Evidence map›Paper›PMID 32661693›Full record

Observational studyWorld journal of surgery2020

Association Between the Frequency of Glove Change and the Risk of Blood and Body Fluid Exposure in Gastrointestinal Surgery.

Minako Kobayashi, Hironori Tsujimoto, Risa Takahata, Takahiro Einama, Koichi Okamoto, Yoshiki Kajiwara, Eiji Shinto, Yoji Kishi, Kazuo Hase, Hideki Ueno

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Minako KobayashiDepartment of Medical Risk Management and Infection Control, National Defense Medical College, 3-2, Namiki, Tokorozawa, Saitama, Japan. m-koba@ndmc.ac.jp.
Hironori TsujimotoDepartment of Medical Risk Management and Infection Control, National Defense Medical College, 3-2, Namiki, Tokorozawa, Saitama, Japan.
Risa TakahataDepartment of Medical Risk Management and Infection Control, National Defense Medical College, 3-2, Namiki, Tokorozawa, Saitama, Japan.
Takahiro EinamaDepartment of Surgery, National Defense Medical College, 3-2, Namiki, Tokorozawa, Saitama, Japan.
Koichi OkamotoDepartment of Surgery, National Defense Medical College, 3-2, Namiki, Tokorozawa, Saitama, Japan.
Yoshiki KajiwaraDepartment of Surgery, National Defense Medical College, 3-2, Namiki, Tokorozawa, Saitama, Japan.
Eiji ShintoDepartment of Surgery, National Defense Medical College, 3-2, Namiki, Tokorozawa, Saitama, Japan.
Yoji KishiDepartment of Surgery, National Defense Medical College, 3-2, Namiki, Tokorozawa, Saitama, Japan.
Kazuo HaseDepartment of Surgery, National Defense Medical College, 3-2, Namiki, Tokorozawa, Saitama, Japan.
Hideki UenoDepartment of Surgery, National Defense Medical College, 3-2, Namiki, Tokorozawa, Saitama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical gloves are used to prevent the transmission of microorganisms from the surgeon's hands to the patient and vice versa. Little is known on the optimal frequency of glove changing. Therefore, we aimed to examine the optimal frequency of glove change during surgery by assessing the glove perforation rate in gastrointestinal surgery.

methodsIn this observational prospective cohort study, we investigated the incidence of perforation of 5,267 gloves during gastrointestinal surgeries.

resultsThe overall glove perforation rate was 10.1%. There was no significant difference between single gloving (10.2%) and double gloving (10.0%; p = 0.8491). However, the perforation rate of the inner glove (5.7%) was found to be significantly lower than that of the outer glove (11.6%) (p < 0.0001). A significant difference in perforation rate was observed after wearing inner gloves for 240 min (< 240 min, 4.4%; ≤ 240 min, 7.2%; p = 0.0314), and outer gloves for 60 min (< 60 min, 7.1%; ≤ 60 min, 12.6%; p < 0.0001). We found cumulative perforation rate to rapidly increase until the wear time was 90 min.

conclusionThe inner gloves and outer gloves have a higher perforation rate as the wear time increased. To reduce the risk of intraoperative blood and fluid exposure and prevent healthcare-associated infection, gloves should be changed for approximately every 60-90 min for outer gloves and approximately every 240 min for inner gloves.

Indexed as

Digestive System Surgical ProceduresEquipment FailureGloves, SurgicalBloodBody FluidsCross InfectionHumansInfectious Disease Transmission, Patient-to-ProfessionalProspective Studies

Identifiers

PMID32661693

What OpenQuestion holds

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Registered trials

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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.