Abstract
Abstract: Post-operative infection is still one of the most common nosocomial diseases that can cause great losses because it will increase the length of stay, use of drugs, and reduce the quality of life of the patients. The risk will increase if the number of colonies is> 105 bacteria per gram of tissue. Various ways have been done to reduce the number of bacteria in the operation area, including the use of surgical gloves. This study analyzed the comparison of the level of bacterial colonies that grew on the surface of single, double, and orthopedic surgical gloves in closed fracture management for more than 2 hours at Hasan Sadikin Hospital. The statistical analysis was done with p-value = 0.011 (<0.05), which means a significant difference in the number of germ colonies that grow between single, double, and orthopedic gloves. Double gloves and orthopedic gloves have a better ability to reduce bacterial colony growth. Meanwhile, there was no significant difference in the number of bacterial colonies formed between double gloves and orthopedics. Perforation is a factor affecting the number of germ colonies that formed. The use of double gloves and orthopedic gloves in closed fracture surgery for more than 2 hours shows the number of bacterial colonies formed is less than single gloves. There was a significant difference in the rate of perforation between standard surgical gloves and orthopedic gloves. Keywords: Bacteria colony, Single glove, Double glove, Orthopaedic glove, Perforation
Highlights
Surgical wound infection is an infection in the surgical area that occurs within 30 days or 1 year after surgery, an implantplacing surgery
A total of 36 closed fracture surgeries performed at Hasan Sadikin Hospital were used in this study
From the Mann Whitney test, the average value in the single glove group was 14.67 ± 6.12 and the double-glove group was 2.08 ± 3.12 with a p-value = 0.016 < 0.05. It means that there was a significant difference in the number of bacterial colonies between the surface of the single glove and double-glove in the 120th minute
Summary
Surgical wound infection is an infection in the surgical area that occurs within 30 days or 1 year after surgery, an implantplacing surgery This condition causes harm because it increases morbidity and mortality directly. Et al in their study reported the incidence of perforation reached 65.3% in fracture treatment operations caused by needle sticks or tearing due to manipulation of bone fragments, instruments, and implants, which frequently occur in the non-dominant hand and are located around the thumb, forefinger, and palm. It indicates that currently available standard surgical gloves do not provide sufficient protection against perforation. There is one type of orthopedic surgical glove that has a greater thickness than standard surgical gloves, there have not been many studies that have described its advantages over standard surgical gloves (table 1, table 2).[11,12,13]
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