyzed. The overall incidence of glove perforation was 14.44 %. Surgeons had the highest incidence of glove perforation (23.09 %). An increase in the duration of surgery increased the odds of perforation. It was found that 68.58% of the glove perforations were not identified by practitioners. CONCLUSION: Despite major advances in the design of surgical gloves, the issue of safety and integrity of gloves has not improved. Due to the high incidence of surgical glove perforations, most of which had not been identified, it is imperative to consider strategies to minimize the incidence of perforation. The results of the present study can be used to integrate information related to the rate of perforation of surgical gloves in different surgeries.
Authors: Christine Cramer; Karoline Kærgaard Hansen; Martin Byskov Kinnerup; Esben Meulengracht Flachs; Jesper Medom Vestergaard; Karin Biering; Kent Nielsen; Anne Mette Würtz; Annett Dalbøge; Else Toft Würtz; Mona Kjærsgaard; Henrik Albert Kolstad; Vivi Schlünssen Journal: Ann Work Expo Health Date: 2022-08-30 Impact factor: 2.779