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Say Yes to Total Hips - March 2014 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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1 0 0 O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | M A R C H 2 0 1 4 The researchers conclude that research typically focuses on the pro- tection double-gloving offers surgeons, but doubling up on glove layers does in fact help protect operating room nurses as well. Quantifiable dangers According to a study in the journal BMC Infectious Diseases ( tinyurl.com/pxavkyl) of 98 outer gloves and 96 inner gloves worn during open abdominal cases, small perforations occurred in 10% of outer gloves and 1% of inner gloves after an aver- age of 100 minutes of use during surgery. The researchers noticed bacterial migration through 5% of outer gloves and 1% of inner gloves, with bacterial migration rates as high as 54.5% detected through the micro-perforations, which confirms previous results that bacterial migration through unnoticed micro-perforations in surgical gloves does occur under real practical surgical conditions. "The intact surgical glove is the most important barrier to protect the patient from microorganisms from the hand of the surgical team, and the hands of the surgical team from the patient," write the researchers. They note 70% of the perforations to the outer gloves in this study could have been detected by an indicator-glove system. This, together with the fact that only 1 of all tested inner gloves was punctured, indicates that the double-gloving indicator system provides reliable prevention of microorganism transmission. OSM E-mail dcook @outpa tientsurg ery.net . D O U B L E - G L O V I N G PROTECTIVE LAYERS Inner pairs of gloves are less likely to be compromised by needles, blades or bones. OSE_1403_part2_Layout 1 3/5/14 10:53 AM Page 100

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