Comparative Analysis of 2 Techniques of Double-Gloving Protection During Arch Bar Placement for Intermaxillary Fixation
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Data
2007-10-01
Autores
Gaujac, Cristiano
Ceccheti, Marcelo M.
Yonezaki, Frederico
Garcia Júnior, Idelmo Rangel [UNESP]
Peres, Maria Paula S. M.
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Purpose: 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. Materials and 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 (α = .01). No significant statistical difference was found between groups in terms of inner glove perforations (α = .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. © 2007 American Association of Oral and Maxillofacial Surgeons.
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alveolar bone, arch bar placement, clinical trial, controlled clinical trial, cost control, disposable equipment, double gloving technique, equipment design, glove perforation, iatrogenic disease, instrument sterilization, intermaxillary fixation, minimally invasive surgery, prospective study, protective equipment, randomized controlled trial, statistical analysis, surgical glove, surgical technique, Disease Transmission, Patient-to-Professional, Disease Transmission, Professional-to-Patient, Equipment Failure, Fracture Fixation, Internal, Gloves, Surgical, Infection Control, Maxilla, Motor Skills, Oral Surgical Procedures, Prospective Studies, Statistics, Nonparametric, Wounds, Stab
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Journal of Oral and Maxillofacial Surgery, v. 65, n. 10, p. 1922-1925, 2007.