PILIH NEGARA/WILAYAH ANDA

DOUBLE GLOVING: A GLOVING BEST PRACTICE

WHY DOUBLE GLOVE

Double gloving is the recommended best practice when gloving for surgery as it provides an additional level of protection against blood-borne infections and greatly reduces the risk of glove penetrations.1

The main causes of blood contacts by operating personnel are surgical glove punctures and tears in the operating room.2 Double gloving reduces risk of inner glove perforations by 71% compared to single gloving3 and are recommended by professional organizations including AORN, WHO and CDC.

82% of perforations of the outer glove go un-noticed by those who double glove, posing a risk to the glove wearer.4 Wearing a colored inner glove is preferred as it increases identification of a breach by as much as 86%.5

Routine glove changing, preferably every two hours, is recommended for all surgeries. This is especially so for procedures involving intensive work on bones or when operating on high-risk cases. Removing both pairs of gloves when a perforation occurs is another best practice to consider since a perforation in the outer glove is an indication that the inner glove may be compromised as well.6

Wearing a colored inner glove increases the identification of a perforation by as much as 86%.5

Double gloving reduces glove perforation by 71% compared to single gloving3

Two Gloves Are Better Than One

Featuring Dr. Roger Huckfeldt.

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SOME PROFESSIONAL ORGANIZATIONS WHO RECOMMEND DOUBLE GLOVING

  • Association of Perioperative Registered Nurses (AORN)
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  • American Academy of Orthopedic Surgeons (AAOS)
  • Australian College of Operating Room Nurses (ACORN)
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  • Centers for Disease Control and Prevention (CDC)
  • American College of Surgeons (ACS)
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  • The European Center for Disease Prevention and Control (ECDC)
  • International College of Surgeons (ICS)
  •     
  • World Health Organisation (WHO)



  • DOUBLE GLOVING NON-LATEX SOLUTIONS

    GAMMEX® Non-Latex PI

    Polyisoprene, Diphenylguanidine or DPG-free surgical glove with a soft glove formulation delivering extra comfort.

    Recommended double gloving position: Outer & Inner

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    GAMMEX® Non-Latex PI Ortho

    Polyisoprene, DPG-free ultra-thick surgical glove to withstand the rigors of surgery, especially where power tools and bone fragments are present.


    Recommended double gloving position: Outer

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    GAMMEX® Non-Latex

    Neoprene, chemical accelerator-free surgical glove for advanced allergy protection and peace of mind.



    Recommended double gloving position: Outer & Inner

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    GAMMEX® Non-Latex Sensitive

    Neoprene, chemical accelerator-free surgical glove offering unsurpassed combination of sensitivity and durability, thanks to Ansell’s proprietary SENSOPRENE® formulation.

    Recommended double gloving position: Outer & Inner

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    GAMMEX® Non-Latex PI Green

    Polyisoprene, DPG-free surgical glove ideal for a broad range of surgical procedures. Light green in color, it also allows for instant identification of a glove breach within a double gloving system, and the smooth finish provides worry-free instrument and suture handling.

    Recommended double gloving position: Outer & Inner

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    GAMMEX® Non-Latex PI Textured

    Polyisoprene, DPG-free surgical glove featuring a unique textured finish for exceptional instrument handling and greater grip in addition to offering excellent comfort.



    Recommended double gloving position: Outer

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    References

    1.   Opinion of the scientific committee on medical products and medical devices on ‘The protection offered by natural rubber latex devices (medical gloves and condoms) against transmissible diseases’. European Commission. Health & Consumer Protection Directorate-General. October 2003
    2.   Clyde Smoot E. Practical Precautions for avoiding sharp injuries and blood exposure. Plast Reconstr Surg. 1998; vol. 101(2): 528-534
    3.   Mischke C, Verbeek JH, Saarto A, Lavoie MC, Pahwa M, Ijaz S Gloves, extra gloves special types of gloves for preventing percutaneous exposure injuries in healthcare personnel (Review) The Cochrane Collaboration
    4.   Partecke LI, Goerdt A-M, Langner I, et al. Incidence of microperforation for surgical gloves depends on duration of wear. Infect Control Hosp Epidemiol. 2009; 30:409-414
    5.   Laine T, Aarnio P. How often does glove perforation occur in surgery? Comparison between single gloves and a double-gloving system. American journal of surgery 2001;181:564-6
    6.   Thomas-Copeland J. Do surgical personnel really need to double glove? AORN J. 2009;89(2): 322-328.:

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