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A comparison between single, double indicator gloving and double gloving with two regular gloves.
Electronic evaluation of the value of double gloving. Br J Surg.
Efficacy of double gloving with an intrinsic indicator system.
In risky cases the use of indicator gloves maybe protective as microperforations on these gloves are easily recognizable [20], even though double gloving systems with indicator are no guarantee to detect perforation.
The limitation of our study was that it included only single gloving system.
In this study of single gloving system glove perforation rate was 12.04% whereas literature reports of glove perforation rate as low as 3.3% in elective orthopedic surgeries with double gloving system.
Parkinson, "Double gloving to reduce surgical cross-infection," Cochrane Database of Systematic Reviews, vol.
A double gloving puncture indication system works by the use of two gloves: a green coloured inner glove and a cream coloured outer glove.
Al-Maiyah et al (2005) feels that double gloving should be considered for activities associated with a high risk of skin punctures, especially orthopaedic or dental surgery, where sharp pieces of bone or teeth are most likely to cause injury.
A Cochrane review of surgical gloves found that the overall perforation rate from nine high quality trials of single gloving was 9% (413/4477) (Tanner & Parkinson 2006).
It is seen by Lefebvre et al (2008) that double gloving gives the practitioner extra protection when a needlestick injury occurs, as the two layers of latex act to wipe off a substantial amount of blood or other bodily fluid that may be on the sharp as it passes through the gloves.
This comparison studies the number of perforations sustained in inner gloves when comparing standard double gloving against double gloving with an additional glove liner.
The meta-analysis found that 28% (30/107) of inner gloves in the double gloving group were perforated compared with 1% (3/228) of inner gloves in the double gloving plus liner group.
This result presents the number of perforations in inner gloves when comparing standard double gloving against knitted cloth gloves worn on top of latex gloves.
Hester found 9% (8/87) of inner gloves were perforated in the double gloving (with orthopaedic gloves) group and 8% (7/88) of inner gloves were perforated in the knitted glove group.