Parker M R
Ward 3 Intensive Therapy Unit, Bristol Royal Infirmary.
Anaesthesia. 1995 Aug;50(8):726-9. doi: 10.1111/j.1365-2044.1995.tb06105.x.
In a study of 97 anaesthetic sessions, the incidence of hand laceration secondary to opening glass ampoules was 6% and the prevalence of visible old hand laceration 26%. The wearing of gloves for procedures likely to cause contamination by human secretions ranged from 35-86%. Overall there was no statistically significant difference in glove wearing habits of trainees and consultants. In the presence of a visible laceration, glove wearing by trainees increased and was significantly higher than that practiced by consultants. There were at least 90 procedures performed in 97 sessions during which an anaesthetist risked contaminating a visible laceration. It appears that the occupational risk of contracting a blood-borne viral infection is still unnecessarily increased by anaesthetists not wearing protective gloves for all procedures in which contamination may occur.
在一项针对97次麻醉操作的研究中,因打开玻璃安瓿瓶导致手部撕裂伤的发生率为6%,可见陈旧性手部撕裂伤的患病率为26%。在可能因人体分泌物造成污染的操作中,戴手套的比例在35%至86%之间。总体而言,实习医生和顾问医生在戴手套习惯方面没有统计学上的显著差异。在有可见撕裂伤的情况下,实习医生戴手套的情况增加,且显著高于顾问医生。在97次操作中至少进行了90次手术,在此期间麻醉医生有可能污染可见的撕裂伤。看来,麻醉医生在所有可能发生污染的操作中不戴防护手套,仍会不必要地增加感染血源病毒的职业风险。