title: Glove perforation in outpatient dermatologic surgery.
abstract: BACKGROUND
  Intact surgical gloves ensure protection of health-care employees and health-care recipients. Nevertheless, glove perforation is very common and puncture rates above 50% have been published in the literature.
  
  
  OBJECTIVE
  It was our aim to evaluate the perforation rate of surgical gloves in outpatient dermatologic surgery.
  
  
  METHODS
  Six-hundred and sixty latex surgical gloves used in outpatient dermatologic surgery were evaluated for perforations using the approved water-leak method. Perforations were analyzed microscopically.
  
  
  RESULTS
  Twenty of the 660 gloves were found to have perforations, which corresponds to a perforation rate of 3.0%. Only 5 of these perforations (25%) were noticed by the wearer. Perforations were more numerous in nondominant-handed gloves. Microscopically, all perforations could be identified as needle stick injuries.
  
  
  CONCLUSIONS
  The risk of glove perforation in outpatient dermatologic surgery is lower than in many other medical specialties. The relatively high number of surgical procedures performed successively in outpatient dermatologic surgery, however, emphasizes the decisive relevance of an intact barrier between surgeon and patient. In view of the major fact that most perforations go unnoticed by the wearer, dermatologic surgeons must balance the improved safety of double gloving with costs and the loss of sensitivity and dexterity.
authors.affiliation: Dermatologic Practice Center, Wuppertal, Germany. drdirschka@aol.com
authors.forename: Thomas
authors.initials: T
authors.lastname: Dirschka
authors.forename: Kristine
authors.initials: K
authors.lastname: Winter
authors.forename: Nenad
authors.initials: N
authors.lastname: Kralj
authors.forename: Friedrich
authors.initials: F
authors.lastname: Hofmann
mesh_terms: D000062:Accidents, Occupational / Q000706:statistics & numerical data*; D003880:Dermatology; D005932:Gloves, Surgical