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Incidence of Microperforation for Surgical Gloves Depends on Duration of Wear

Published online by Cambridge University Press:  02 January 2015

Lars Ivo Partecke ,
Anna-Maria Goerdt ,
Inga Langner ,
Bernd Jaeger ,
Ojan Assadian ,
Claus-Dieter Heidecke ,
Axel Kramer  and
Nils-Olaf Huebner
Lars Ivo Partecke
Affiliation:
Clinic of General, Visceral, Vascular, and Thoracic Surgery, Department of Surgery, Ernst-Moritz-Arndt University, Greifswald, Germany
Anna-Maria Goerdt
Affiliation:
Institute of Hygiene and Environmental Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany
Inga Langner
Affiliation:
Clinic of General, Visceral, Vascular, and Thoracic Surgery, Department of Surgery, Ernst-Moritz-Arndt University, Greifswald, Germany
Bernd Jaeger
Affiliation:
Institute of Biometrics, Ernst-Moritz-Arndt University, Greifswald, Germany
Ojan Assadian*
Affiliation:
Department of Hygiene and Medical Microbiology, Medical University of Vienna, Vienna, Austria
Claus-Dieter Heidecke
Affiliation:
Clinic of General, Visceral, Vascular, and Thoracic Surgery, Department of Surgery, Ernst-Moritz-Arndt University, Greifswald, Germany
Axel Kramer
Affiliation:
Institute of Hygiene and Environmental Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany
Nils-Olaf Huebner
Affiliation:
Institute of Hygiene and Environmental Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany
*
Department of Hygiene and Medical Microbiology, Medical University Vienna, Vienna General Hospital, Waehringer Guertel 18-20, 1090 Vienna, Austria ([email protected])
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Abstract

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.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 30 , Issue 5 , May 2009 , pp. 409 - 414
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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