van den Broek Peterhans J
Leids Universitair Medisch Centrum, afd. Infectieziekten, Leiden, the Netherlands.
Ned Tijdschr Geneeskd. 2011;155(18):A3341.
The use of sterile gloves as part of asepsis during surgery goes back to the end of the nineteenth century, but now the preventive value of this measure during minor surgery is questioned. One randomized study showed no difference in wound infection rates whether sterile or nonsterile gloves were used for repair of uncomplicated lacerations of the skin. An observational and a retrospective study in minor dermatological surgery confirm that the use of sterile or nonsterile gloves makes no difference for excisions of tumours as long as no reconstructions of the skin are performed. However, in more complicated minor dermatological surgery, 80% less wound infections were observed when sterile gloves were used. In conclusion, the available evidence is too limited to change the recommendation to use sterile gloves for minor surgery.
手术中使用无菌手套作为无菌操作的一部分可追溯到19世纪末,但现在这项措施在小手术中的预防价值受到质疑。一项随机研究表明,对于单纯性皮肤裂伤的修复,使用无菌手套或非无菌手套,伤口感染率并无差异。一项针对小型皮肤科手术的观察性研究和一项回顾性研究证实,只要不进行皮肤重建,使用无菌或非无菌手套对肿瘤切除并无影响。然而,在更复杂的小型皮肤科手术中,使用无菌手套时观察到的伤口感染减少了80%。总之,现有证据过于有限,无法改变小手术使用无菌手套的建议。