[Sterile or non-sterile gloves in minor surgical procedures in general practice]. 2017

Knut Steen

Minor surgical procedures are regularly performed in general practice. The practice with regard to routine use of sterile or non-sterile gloves varies. The purpose of this article was to review the scientific basis for choice and recommendation in this area. A search was conducted in PubMed, Cochrane, Medline and Embase for clinical studies in English which had investigated the use of sterile or non-sterile gloves and the prevalence of wound infection related to minor surgery. This applied primarily to general practice, including accident and emergency departments, but also encompassed other fields of medicine. The reference lists for the relevant articles were also scrutinised. Three randomised prospective studies from general practice were found. These showed no difference in frequency of infection. Two of the studies were of moderately good quality. A further five randomised prospective studies and four observational studies were also found, which had examined the association between the use of sterile or non-sterile gloves and infection related to minor surgery. Common to all of these was that they came from fields of medicine other than general practice, namely dermatology and odontology. No difference was found in the majority of these (six out of nine). However, the scientific quality was low or very low. The research data on the use of sterile or non-sterile gloves in minor surgery in general practice and the consequences for wound infection are very limited. No clear difference in infection frequency was demonstrated.

UI MeSH Term Description Entries
D010044 Outpatient Clinics, Hospital Organized services in a hospital which provide medical care on an outpatient basis. Ambulatory Care Facilities, Hospital,Hospital Outpatient Clinics,Clinic, Hospital Outpatient,Clinics, Hospital Outpatient,Hospital Outpatient Clinic,Outpatient Clinic, Hospital
D005932 Gloves, Surgical Gloves, usually rubber, worn by surgeons, examining physicians, dentists, and other health personnel for the mutual protection of personnel and patient. Surgical Gloves,Glove, Surgical,Surgical Glove
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013242 Sterilization The destroying of all forms of life, especially microorganisms, by heat, chemical, or other means.
D013530 Surgical Wound Infection Infection occurring at the site of a surgical incision. Postoperative Wound Infection,Infection, Postoperative Wound,Infection, Surgical Wound,Surgical Site Infection,Wound Infection, Postoperative,Wound Infection, Surgical,Infection, Surgical Site,Infections, Postoperative Wound,Infections, Surgical Site,Infections, Surgical Wound,Postoperative Wound Infections,Surgical Site Infections,Surgical Wound Infections,Wound Infections, Postoperative,Wound Infections, Surgical
D058006 General Practice Patient-based medical care provided across age and gender or specialty boundaries. Practice, General
D019060 Minimally Invasive Surgical Procedures Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-controlled manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device. Minimal Access Surgical Procedures,Minimal Surgical Procedures,Minimally Invasive Surgical Procedure,Surgical Procedures, Minimally Invasive,Minimal Surgical Procedure,Minimally Invasive Surgery,Procedure, Minimal Surgical,Procedures, Minimal Access Surgical,Procedures, Minimal Surgical,Procedures, Minimally Invasive Surgical,Surgical Procedure, Minimal,Surgical Procedures, Minimal,Surgical Procedures, Minimal Access,Minimally Invasive Surgeries,Surgeries, Minimally Invasive,Surgery, Minimally Invasive
D039602 After-Hours Care Medical care provided after the regular daily practice schedule of the physicians. Usually it is designed to deliver 24-hour-a-day and 365 day-a-year patient care coverage for emergencies, triage, pediatric care, and hospice care. After Hours Care,Out-of-Hours Medical Care,Practitioner Cooperative,Cooperatives, Practitioner,Medical Care, Out-of-Hours,Out of Hours Medical Care,Practitioner Cooperatives

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