Influence of Bio-sorb® Cream on Sweat Production and Efficacy of Surgical Hand Antisepsis Under Surgical Gloves

2020 ◽  
Vol 21 (3) ◽  
pp. 293-298
Author(s):  
Stephan Diedrich ◽  
Sonja Scholz ◽  
Harald Below ◽  
Romy Baguhl ◽  
Claus-Dieter Heidecke ◽  
...  
Keyword(s):  
Surgical Gloves ◽  
Sweat Production ◽  
Hand Antisepsis

scholarly journals Study of Glove Perforation during Hip Replacement Arthroplasty: Its Frequency, Location, and Timing

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Li Xiao Tao ◽  
Deepak Kumar Basnet
Keyword(s):  
Hip Replacement ◽  
Index Finger ◽  
Surgical Team ◽  
Perforation Rate ◽  
Surgical Gloves ◽  
Team Members ◽  
Hip Replacement Arthroplasty ◽  
Glove Perforation ◽  
Replacement Arthroplasty ◽  
Primary Hip Replacement

Objective. The aim of the study was to evaluate the location, timing, and frequency of glove perforation during hip replacement arthroplasty. Methods. Gloves worn by surgical team members in 19 primary hip replacement arthroplasties were assessed. The study was of a single gloving system. All the used gloves were collected at the end of the surgery and assessed visually and by using water inflation technique. Relevant data were collected at the time of surgery. Results. A total of one hundred and ninety-one surgical gloves were evaluated. Twenty-three glove perforations were noted in nineteen of the operations. Of these perforations 14 belonged to gloves worn by surgeon and first assistant (60.1%). Glove perforation in thumb, index finger, and palm was more common. More perforation occurred in the gloves worn in nondominant hand (52%) but was insignificant. Conclusion. Glove perforation in surgeries such as total hip arthroplasty is not uncommon. In this study of single gloving system glove perforation rate was 12.04%, whereas literature reports of glove perforation rate as low as 3.3% in elective orthopedic surgeries with double gloving system. As such emphasis should be given to wear double pair of gloves wherever this practice is uncommon.

scholarly journals Why were surgical gloves not used earlier?

The Lancet ◽  
2015 ◽  
Vol 386 (10000) ◽  
pp. 1234-1235 ◽  
Author(s):  
Thomas Schlich
Keyword(s):  
Surgical Gloves

DISPOSABLE SURGICAL GLOVES

The Lancet ◽  
1968 ◽  
Vol 292 (7574) ◽  
pp. 915
Author(s):  
R BARCLAY
Keyword(s):  
Surgical Gloves

Shortening the Application Time of Alcohol-Based Hand Rubs to 15 Seconds May Improve the Frequency of Hand Antisepsis Actions in a Neonatal Intensive Care Unit

2017 ◽  
Vol 38 (12) ◽  
pp. 1430-1434 ◽  
Author(s):  
Axel Kramer ◽  
Didier Pittet ◽  
Romana Klasinc ◽  
Stefan Krebs ◽  
Torsten Koburger ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Clinical Practice ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Application Time ◽  
Improve Hand Hygiene ◽  
Independent Observer ◽  
Hand Antisepsis

BACKGROUNDFor alcohol-based hand rubs, the currently recommended application time of 30 seconds is longer than the actual time spent in clinical practice. We investigated whether a shorter application time of 15 seconds is microbiologically safe in neonatal intensive care and may positively influence compliance with the frequency of hand antisepsis actions.METHODSWe conducted in vitro experiments to determine the antimicrobial efficacy of hand rubs within 15 seconds, followed by clinical observations to assess the effect of a shortened hand antisepsis procedure under clinical conditions in a neonatal intensive care unit (NICU). An independent observer monitored the frequency of hand antisepsis actions during shifts.RESULTSAll tested hand rubs fulfilled the requirement of equal or even significantly higher efficacy within 15 seconds when compared to a reference alcohol propan-2-ol 60% (v/v) within 30 seconds. Microbiologically, reducing the application time to 15 seconds had a similar effect when compared to 30-second hand rubbing, but it resulted in significantly increased frequency of hand antisepsis actions (7.9±4.3 per hour vs 5.8±2.9 per hour; P=.05).CONCLUSIONTime pressure and workload are recognized barriers to compliance. Therefore, reducing the recommended time for hand antisepsis actions, using tested and well-evaluated hand rub formulations, may improve hand hygiene compliance in clinical practice.Infect Control Hosp Epidemiol 2017;38:1430–1434

Surgical Gloves

2010 ◽  
Vol 20 (6) ◽  
pp. 219-220 ◽  
Author(s):  
Harold Ellis
Keyword(s):  
19Th Century ◽  
Infected Wound ◽  
Surgical Gloves ◽  
Protective Gloves ◽  
Open Injuries

Surgeons and obstetricians, over the centuries, were only too aware that accidental open injuries during their work, especially in a septic case, could lead to an infected wound, a fulminating illness and often death. Even before the bacterial nature of infection had been established in the mid 19th century, it was still obvious that this dangerous and often fatal condition was caused by the transfer of some poisonous material or ‘miasma’ from the patient to his surgeon. As long ago as 1758, an obstetrician named Walbaum protected his hands by covering them with sheep's caecum. Others used gloves of cotton, silk and leather. After Charles Goodyear developed the vulcanisation process to stabilise rubber in 1844, this became the material of choice for these rather crude protective gloves.

scholarly journals A case report of anaphylaxis to chlorhexidine during urinary catheterisation

2012 ◽  
Vol 94 (4) ◽  
pp. e159-e160 ◽  
Author(s):  
J Noel ◽  
A Temple ◽  
GJA Laycock
Keyword(s):  
Case Report ◽  
Orthopaedic Surgery ◽  
Medical Literature ◽  
Chlorhexidine Gluconate ◽  
Hypersensitivity Reactions ◽  
Cell Surfaces ◽  
Urethral Catheterisation ◽  
Bacteriostatic Agent ◽  
Hand Antisepsis ◽  
Urinary Catheterisation

Chlorhexidine gluconate is a chemical antiseptic that is effective against Gram positive and negative bacteria and on certain viruses and fungi. A bacteriocidal and bacteriostatic agent, this cationic drug is absorbed on to negatively charged cell surfaces of organisms, disrupting the cell membrane, which results in increased permeability. Its use is mainly topical as a surgical hand antisepsis, site preparation/cleansing and for pre-genitourinary procedures such as urethral catheterisation. Like any drug, caution should be employed with its use as hypersensitivity reactions are being documented increasingly in the medical literature. In the following case, we present a patient who was catheterised with the chlorhexidine containing Instillagel® (CliniMed, High Wycombe, UK), prior to undergoing elective orthopaedic surgery.

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