Evidence map›Paper›PMID 20594293›Full record

ArticleBMC infectious diseases2010

Bacterial migration through punctured surgical gloves under real surgical conditions.

Nils-Olaf Hübner, Anna-Maria Goerdt, Natalie Stanislawski, Ojan Assadian, Claus-Dieter Heidecke, Axel Kramer, Lars Ivo Partecke

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 64 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. S2k-Guideline hand antisepsis and hand hygiene.GMS hygiene and infection control · 2024
    Article
  6. Article
  7. Review
  8. [Surgical site infections-Prevention and treatment strategies].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Article
  9. Article
  10. Review
  11. Glove perforation rate with orthopedic glovingThe Canadian veterinary journal = La revue veterinaire canadienne · 2016
    Article
  12. Article
  13. Gloves Reprocessing: Does It Really Save Money?The Indian journal of surgery · 2015
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. [Definition and management of wound infections].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2011
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Nils-Olaf HübnerInstitute of Hygiene and Environmental Medicine, Ernst-Moritz-Arndt University, Greifswald, Germany. nhuebner@uni-greifswald.de
Anna-Maria Goerdt
Natalie Stanislawski
Ojan Assadian
Claus-Dieter Heidecke
Axel Kramer
Lars Ivo Partecke
Universität Greifswald · DEMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to confirm recent results from a previous study focussing on the development of a method to measure the bacterial translocation through puncture holes in surgical gloves under real surgical conditions.

methodsAn established method was applied to detect bacterial migration from the operating site through the punctured glove. Biogel double-gloving surgical gloves were used during visceral surgeries over a 6-month period. A modified Gaschen-bag method was used to retrieve organisms from the inner glove, and thus-obtained bacteria were compared with micro-organisms detected by an intra-operative swab.

resultsIn 20 consecutive procedures, 194 gloves (98 outer gloves, 96 inner gloves) were examined. The rate of micro-perforations of the outer surgical glove was 10% with a median wearing time of 100 minutes (range: 20-175 minutes). Perforations occurred in 81% on the non-dominant hand, with the index finger most frequently (25%) punctured. In six cases, bacterial migration could be demonstrated microbiologically. In 5% (5/98) of outer gloves and in 1% (1/96) of the inner gloves, bacterial migration through micro-perforations was observed. For gloves with detected micro-perforations (n = 10 outer layers), the calculated migration was 50% (n = 5). The minimum wearing time was 62 minutes, with a calculated median wearing time of 71 minutes.

conclusionsThis study confirms previous results that bacterial migration through unnoticed micro-perforations in surgical gloves does occur under real practical surgical conditions. Undetected perforation of surgical gloves occurs frequently. Bacterial migration from the patient through micro-perforations on the hand of surgeons was confirmed, limiting the protective barrier function of gloves if worn over longer periods.

Indexed as

BacteriaBacterial InfectionsGloves, SurgicalHumansInfectious Disease Transmission, Patient-to-ProfessionalProspective Studies

Identifiers

PMID20594293
PMCPMC2909237
OpenAlexW1975625043

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.