کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2636900 1563480 2014 4 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
Evaluation of surgical glove integrity during surgery in a Brazilian teaching hospital
ترجمه فارسی عنوان
ارزیابی یکپارچگی دستکش جراحی در طی جراحی در یک بیمارستان آموزشی برزیلی
کلمات کلیدی
عفونت زخم جراحی؛ دستکش محافظ؛ ایمنی بیمار
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی میکروب شناسی
چکیده انگلیسی


• Surgical glove perforations occurred in 65 (65%) of the surgeries.
• Surgeries lasting ≥150 minutes were significantly associated with glove perforation.
• Of the 131 total detected perforations, 39 (37.5%) were perceived by the user.
• Of the users who had a perforated glove during surgery, 46.2% were main surgeons.
• Many perforations were perceived only towards the end of the surgery.

BackgroundA cross-sectional study was conducted in a large university hospital in Belo Horizonte, Minas Gerais, Brazil to evaluate surgical glove integrity after use during surgery.MethodsThis 6-month study was conducted by a gastroenterological, cardiovascular, and pediatric surgical team consisting of surgeons (main surgeon and first and second assistants), medical students, and scrub nurses. The gloves used during surgery were examined postsurgery for microperforations using the watertight test as described in European Norm EN 455-1.ResultsA total of 116 medical professionals conducted the 100 surgeries monitored. Of the 1090 gloves analyzed, 131 (12%) had a perforation detected postsurgery, 39 of which (37.5%) were recognized by users at the time of occurrence. The highest incidence of perforations occurred among surgeons (P = .033) in the index finger, followed by the thumb of the nondominant hand; in outer gloves (76.9%) when double-gloving was used (P = .014); in open surgery (P = .019); and in surgeries lasting ≥150 minutes (P < .05).ConclusionThese findings reaffirm the importance of double-gloving, using a perforation indicator system, and changing gloves in surgeries of ≥150 minutes duration, especially in procedures involving open incisions.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: American Journal of Infection Control - Volume 42, Issue 10, October 2014, Pages 1093–1096
نویسندگان
, ,