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single
versus double gloving in protection against
skin contamination
a Lady Hardinge
Medical College, New Delhi, India: Department of Surgery, b Department of
Microbiology
Correspondence to: Dr Shaji Thomas, C44 Shivalik Colony, Malviya Nagar, New Delhi 110 017, India drshajithomas{at}yahoo.com
Submitted 25 January
2000;
Accepted 12 December 2000
Surgeons have the highest risk of contact with patients' blood
and body fluids, and breaches in gloving material may expose operating
room staff to risk of infections. This prospective randomised study was
done to assess the effectiveness of the practice of double gloving
compared with single gloving in decreasing finger contamination during surgery.
In 66 consecutive surgical procedures studied, preoperative skin
abrasions were detected on the hands of 17.4% of the surgeons. In the
double gloving pattern, 32 glove perforations were observed, of which
22 were in the outer glove and 10 in the inner glove. Only four outer
glove perforations had matching inner glove perforations, thus
indicating that in 82% of cases when the outer glove is perforated the
inner glove will protect the surgeon's hand from contamination. The
presence of visible skin contamination was also higher in perforation
with the single gloving pattern (42.1%) than with the double gloving
pattern (22.7%).
An overwhelming majority of glove perforations (83.3%) went unnoticed.
Double gloving was accepted by the majority of surgeons, especially
with repeated use. It is recommended that double gloves are used
routinely in all surgical procedures in view of the significantly higher protection it provides.
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