Infection prevention
likelihood of bloodborne pathogen transmission. Secondly, double gloving helps minimise the risk of cross-contamination. If the outer glove is compromised or torn, the inner glove remains intact, offering continued protection. Moreover, double gloving can be particularly
beneficial in lengthy or complex surgical procedures where the risk of glove perforation increases over time. By wearing two pairs of gloves, healthcare professionals can change the outer glove more frequently without compromising the sterility of the inner glove, thus maintaining a higher level of hygiene throughout the procedure. Despite these advantages, it is important for healthcare professionals to be trained properly in the technique of double gloving to ensure its effectiveness. They should be aware of the correct way to don and doff gloves to avoid accidental contamination. There are several studies that demonstrate that double gloving during surgery significantly reduces perforations and skin contact with blood, thereby decreasing needle-stick injuries.14 A randomised controlled trial indicated that double gloving offers over 90% protective efficacy for both patients and surgeons.15 Nevertheless, in a study developed by AlJehani et al, to evaluate the practice of double gloving
The method of dispensing and packaging gloves can reduce the risk of contamination. Using contaminated gloves, due to improper storage or incorrect techniques and timing for donning and removing them, can also lead to the transmission of germs.
among surgeons and to determine the factors that affect compliance with such practice, fewer than half of the respondents practiced double gloving, primarily for self-protection. Most needle-stick injuries occurred while wearing single gloves. The most common reason given for not using double gloves was that they are considered necessary only for special cases. There was a significant association between the use of double gloves and orthopaedic surgery.16 Overall, double gloving is considered a valuable
CSJ_qtr_page_JULY_2024_qtr_page_2024 19/06/2024 15:26 Page 2
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practice in the healthcare setting, enhancing the safety of both patients and healthcare professionals by providing an additional layer of protection against infections and contaminants. For this reason, the resistance and quality of the glove used is extremely important for healthcare professionals to feel safe. Theatre teams should
evaluate the risk factors involved and make informed decisions regarding the use of double gloves.
Allergies and sensitivities As has been referred to, gloves are essential in all healthcare settings to minimise infection risks for both patients and clinicians. Their importance is particularly pronounced in operating theatres, where SSIs are a common and serious complication for perioperative patients. Traditionally, these gloves have been made from natural rubber latex and dusted with cornstarch powder. However, latex gloves pose a significant limitation due to the potential for users to develop hypersensitivity, known as latex allergy. The widespread adoption of disposable powdered
t
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