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Comparison of 4 Different Types of Surgical Gloves Used for Preventing Blood Contact

Published online by Cambridge University Press:  02 January 2015

Andreas Wittmann ,
Nenad Kralj ,
Jan Köver ,
Klaus Gasthaus ,
Hartmut Lerch  and
Friedrich Hofmann
Andreas Wittmann*
Affiliation:
Department of Safety Engineering, University of Wuppertal, Wuppertal, Germany
Nenad Kralj
Affiliation:
Department of Safety Engineering, University of Wuppertal, Wuppertal, Germany
Jan Köver
Affiliation:
Department of Safety Engineering, University of Wuppertal, Wuppertal, Germany
Klaus Gasthaus
Affiliation:
Helios Klinikum Wuppertal, Klinik fur Nuklearmedizin, Wuppertal, Germany
Hartmut Lerch
Affiliation:
Helios Klinikum Wuppertal, Klinik fur Nuklearmedizin, Wuppertal, Germany
Friedrich Hofmann
Affiliation:
Department of Safety Engineering, University of Wuppertal, Wuppertal, Germany
*
Department of Safety Engineering, University of Wuppertal, Gaussstrasse 20, D-42119 Wuppertal, Germany ([email protected])
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Abstract

Background.

Needlestick injuries are always associated with a risk of infection, because these types of punctures may expose healthcare workers to a patient's blood and/or body fluids.

Objective.

To compare the efficacy of 4 different types of surgical gloves for preventing exposure to blood as a result of needlestick injury.

Methods.

For simulation of needlestick injury, a circular sample of pork skin was tightened onto a bracket, and a single finger from a medical glove was stretched over the sample. First, a powder-free surgical glove with a gel coating was used to test blood contact. Second, a glove with a patented puncture indication system was used to test blood contact with a double-gloved hand. Third, 2 powder-free latex medical gloves of the same size and hand were combined for double gloving, again to test blood contact. Finally, we tested a glove with an integrated disinfectant on the inside. The punctures were carried out using diverse sharp surgical devices that were contaminated with 99Tc-marked blood. The amount of blood contact was determined from the transmitted radioactivity.

Results.

For the powder-free surgical glove with a gel coating, a mean volume of 0.048 μL of blood (standard error of the mean [SEM], 0.077 μL.) was transferred in punctures with an automated lancet at a depth of 2.4 mm through 1 layer of latex. For the glove with an integrated disinfectant on the inside, the mean volume of blood transferred was 0.030 μL (SEM, 0.0056 μL) with a single glove and was 0.024 μL (SEM, 0.003 μL) with 2 gloves. For the glove with the patented puncture indication system, a mean volume of 0.024 μL, (SEM, 0.003 μL) of blood was transferred.

Conclusions.

Double gloving or the use of a glove with disinfectant can result in a decrease in the volume of blood transferred. Therefore, the use of either of these gloving systems could help to minimize the risk of bloodborne infections for medical staff.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 31 , Issue 5 , May 2010 , pp. 498 - 502
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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