Department of Oncologic and Reconstructive Surgery, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice, Poland.
Department of Experimental Surgery, Medical University of Lodz, Poland.
Pol Przegl Chir. 2020 Oct 5;93(1):9-14. doi: 10.5604/01.3001.0014.4240.
<b>Introduction:</b> The perforation of gloves during surgical procedures is quite common. A cheap and quite effective method of reducing the risk of blood-borne infections is wearing two pairs of gloves. Unfortunately, some surgeons are reluctant to it, and they report decreased dexterity and sensation. The aim of the study was to evaluate surgeons' double-gloving practices to determine the factors related to compliance. <br><b>Material and methods:</b> An anonymous, 21-question survey in Polish was sent by post to 41 surgical departments. The questions concerned: demographic data, type of surgical gloves used, allergy to latex, number of surgeries performed, frequency of using double gloves and negative impressions from using them and finally, the frequency of needlestick injuries during surgical procedures. <br><b>Results:</b> We received 179 questionnaires back. More than 62% of the surgeons believe that double gloves provide better protection than a single pair, 24% do not believe in this, and 14% have no opinion. Only 0.6% of respondents always use double gloves during surgery, 19% double glove in at least 25% of cases and 68% do it occasionally. 13% of the surgeons declared that they had never worn double gloves. During high-risk procedures, 86% of respondents wear double gloves. About half of respondents (50.3%) report discomfort while wearing double gloves; 45% - decreased dexterity; about 30% complain of numbness and tingling; and 64% - decreased sensation. <br><b>Conclusion:</b> Due to the high number of surgical glove perforations and relatively high prevalence of needlestick injuries, it is necessary to use methods that reduce the risk of transmission of pathogens. The habit of using a double pair of gloves should be implemented especially among young surgeons starting to train in their specialities. Consequently, the period of initial discomfort will be combined with the acquisition of surgical skills, which will allow for gradual acclimatization.
<b>引言:</b>手术过程中手套穿孔较为常见。戴两副手套是一种廉价且非常有效的降低血源性病原体感染风险的方法。然而,一些外科医生对此并不愿意,他们报告称戴两副手套会降低灵巧度和感觉。本研究旨在评估外科医生戴双层手套的情况,以确定与依从性相关的因素。<br><b>材料和方法:</b>我们以波兰语通过邮寄方式向 41 个外科部门发送了一份匿名的 21 个问题的调查问卷。问题涉及:人口统计学数据、使用的手术手套类型、乳胶过敏、手术数量、戴双层手套的频率、使用它们的负面印象以及手术过程中发生针刺伤的频率。<br><b>结果:</b>我们共收到 179 份问卷。超过 62%的外科医生认为双层手套比单层手套提供更好的保护,24%的人不相信这一点,而 14%的人没有意见。只有 0.6%的受访者在手术中始终戴双层手套,19%的人在至少 25%的情况下戴双层手套,68%的人偶尔戴。13%的外科医生表示他们从未戴过双层手套。在高风险手术中,86%的受访者戴双层手套。约一半的受访者(50.3%)报告戴双层手套时感到不适;45%的人报告灵巧度降低;约 30%的人抱怨麻木和刺痛;64%的人报告感觉降低。<br><b>结论:</b>鉴于手术手套穿孔的数量较高和针刺伤的相对较高发生率,有必要使用降低病原体传播风险的方法。应特别在开始培训专业的年轻外科医生中实施戴双层手套的习惯。因此,最初的不适期将与获得手术技能相结合,这将允许逐渐适应。