title: Comparison of open and closed staff-assisted glove donning on the nature of surgical glove cuff contamination.
abstract: BACKGROUND
  We have observed that surgical glove cuffs commonly fold over during an operation, exposing the inside of the glove cuff to the sterile field and wound, a potential source of contamination if the inside of the glove cuff has been in contact with the fingers during glove donning. We hypothesize that open staff-assisted gloving results in more inside-glove cuff contamination than a closed staff-assisted technique.
  
  
  METHODS
  We performed a blinded, randomized study comparing open and closed staff-assisted glove donning. Two surgeons were gloved 20 times after covering their fingers and hands with GlitterBug powder. The gloves were turned inside out and the distance of GlitterBug powder from the free edge of the cuff was measured.
  
  
  RESULTS
  Staff-assisted open glove donning was associated with significantly more glove cuff contamination than closed staff-assisted glove donning (P= 0.001).
  
  
  CONCLUSIONS
  Given glove cuff 'turn down' intra-operatively, we strongly recommend closed staff-assisted gloving.
authors.affiliation: Western Health, Footscray, Victoria, Australia.
authors.forename: Christopher
authors.initials: C
authors.lastname: Jones
authors.forename: Ben
authors.initials: B
authors.lastname: Brooker
authors.forename: Michel
authors.initials: M
authors.lastname: Genon
mesh_terms: D004866:Equipment Contamination; D005932:Gloves, Surgical / Q000382:microbiology*; D006801:Humans; D017053:Infection Control / Q000379:methods*; D009873:Operating Rooms / Q000379:methods* / Q000592:standards; D016037:Single-Blind Method; D013530:Surgical Wound Infection / Q000517:prevention & control*