Korniewicz Denise M, Garzon Laurel, Seltzer Judy, Feinleib Manning
University of Miami School of Nursing, School of Medicine, Department of Surgery and Epidemiology, Coral Gables, FL 33124, USA.
Am J Infect Control. 2004 Aug;32(5):268-73. doi: 10.1016/j.ajic.2003.12.005.
The purpose of this study was to compare the frequency of glove defects for nonlatex surgical gloves while surgeons performed routine surgery and to evaluate surgeons' satisfaction with nonlatex sterile gloves.
Two brands of latex gloves and 6 brands of nonlatex gloves were tested. Gloves were collected at the end of each surgical procedure and tested for visual defects and barrier integrity using an automated calibrated water test machine consistent with FDA's recommended standards. A total of 6386 gloves used by 101 surgeons and 164 residents representing 15 surgical services were included in the analysis.
Higher after-use defect rates occurred in nonlatex surgical gloves than in latex gloves. Higher times of use were related to higher defect rates for some surgical specialties, and both surgeons and residents were less satisfied with nonlatex surgical gloves.
Intact latex and nonlatex surgical gloves provide adequate barrier protection. Nonlatex surgical gloves have higher failure rates and lower user satisfaction than latex gloves do. Both nonlatex and latex gloves should be changed after 2 to 3 hours of use because the barrier of either type of glove becomes compromised with extended use.
本研究的目的是比较外科医生在进行常规手术时非乳胶手术手套的破损频率,并评估外科医生对非乳胶无菌手套的满意度。
测试了两个品牌的乳胶手套和6个品牌的非乳胶手套。在每个手术过程结束时收集手套,并使用符合美国食品药品监督管理局(FDA)推荐标准的自动校准水测试机对手套进行外观缺陷和屏障完整性测试。分析纳入了代表15个外科科室的101名外科医生和164名住院医生使用的总共6386只手套。
非乳胶手术手套使用后的破损率高于乳胶手套。某些外科专科的使用次数越多,破损率越高,并且外科医生和住院医生对非乳胶手术手套的满意度都较低。
完好的乳胶和非乳胶手术手套都能提供足够的屏障保护。非乳胶手术手套比乳胶手套有更高的故障率和更低的用户满意度。两种类型的手套在使用2至3小时后都应更换,因为随着使用时间延长,任何一种手套的屏障都会受损。