Glove perforation in selected surgical procedures in a general hospital in La Habana, Cuba
Summary: Background: Surgical glove perforation constitutes a risk for the maintenance of aseptic technique and the risk of surgical site infection and occupational exposure to blood borne infections for healthcare workers. Aim: To identify the frequency of glove perforation in selected surgical pr...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Infection Prevention in Practice |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590088922000397 |
| _version_ | 1798037016423694336 |
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| author | Humberto Guanche Garcell Anayka Gonzalez Valdés Luis Gonzalez Alvarez Gloria Fresneda Septiem Katerine Cardenás Goulet Yelina Matos Figueroa Francisco Gutiérrez García |
| author_facet | Humberto Guanche Garcell Anayka Gonzalez Valdés Luis Gonzalez Alvarez Gloria Fresneda Septiem Katerine Cardenás Goulet Yelina Matos Figueroa Francisco Gutiérrez García |
| author_sort | Humberto Guanche Garcell |
| collection | DOAJ |
| description | Summary: Background: Surgical glove perforation constitutes a risk for the maintenance of aseptic technique and the risk of surgical site infection and occupational exposure to blood borne infections for healthcare workers. Aim: To identify the frequency of glove perforation in selected surgical procedures. Methods: A cross-sectional descriptive observational study was carried out in the surgical unit of the Joaquin Albarrán Hospital (La Habana, Cuba) during the period September–December 2019. Gloves used by surgeons in major urgent or elective surgical procedures were collected and tested for perforations. Findings: 757 gloves from 149 surgeons and 8 surgical specialties were tested and 95 (25.8%) had perforations. The highest frequencies of glove perforations were reported in vascular surgery (50.0%), proctology (37.9%), urology (28.0%) and general surgery (26.1%). The selected surgical procedures with the highest frequencies were open radical nephrectomy (87.5%), splenectomy (57.1%), open adenomectomy (55.6%), limb amputation (46.2%) and hysterectomy (41.7%). Glove perforation occurred more frequently in consultant surgeons (28.8%) than in residents (20.9%) (P = 0.021), in surgeons with more years of surgical experience (P = 0.003) and longer procedure duration (P = <0.001). Most glove perforations were identified in the left hand (64.1%), while 23.1% were in the right hand and 12.8% in both hands. 51.2% occurred in thumb and index finger. Differences in the patterns of glove perforation were observed among the different surgical procedures. Conclusions: Our findings provide insights into the risk of glove perforation during selected surgical procedures and the need for prevention strategies to reduce adverse consequences of glove perforation in patients and healthcare workers. |
| first_indexed | 2024-04-11T21:21:11Z |
| format | Article |
| id | doaj.art-0701a1155d594a42a110e9f3695e0e8e |
| institution | Directory Open Access Journal |
| issn | 2590-0889 |
| language | English |
| last_indexed | 2024-04-11T21:21:11Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Infection Prevention in Practice |
| spelling | doaj.art-0701a1155d594a42a110e9f3695e0e8e2022-12-22T04:02:37ZengElsevierInfection Prevention in Practice2590-08892022-12-0144100238Glove perforation in selected surgical procedures in a general hospital in La Habana, CubaHumberto Guanche Garcell0Anayka Gonzalez Valdés1Luis Gonzalez Alvarez2Gloria Fresneda Septiem3Katerine Cardenás Goulet4Yelina Matos Figueroa5Francisco Gutiérrez García6Corresponding author. Address: Hospital Epidemiology Department. Hospital Joaquín Albarrán, Avenida 26, La Habana, Cuba. Tel.: +97466028896, +5355013515.; Hospital Epidemiology Department, Hospital Joaquín Albarrán, La Habana, CubaHospital Epidemiology Department, Hospital Joaquín Albarrán, La Habana, CubaHospital Epidemiology Department, Hospital Joaquín Albarrán, La Habana, CubaHospital Epidemiology Department, Hospital Joaquín Albarrán, La Habana, CubaHospital Epidemiology Department, Hospital Joaquín Albarrán, La Habana, CubaHospital Epidemiology Department, Hospital Joaquín Albarrán, La Habana, CubaHospital Epidemiology Department, Hospital Joaquín Albarrán, La Habana, CubaSummary: Background: Surgical glove perforation constitutes a risk for the maintenance of aseptic technique and the risk of surgical site infection and occupational exposure to blood borne infections for healthcare workers. Aim: To identify the frequency of glove perforation in selected surgical procedures. Methods: A cross-sectional descriptive observational study was carried out in the surgical unit of the Joaquin Albarrán Hospital (La Habana, Cuba) during the period September–December 2019. Gloves used by surgeons in major urgent or elective surgical procedures were collected and tested for perforations. Findings: 757 gloves from 149 surgeons and 8 surgical specialties were tested and 95 (25.8%) had perforations. The highest frequencies of glove perforations were reported in vascular surgery (50.0%), proctology (37.9%), urology (28.0%) and general surgery (26.1%). The selected surgical procedures with the highest frequencies were open radical nephrectomy (87.5%), splenectomy (57.1%), open adenomectomy (55.6%), limb amputation (46.2%) and hysterectomy (41.7%). Glove perforation occurred more frequently in consultant surgeons (28.8%) than in residents (20.9%) (P = 0.021), in surgeons with more years of surgical experience (P = 0.003) and longer procedure duration (P = <0.001). Most glove perforations were identified in the left hand (64.1%), while 23.1% were in the right hand and 12.8% in both hands. 51.2% occurred in thumb and index finger. Differences in the patterns of glove perforation were observed among the different surgical procedures. Conclusions: Our findings provide insights into the risk of glove perforation during selected surgical procedures and the need for prevention strategies to reduce adverse consequences of glove perforation in patients and healthcare workers.http://www.sciencedirect.com/science/article/pii/S2590088922000397Glove perforationSurgical proceduresSurgeonsHealthcare workers |
| spellingShingle | Humberto Guanche Garcell Anayka Gonzalez Valdés Luis Gonzalez Alvarez Gloria Fresneda Septiem Katerine Cardenás Goulet Yelina Matos Figueroa Francisco Gutiérrez García Glove perforation in selected surgical procedures in a general hospital in La Habana, Cuba Infection Prevention in Practice Glove perforation Surgical procedures Surgeons Healthcare workers |
| title | Glove perforation in selected surgical procedures in a general hospital in La Habana, Cuba |
| title_full | Glove perforation in selected surgical procedures in a general hospital in La Habana, Cuba |
| title_fullStr | Glove perforation in selected surgical procedures in a general hospital in La Habana, Cuba |
| title_full_unstemmed | Glove perforation in selected surgical procedures in a general hospital in La Habana, Cuba |
| title_short | Glove perforation in selected surgical procedures in a general hospital in La Habana, Cuba |
| title_sort | glove perforation in selected surgical procedures in a general hospital in la habana cuba |
| topic | Glove perforation Surgical procedures Surgeons Healthcare workers |
| url | http://www.sciencedirect.com/science/article/pii/S2590088922000397 |
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