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KMID : 0371319950490040556
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Journal of the Korean Surgical Society
1995 Volume.49 No. 4 p.556 ~ p.560
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Incidence of Glove Perforation during Operation in General Surgery
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조충환
김세중/이우정/김병로/홍인철/이경식
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Abstract
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Because the intact surgical glove is an important barrier against exposure to blood and other body fluids, glove perforations occurring during operation may have implications for infection control and protection of operative participants. Seven
hundred
sixty two surgical gloves used in the operations were examined for evidence of perforation by water leak test, air inflation water submersion test, and electric circuit test. The length of use and the anatomic distribution of perforations were
also
studied. Perforations were found in 81 of 762 gloves(10.6 percent) and occurred in 48.8 per cent of operations The frequency of defects in unused gloves was 1.2 per cent(4/316). Gloves worn fewer than 2 hr and a perforation rate of 7.9 per
cent(32/406),
and those worn 2 hr or longer had a perforation rate of 13.8 per cent(49/356; p=0.009).
Althought the 10.6 per cent rate of glove perforation during our operation found in this series is lower than rates described with surgical proedures, it is not insignificant. The significant increase in the rate of perforation when gloves are
worn
more
than 2 hr suggests that gloves should routinely be changed at or before 2hr of wear. Te high incidence of the glove perforation should alert surgeons to the need for protection against pathogens transmissible during operation, such as hepatitis B
and
the human immunodeficiency virus.
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