Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2017 | Month : October | Volume : 11 | Issue : 10 | Page : RC01 - RC04

Effects of Frequent Glove Change on Outcomes of Orthopaedic Surgical Procedures - A Multicenter Study on Surgical Gloves

Nishit Palo, Sunil Kumar Dash, Ranajit Panigrahi, Sidharth Singh Chandel, Neha Palo, Swati Sharma, Ashok Priyadarshi

1. Senior Resident, Department of Orthopaedics, Santosh Medical College, Ghaziabad, India. 2. Professor, Department of Orthopaedics, Hi-Tech Medical College, Bhubaneswar, Odisha, India. 3. Professor, Department of Orthopaedics, Hi-Tech Medical College, Bhubaneswar, Odisha, India. 4. Associate Consultant, Department of Orthopaedics, Jaypee Hospital, Noida, Uttar Pradesh, India. 5. Junior Consultant, Department of Obstetrics and Gynaecology, Max Hospital, Greater Noida, Uttar Pradesh, India. 6. Resident, Department of Orthodontics, ITS Dental College, Ghaziabad, Uttar Pradesh, India. 7. Resident, Department of Orthopaedics, Hi-Tech Medical College, Bhubaneswar, Odisha, India.

Correspondence Address :
Dr. Nishit Palo,
4a, Nilgiri-3, Sector-34, Noida-201307, Uttar Pradesh, India.
E-mail: nishit_palo@yahoo.com

Abstract

Introduction: Intact surgical gloves are a barrier to microorganisms migration between surgical team members and the patient. The surgical gloves are changed at various junctures but the effects of changing gloves during surgical procedures on various surgical parameters or clinical outcomes are not established.

Aim: To determine rationale of glove change during orthopaedic procedures, differences amongst surgical parameters with and without changing the surgical gloves and whether frequent glove change affected surgical parameters or clinical outcomes.

Materials and Methods: A prospective multicenter study conducted at three centers from January 2014 to January 2016. A 250 patients were divided into 2 groups (n=125 each) in Group 1, surgical team operated with regular changing of gloves. In Group 2, only 1 set of double gloves were worn throughout the procedure. Surgical parameters or clinical outcomes were assessed for both the groups. Statistical analyses included the median, mode, range, Interquartile Range (IQR) and sample standard deviation (s) and independent-samples t-test. Bacterial counts were expressed as median with (IQR).

Results: Surgical Timing Difference was 10 (S.D.- 4.2) minutes more in Group-1 (<0.05), Surgical Cost was higher in Group-1 by Rs.150-450 (<0.05). Outer glove micro-perforation rate was 5.85% and 8.15% in group-1 and 2 respectively with no inner glove perforation or Surgical Site Infections. Outer glove micro perforations were proportional to duration of surgery; operations lasting 120-210 and 61-120 minutes had 66.6% and 37.2% micro perforation rates respectively (p<0.05).

Conclusion: Under standard operating conditions, procedures performed without glove change are shorter and cost effective than procedures performed with regular glove change with similar surgical and functional results. Judicious use of surgical gloves is a patient and environment friendly option, thereby reducing the hospitalís biomedical waste load.

Keywords

Biomedical waste, Contamination, Safe, Sterility

How to cite this article :

Nishit Palo, Sunil Kumar Dash, Ranajit Panigrahi, Sidharth Singh Chandel, Neha Palo, Swati Sharma, et al.. EFFECTS OF FREQUENT GLOVE CHANGE ON OUTCOMES OF ORTHOPAEDIC SURGICAL PROCEDURES - A MULTICENTER STUDY ON SURGICAL GLOVES. Journal of Clinical and Diagnostic Research [serial online] 2017 October [cited: 2018 Jan 22 ]; 11:RC01-RC04. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=October&volume=11&issue=10&page=RC01-RC04&id=10749

DOI and Others

DOI: 10.7860/JCDR/2017/29346.10749

Date of Submission: Apr 16, 2017
Date of Peer Review: Jun 04, 2017
Date of Acceptance: Aug 18, 2017
Date of Publishing: Oct 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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