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外科手术人员真的需要戴双层手套吗?

Do surgical personnel really need to double-glove?

作者信息

Thomas-Copeland Janet

机构信息

Ansell Healthcare, Red Bank, NJ, USA.

出版信息

AORN J. 2009 Feb;89(2):322-8; quiz 329-32. doi: 10.1016/j.aorn.2008.11.001.

Abstract

In 2007, AORN's Recommended Practices Task Force revised the "Recommended practices on prevention of transmissible infections in the perioperative practice setting" to recommend that health care practitioners double-glove during invasive procedures. Previously, AORN had suggested that wearing two pairs of gloves might be indicated for some procedures. Research on the protective effects of double gloving provides compelling evidence that surgical personnel should double-glove during all surgical procedures. Statistics on unreported injuries and conversion rates of HIV and hepatitis B indicate that change is difficult; however, research also suggests that objections to double-gloving can be overcome and a practice change implemented to ensure the safety of health care workers and patients alike.

摘要

2007年,美国手术室注册护士协会(AORN)的推荐实践特别工作组修订了“围手术期预防传染性感染的推荐实践”,建议医护人员在侵入性操作过程中戴双层手套。此前,AORN曾建议在某些操作中可能需要戴两副手套。关于双层手套防护效果的研究提供了令人信服的证据,表明手术人员在所有外科手术过程中都应戴双层手套。未报告的伤害以及艾滋病毒和乙型肝炎转化率的统计数据表明,改变很困难;然而,研究还表明,可以克服对双层手套的反对意见,并实施实践变革,以确保医护人员和患者的安全。

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