Unsuspected glove perforation during ophthalmic surgery.
OBJECTIVE
To determine the rate of perforation of surgical gloves after ophthalmic surgery and to identify factors that contribute to the development of perforations.


METHODS
Case-control study of used and unused surgical gloves collected during a 7-month period.


METHODS
The ophthalmology surgical suites of a major teaching hospital.


METHODS
Development of glove perforations as measured by five different techniques.


RESULTS
We tested 103 pairs of latex surgical gloves before use and 454 pairs of gloves after use. Of five techniques used to test for pinholes, air inflation with water submersion and compression was found to be the most sensitive, yielding a 6.80% prevalence in control glove pairs and a 21.81% prevalence in study glove pairs (P = .0005). When examined by subspecialty area, the lowest perforation rate (11.39%; P = .00009) occurred in cataract and intraocular lens surgery and the highest rate (41.67%; P = .003) occurred in oculoplastic surgery. Factors that correlated significantly with the development of perforations as determined by multiple logistic regression analysis included pediatric ophthalmology and strabismus surgeries, oculoplastic surgeries, level of training of the surgeon, duration of operation, and larger glove size. The thumb and index fingers of the nondominant hand contained the largest numbers of pinholes.


CONCLUSIONS
The rate of surgical glove perforation after ophthalmic surgery is relatively high. Recommendations for reducing the rate of glove perforation are discussed.
Miller
K M
KM
Jules Stein Eye Institute, Los Angeles, Calif. 90024-7002.
Apt
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D016022:Case-Control Studies; D004868:Equipment Failure / Q000706:statistics & numerical data*; D007839:Functional Laterality; D005932:Gloves, Surgical / Q000592:standards*; D006784:Hospitals, Teaching; D006801:Humans; D015141:Los Angeles; D008422:Materials Testing / Q000379:methods / Q000592:standards; D008511:Medicine / Q000706:statistics & numerical data; D009885:Ophthalmology / Q000706:statistics & numerical data*; D012044:Regression Analysis; D012307:Risk Factors; D012680:Sensitivity and Specificity; D013038:Specialization; D013997:Time Factors