title: Comparative analysis of 2 techniques of double-gloving protection during arch bar placement for intermaxillary fixation.
abstract: OBJECTIVE
  This study was conducted to comparatively evaluate, in a prospective and randomized manner, 2 techniques for providing double-gloving protection during arch bar placement for intermaxillary fixation.
  
  
  METHODS
  A total of 42 consecutive patients in whom application of an Erich bar was indicated for intermaxillary fixation were equally divided into 2 groups. In group 1, 2 sterile surgical gloves were used; in group 2, a nonsterile disposable inner glove was used under a sterile surgical glove. Wilcoxon, Mann-Whitney, Kruskal-Wallis, and binomial statistical tests were used to analyze the findings.
  
  
  RESULTS
  A total of 103 perforations were found in the outer gloves (47 in group 1 and 56 in group 2), along with 5 perforations in inner gloves in both groups (alpha = .01). No significant statistical difference was found between groups in terms of inner glove perforations (alpha = .05). The nondominant hand presented with 70.9% of the perforations, statistically significant to 1%.
  
  
  CONCLUSIONS
  Both double-gloving techniques were found to provide effective clinician protection. The use of a nonsterile disposable glove under the surgical glove is possible for less-invasive procedures, offering the same safety as using 2 sterile surgical gloves while decreasing operational costs. This method does not eliminate the need to change gloves when a perforation is suspected or noted during the surgery, however.
authors: Department of Oral and Maxillofacial Surgery, Clinics Hospital, University of São Paulo, São Paulo, Brazil. cgaujac@gmail.com
authors: Cristiano
authors: C
authors: Gaujac
authors: Marcelo M
authors: MM
authors: Ceccheti
authors: Frederico
authors: F
authors: Yonezaki
authors: Idelmo R
authors: IR
authors: Garcia
authors: Maria Paula S M
authors: MP
authors: Peres
mesh_terms: D004868:Equipment Failure; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D005932:Gloves, Surgical; D006801:Humans; D017053:Infection Control / Q000379:methods*; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000517:prevention & control; D017757:Infectious Disease Transmission, Professional-to-Patient / Q000517:prevention & control; D008437:Maxilla / Q000601:surgery; D009048:Motor Skills; D019647:Oral Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D014951:Wounds, Stab / Q000517:prevention & control*