NCT05928663

Brief Summary

Aim: This study aimed to investigate the effect of using double gloves on perforation in orthopedic surgery. Materials and Method: The randomized controlled experimental study was conducted between 30.11.2021 and 31.03.2022 in the Orthopedics and Traumatology operating room of a university hospital in western Turkey. The gloves used in the surgery were randomly divided into two groups (intervention: double glove group = 780 gloves, control: single glove group = 390). The presence of holes was checked by performing a water tightness test with the EN455-1 method on all gloves collected after the surgery by the researcher. Data were evaluated with descriptive statistics, Chi-square Test, Fisher Exact Test, and linear model regression analysis (GLM for the Binomial Family Regression). Statistical significance was accepted as 0.05.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,170

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Nov 2021

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 30, 2021

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2022

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 18, 2022

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

June 14, 2023

Completed
19 days until next milestone

First Posted

Study publicly available on registry

July 3, 2023

Completed
Last Updated

July 6, 2023

Status Verified

July 1, 2023

Enrollment Period

4 months

First QC Date

June 14, 2023

Last Update Submit

July 3, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Investigation of Perforations Presence of Gloves by Groups

    Whether there is a puncture (perforation) or not in intervention and control groups

    immediately after surgery

Study Arms (2)

double surgical gloves

EXPERIMENTAL
Other: double surgical gloves

single surgical gloves

OTHER
Other: single surgical gloves

Interventions

In the intervention group, the surgical team members wore brown colored ENCORE® Latex Micro as the inner glove, while white MEDI-GRIP® Latex Standard was used as the outer glove

double surgical gloves

MEDI-GRIP® Latex Standard surgical gloves were included in the study as a single layer sterile surgical glove in the control group

single surgical gloves

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • In the intervention group, ENCORE® Latex Micro was used as the inner glove and MEDI-GRIP® Latex Standard was used as the outer glove
  • MEDI-GRIP® Latex Standard gloves were used in the control group.

You may not qualify if:

  • Gloves that were removed before the operation starts in cases where the surgical team member's glove is torn or contaminated for any reason.
  • Gloves worn by the surgical team member after changing gloves for any reason.
  • Gloves worn by the replacement person in cases where the surgical team members leave their place to another team member for any reason.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Manisa Celal Bayar University Faculty of Health Sciences

Manisa, 45030, Turkey (TĂ¼rkiye)

Location

Related Publications (27)

  • Bashaw MA, Keister KJ. Perioperative Strategies for Surgical Site Infection Prevention. AORN J. 2019 Jan;109(1):68-78. doi: 10.1002/aorn.12451.

    PMID: 30592511BACKGROUND
  • Bekele A, Makonnen N, Tesfaye L, Taye M. Incidence and patterns of surgical glove perforations: experience from Addis Ababa, Ethiopia. BMC Surg. 2017 Mar 20;17(1):26. doi: 10.1186/s12893-017-0228-8.

    PMID: 28320370BACKGROUND
  • de Barros MPM, Godoi TTF, Ferretti Filho M, Fernandes HJA, Dos Reis FB. Surgical Gloves in Orthopedic Trauma Procedures: How Many Lose Their Integrity? Rev Bras Ortop (Sao Paulo). 2021 Jun;56(3):379-383. doi: 10.1055/s-0040-1722591. Epub 2021 Jul 1.

    PMID: 34239206BACKGROUND
  • Egeler K, Stephenson N, Stanke N. Glove perforation rate with orthopedic gloving versus double gloving technique in tibial plateau leveling osteotomy: A randomized trial. Can Vet J. 2016 Nov;57(11):1156-1160.

    PMID: 27807378BACKGROUND
  • Ellis H. Surgical gloves. J Perioper Pract. 2010 Jun;20(6):219-20. doi: 10.1177/175045891002000606.

    PMID: 20586363BACKGROUND
  • Gaines S, Luo JN, Gilbert J, Zaborina O, Alverdy JC. Optimum Operating Room Environment for the Prevention of Surgical Site Infections. Surg Infect (Larchmt). 2017 May/Jun;18(4):503-507. doi: 10.1089/sur.2017.020. Epub 2017 Apr 12.

    PMID: 28402706BACKGROUND
  • Goldman AH, Haug E, Owen JR, Wayne JS, Golladay GJ. High Risk of Surgical Glove Perforation From Surgical Rotatory Instruments. Clin Orthop Relat Res. 2016 Nov;474(11):2513-2517. doi: 10.1007/s11999-016-4948-3. Epub 2016 Jun 23.

    PMID: 27339122BACKGROUND
  • Jid LQ, Ping MW, Chung WY, Leung WY. Visible glove perforation in total knee arthroplasty. J Orthop Surg (Hong Kong). 2017 Jan;25(1):2309499017695610. doi: 10.1177/2309499017695610.

    PMID: 28228047BACKGROUND
  • Lakomkin N, Cruz AI Jr, Fabricant PD, Georgiadis AG, Lawrence JTR. Glove Perforation in Orthopaedics: Probability of Tearing Gloves During High-Risk Events in Trauma Surgery. J Orthop Trauma. 2018 Sep;32(9):474-479. doi: 10.1097/BOT.0000000000001233.

    PMID: 29889823BACKGROUND
  • Lathan SR. Rubber gloves redux. Proc (Bayl Univ Med Cent). 2011 Oct;24(4):324. doi: 10.1080/08998280.2011.11928750. No abstract available.

    PMID: 22046069BACKGROUND
  • Lee SW, Cho MR, Lee HH, Choi WK, Lee JH. Perforation of Surgical Gloves during Lower Extremity Fracture Surgery and Hip Joint Replacement Surgery. Hip Pelvis. 2015 Mar;27(1):17-22. doi: 10.5371/hp.2015.27.1.17. Epub 2015 Mar 31.

    PMID: 27536597BACKGROUND
  • Lee SY. What Role Does a Colored Under Glove Have in Detecting Glove Perforation in Foot and Ankle Procedures? Clin Orthop Relat Res. 2022 Dec 1;480(12):2327-2334. doi: 10.1097/CORR.0000000000002268. Epub 2022 Jun 2.

    PMID: 35695671BACKGROUND
  • Lindsey RW. CORR Insights(R): High Risk of Surgical Glove Perforation From Surgical Rotatory Instruments. Clin Orthop Relat Res. 2016 Nov;474(11):2518-2521. doi: 10.1007/s11999-016-5004-z. Epub 2016 Aug 10. No abstract available.

    PMID: 27511200BACKGROUND
  • Link T. Guideline Implementation: Sterile Technique. AORN J. 2019 Oct;110(4):415-425. doi: 10.1002/aorn.12803.

    PMID: 31560430BACKGROUND
  • Makama JG, Okeme IM, Makama EJ, Ameh EA. Glove Perforation Rate in Surgery: A Randomized, Controlled Study To Evaluate the Efficacy of Double Gloving. Surg Infect (Larchmt). 2016 Aug;17(4):436-42. doi: 10.1089/sur.2015.165. Epub 2016 Mar 16.

    PMID: 26981792BACKGROUND
  • O'Hara LM, Thom KA, Preas MA. Update to the Centers for Disease Control and Prevention and the Healthcare Infection Control Practices Advisory Committee Guideline for the Prevention of Surgical Site Infection (2017): A summary, review, and strategies for implementation. Am J Infect Control. 2018 Jun;46(6):602-609. doi: 10.1016/j.ajic.2018.01.018. Epub 2018 Mar 7.

    PMID: 29525367BACKGROUND
  • Osborne MP. William Stewart Halsted: his life and contributions to surgery. Lancet Oncol. 2007 Mar;8(3):256-65. doi: 10.1016/S1470-2045(07)70076-1.

    PMID: 17329196BACKGROUND
  • Salassa TE, Swiontkowski MF. Surgical attire and the operating room: role in infection prevention. J Bone Joint Surg Am. 2014 Sep 3;96(17):1485-92. doi: 10.2106/JBJS.M.01133.

    PMID: 25187588BACKGROUND
  • Schlich T. Why were surgical gloves not used earlier? Lancet. 2015 Sep 26;386(10000):1234-5. doi: 10.1016/S0140-6736(15)00271-8. No abstract available.

    PMID: 26460651BACKGROUND
  • Spruce L. Back to Basics: Sterile Technique. AORN J. 2017 May;105(5):478-487. doi: 10.1016/j.aorn.2017.02.014.

    PMID: 28454613BACKGROUND
  • Tao LX, Basnet DK. Study of Glove Perforation during Hip Replacement Arthroplasty: Its Frequency, Location, and Timing. Int Sch Res Notices. 2014 Oct 29;2014:129561. doi: 10.1155/2014/129561. eCollection 2014.

    PMID: 27350965BACKGROUND
  • Thomson I, Krysa N, McGuire A, Mann S. Recognition of intraoperative surgical glove perforation: a comparison by surgical role and level of training. Can J Surg. 2022 Feb 8;65(1):E82-E88. doi: 10.1503/cjs.016720. Print 2022 Jan-Feb.

    PMID: 35135784BACKGROUND
  • Tlili MA, Belgacem A, Sridi H, Akouri M, Aouicha W, Soussi S, Dabbebi F, Ben Dhiab M. Evaluation of surgical glove integrity and factors associated with glove defect. Am J Infect Control. 2018 Jan;46(1):30-33. doi: 10.1016/j.ajic.2017.07.016. Epub 2017 Sep 20.

    PMID: 28893444BACKGROUND
  • Wacholder S. Binomial regression in GLIM: estimating risk ratios and risk differences. Am J Epidemiol. 1986 Jan;123(1):174-84. doi: 10.1093/oxfordjournals.aje.a114212.

    PMID: 3509965BACKGROUND
  • Zaatreh S, Enz A, Klinder A, Konig T, Mittelmeier L, Kundt G, Mittelmeier W. Prospective data collection and analysis of perforations and tears of latex surgical gloves during primary endoprosthetic surgeries. GMS Hyg Infect Control. 2016 Dec 20;11:Doc25. doi: 10.3205/dgkh000285. eCollection 2016.

    PMID: 28066701BACKGROUND
  • Zhang Z, Gao X, Ruan X, Zheng B. Effectiveness of double-gloving method on prevention of surgical glove perforations and blood contamination: A systematic review and meta-analysis. J Adv Nurs. 2021 Sep;77(9):3630-3643. doi: 10.1111/jan.14824. Epub 2021 Mar 17.

    PMID: 33733484BACKGROUND
  • AORN. Guideline at a Glance: Sharps Safety. AORN J. 2017 Jul;106(1):87-89. doi: 10.1016/S0001-2092(17)30527-6. No abstract available.

    PMID: 28662791BACKGROUND

MeSH Terms

Conditions

Musculoskeletal Diseases

Interventions

Gloves, Surgical

Intervention Hierarchy (Ancestors)

Gloves, ProtectiveProtective ClothingPersonal Protective EquipmentProtective DevicesEquipment and SuppliesSurgical AttireSurgical EquipmentClothingManufactured MaterialsTechnology, Industry, and Agriculture

Study Officials

  • Hakan BAYDUR, Assoc. Prof.

    Manisa Celal Bayar University, Faculty of Health Sciences

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

June 14, 2023

First Posted

July 3, 2023

Study Start

November 30, 2021

Primary Completion

March 31, 2022

Study Completion

July 18, 2022

Last Updated

July 6, 2023

Record last verified: 2023-07

Data Sharing

IPD Sharing
Will not share

Locations