Incidence and risk factors for surgical glove perforation in small animal ophthalmic surgery.

Paola A Massidda,Rachael Grundon,Jesus Diaz,Ben Blacklock,Roser Tetas Pont,Federico Corletto

doi:10.1111/vop.12805

Paola A Massidda, Rachael Grundon + Show 4 more

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https://doi.org/10.1111/vop.12805

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Journal: Veterinary ophthalmology	Publication Date: Jul 20, 2020
Citations: 1	License type: cc-by

Affiliation: Royal Veterinary College

Abstract

To determine the incidence of perforation of surgical gloves and identify associated risk factors that contribute to glove perforation in small animal ophthalmic surgery. Observational cohort study. Surgical gloves (n=2000) collected following 765 small animal ophthalmic procedures. All the gloves were tested for perforation at the end of the procedure using a water leak test. The potential risk factors for glove perforation were recorded, and associations between these risk factors and perforation were explored using univariable (Fisher's exact test) and mixed effect logistic regression analysis. Results were considered significant if P<.05. Glove perforation was detected in 6% of procedures. Glove perforation was 1.97 (95% CI: 0.98-4.22) times more likely in extraocular than in intraocular surgeries (7.3% vs 3.9%; P=.0462). The incidence of perforations was not statistically different between main and assistant surgeon (P=.86). No significant association was found between the risk of glove perforation and duration of the procedure (P=.13). Perforation of the nondominant hand was 2.6 (95% CI: 1.38-4.98) times more likely than the dominant hand (74% vs 26%; P=.0028). Only 22% of the perforations were detected intraoperatively. Multivariable analysis identified only extraocular surgery as a risk factor for perforations. There is a low incidence of glove perforation in small animal ophthalmic surgery, but extra care of the nondominant hand is required, especially during extraocular procedures.

Highlights

IntroductionSurgical gloves are a protective barrier worn during surgical procedures to reduce the risk of pathogen dissemination that can cause infections in the surgeon and the patient.[1]Their integrity is important in maintaining a sterile environment and reducing the possibility of surgical site infections (SSI) that are a considerable concern in veterinary medicine, having been described as a complication in 2.5% to 30% of small animal surgical procedures.[2,3,4,5,6] a search of the veterinary and human ophthalmic literature viaPubmed® resulted in no studies that link glove perforation with infection of ocular tissues, the integrity of surgical gloves is cited as a critical factor to prevent infections in surgery.[7]
There is a low incidence of glove perforation in small animal ophthalmic surgery, but extra care of the non-dominant hand is required, especially during extraocular procedures
Their integrity is important in maintaining a sterile environment and reducing the possibility of surgical site infections (SSI) that are a considerable concern in veterinary medicine, having been described as a complication in 2.5% to 30% of small animal surgical procedures.[2,3,4,5,6]

Summary

Introduction

Surgical gloves are a protective barrier worn during surgical procedures to reduce the risk of pathogen dissemination that can cause infections in the surgeon and the patient.[1]Their integrity is important in maintaining a sterile environment and reducing the possibility of surgical site infections (SSI) that are a considerable concern in veterinary medicine, having been described as a complication in 2.5% to 30% of small animal surgical procedures.[2,3,4,5,6] a search of the veterinary and human ophthalmic literature viaPubmed® resulted in no studies that link glove perforation with infection of ocular tissues, the integrity of surgical gloves is cited as a critical factor to prevent infections in surgery.[7]. Surgical gloves are a protective barrier worn during surgical procedures to reduce the risk of pathogen dissemination that can cause infections in the surgeon and the patient.[1]. Their integrity is important in maintaining a sterile environment and reducing the possibility of surgical site infections (SSI) that are a considerable concern in veterinary medicine, having been described as a complication in 2.5% to 30% of small animal surgical procedures.[2,3,4,5,6] a search of the veterinary and human ophthalmic literature via. Two large scale studies explored the correlation between glove perforation and SSI and showed that, in the absence of antimicrobial prophylaxis, glove perforation is a risk factor for SSI.[8,9] there are case studies in the literature that have implicated surgical glove perforation with outbreaks of Staphylococcal infection in operated patients.[10,11]

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