Perforation rates in double latex gloves and protective effects of outer work gloves in a postmortem examination room: A STROBE-compliant study

Medical staff face the risk of exposure to blood-borne infectious agents during postmortem examinations. This study investigated the effectiveness of non-slip work gloves worn over 2 layers of surgical latex gloves (outer and inner gloves) as a means of reducing hand and finger injuries. Complete se...

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Veröffentlicht in:Medicine (Baltimore) 2019-07, Vol.98 (27), p.e16348-e16348
Hauptverfasser: Idota, Nozomi, Nakamura, Mami, Akasaka, Yoshihisa, Tsuboi, Hajime, Bando, Risa, Ikegaya, Hiroshi
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container_issue 27
container_start_page e16348
container_title Medicine (Baltimore)
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creator Idota, Nozomi
Nakamura, Mami
Akasaka, Yoshihisa
Tsuboi, Hajime
Bando, Risa
Ikegaya, Hiroshi
description Medical staff face the risk of exposure to blood-borne infectious agents during postmortem examinations. This study investigated the effectiveness of non-slip work gloves worn over 2 layers of surgical latex gloves (outer and inner gloves) as a means of reducing hand and finger injuries. Complete sets of outer and inner gloves worn during postmortem examinations were collected from participating forensic staff. Latex gloves were categorized into 2 groups based on the users' actions during the examination: the wearing group if the wearer wore their work gloves continuously without interruption, and the taking-off group if the wearer removed them at least once. Perforation rates, locations, and shapes were compared between these groups. Outer-glove perforation occurred significantly more often in the taking-off group (n = 102 pairs) than in the wearing group (n = 91 pairs) (30.4% vs 3.8%, P 
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This study investigated the effectiveness of non-slip work gloves worn over 2 layers of surgical latex gloves (outer and inner gloves) as a means of reducing hand and finger injuries. Complete sets of outer and inner gloves worn during postmortem examinations were collected from participating forensic staff. Latex gloves were categorized into 2 groups based on the users' actions during the examination: the wearing group if the wearer wore their work gloves continuously without interruption, and the taking-off group if the wearer removed them at least once. Perforation rates, locations, and shapes were compared between these groups. Outer-glove perforation occurred significantly more often in the taking-off group (n = 102 pairs) than in the wearing group (n = 91 pairs) (30.4% vs 3.8%, P &lt; .001). Inner-glove perforation occurred at rates of 2.0% and 0.5% (P = .38), respectively. The wearers did not incur hand or finger injuries. Perforation rates were similar between the dominant and non-dominant hands (P = .18). Regarding location, gloves were punctured most frequently at the thumb, followed by the index finger. Most examiners (85.6%) did not notice the perforation when the damage occurred. Therefore, we could not confirm that a specific operation within a set of plural operations affected the rate of perforation. Additionally, we could not prove a relationship between glove perforation and each operation performed with/without work gloves. The perforation appearances varied greatly in shape and size, suggesting multiple causes of perforation. The continuous (i.e., uninterrupted) wear of work gloves during postmortem examinations reduced the incidence of perforations in both latex glove layers and thus reduced the risk of hand and finger injury.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000016348</identifier><identifier>PMID: 31277191</identifier><language>eng</language><publisher>United States: the Author(s). Published by Wolters Kluwer Health, Inc</publisher><subject>Autopsy - instrumentation ; Blood-Borne Pathogens ; Equipment Design ; Equipment Failure ; Gloves, Surgical ; Hand Injuries - prevention &amp; control ; Humans ; Latex ; Observational Study</subject><ispartof>Medicine (Baltimore), 2019-07, Vol.98 (27), p.e16348-e16348</ispartof><rights>the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2019 the Author(s). 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This study investigated the effectiveness of non-slip work gloves worn over 2 layers of surgical latex gloves (outer and inner gloves) as a means of reducing hand and finger injuries. Complete sets of outer and inner gloves worn during postmortem examinations were collected from participating forensic staff. Latex gloves were categorized into 2 groups based on the users' actions during the examination: the wearing group if the wearer wore their work gloves continuously without interruption, and the taking-off group if the wearer removed them at least once. Perforation rates, locations, and shapes were compared between these groups. Outer-glove perforation occurred significantly more often in the taking-off group (n = 102 pairs) than in the wearing group (n = 91 pairs) (30.4% vs 3.8%, P &lt; .001). Inner-glove perforation occurred at rates of 2.0% and 0.5% (P = .38), respectively. The wearers did not incur hand or finger injuries. Perforation rates were similar between the dominant and non-dominant hands (P = .18). Regarding location, gloves were punctured most frequently at the thumb, followed by the index finger. Most examiners (85.6%) did not notice the perforation when the damage occurred. Therefore, we could not confirm that a specific operation within a set of plural operations affected the rate of perforation. Additionally, we could not prove a relationship between glove perforation and each operation performed with/without work gloves. The perforation appearances varied greatly in shape and size, suggesting multiple causes of perforation. The continuous (i.e., uninterrupted) wear of work gloves during postmortem examinations reduced the incidence of perforations in both latex glove layers and thus reduced the risk of hand and finger injury.</description><subject>Autopsy - instrumentation</subject><subject>Blood-Borne Pathogens</subject><subject>Equipment Design</subject><subject>Equipment Failure</subject><subject>Gloves, Surgical</subject><subject>Hand Injuries - prevention &amp; control</subject><subject>Humans</subject><subject>Latex</subject><subject>Observational Study</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkdtu1DAQhi0EokvhCZCQL7lJ8dkJF0ilLQWpVRGUa8ubjLuhTry1nd32KXjletltOfhm7Jlv_vHoR-g1JQeUNPrd-fEB-XOo4qJ-gmZUclXJRomnaEYIk5VutNhDL1L6WSCumXiO9jhlWtOGztCvrxBdiDb3YcQlQML9iLswzT1gX963-MqHVUnbscPLGDK0uV8BBufKLeHgcJgyRLwO8fqBLRIWL0PKQ4gZBgy3dujH3ZAQhvf4EH-__Hbx8aRqw7D0vR0zTnnq7l6iZ876BK92cR_9-HRyefS5Ors4_XJ0eFa1XEpVWRDAHQNBa62c1XVHdTNXRFnaCGUtzJkQotWilrphrXCu1lRrIomjohOK76MPW93lNB-ga2HM0XqzjP1g450Jtjf_VsZ-Ya7CyijFJZVNEXi7E4jhZoKUzdCnFry3I4QpGcYkZ7WkghaUb9E2hpQiuMcxlJiNleb82PxvZel68_cPH3sevCuA2ALr4IsB6dpPa4hmAdbnxW-9ze4VI7Qhm82rokwUvweLcqvc</recordid><startdate>20190701</startdate><enddate>20190701</enddate><creator>Idota, Nozomi</creator><creator>Nakamura, Mami</creator><creator>Akasaka, Yoshihisa</creator><creator>Tsuboi, Hajime</creator><creator>Bando, Risa</creator><creator>Ikegaya, Hiroshi</creator><general>the Author(s). 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This study investigated the effectiveness of non-slip work gloves worn over 2 layers of surgical latex gloves (outer and inner gloves) as a means of reducing hand and finger injuries. Complete sets of outer and inner gloves worn during postmortem examinations were collected from participating forensic staff. Latex gloves were categorized into 2 groups based on the users' actions during the examination: the wearing group if the wearer wore their work gloves continuously without interruption, and the taking-off group if the wearer removed them at least once. Perforation rates, locations, and shapes were compared between these groups. Outer-glove perforation occurred significantly more often in the taking-off group (n = 102 pairs) than in the wearing group (n = 91 pairs) (30.4% vs 3.8%, P &lt; .001). Inner-glove perforation occurred at rates of 2.0% and 0.5% (P = .38), respectively. The wearers did not incur hand or finger injuries. Perforation rates were similar between the dominant and non-dominant hands (P = .18). Regarding location, gloves were punctured most frequently at the thumb, followed by the index finger. Most examiners (85.6%) did not notice the perforation when the damage occurred. Therefore, we could not confirm that a specific operation within a set of plural operations affected the rate of perforation. Additionally, we could not prove a relationship between glove perforation and each operation performed with/without work gloves. The perforation appearances varied greatly in shape and size, suggesting multiple causes of perforation. The continuous (i.e., uninterrupted) wear of work gloves during postmortem examinations reduced the incidence of perforations in both latex glove layers and thus reduced the risk of hand and finger injury.</abstract><cop>United States</cop><pub>the Author(s). 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source MEDLINE; DOAJ Directory of Open Access Journals; Wolters Kluwer Open Health; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection
subjects Autopsy - instrumentation
Blood-Borne Pathogens
Equipment Design
Equipment Failure
Gloves, Surgical
Hand Injuries - prevention & control
Humans
Latex
Observational Study
title Perforation rates in double latex gloves and protective effects of outer work gloves in a postmortem examination room: A STROBE-compliant study
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