Steen Knut
Tidsskr Nor Laegeforen. 2017 Jun 26;137(12-13):885-889. doi: 10.4045/tidsskr.16.0599. Print 2017 Jun 27.
Minor surgical procedures are regularly performed in general practice. The practice with regard to routine use of sterile or non-sterile gloves varies. The purpose of this article was to review the scientific basis for choice and recommendation in this area.
A search was conducted in PubMed, Cochrane, Medline and Embase for clinical studies in English which had investigated the use of sterile or non-sterile gloves and the prevalence of wound infection related to minor surgery. This applied primarily to general practice, including accident and emergency departments, but also encompassed other fields of medicine. The reference lists for the relevant articles were also scrutinised.
Three randomised prospective studies from general practice were found. These showed no difference in frequency of infection. Two of the studies were of moderately good quality. A further five randomised prospective studies and four observational studies were also found, which had examined the association between the use of sterile or non-sterile gloves and infection related to minor surgery. Common to all of these was that they came from fields of medicine other than general practice, namely dermatology and odontology. No difference was found in the majority of these (six out of nine). However, the scientific quality was low or very low.
The research data on the use of sterile or non-sterile gloves in minor surgery in general practice and the consequences for wound infection are very limited. No clear difference in infection frequency was demonstrated.
小型外科手术在普通医疗实践中经常进行。关于常规使用无菌或非无菌手套的做法各不相同。本文的目的是回顾该领域选择和推荐的科学依据。
在PubMed、Cochrane、Medline和Embase中检索英文临床研究，这些研究调查了无菌或非无菌手套的使用以及与小型手术相关的伤口感染发生率。这主要适用于普通医疗实践，包括急诊科，但也涵盖其他医学领域。还仔细审查了相关文章的参考文献列表。
发现了三项来自普通医疗实践的随机前瞻性研究。这些研究表明感染频率没有差异。其中两项研究质量中等。还发现了另外五项随机前瞻性研究和四项观察性研究，它们研究了无菌或非无菌手套的使用与小型手术相关感染之间的关联。所有这些研究的共同之处在于它们来自普通医疗实践以外的医学领域，即皮肤科和牙科。在这些研究中的大多数（九项中的六项）未发现差异。然而，科学质量较低或非常低。
关于普通医疗实践中在小型手术中使用无菌或非无菌手套及其对伤口感染影响的研究数据非常有限。未证明感染频率有明显差异。
