Glove perforations in ophthalmic surgery

P. Prendiville, Peter J McDonnell, P. P. Lee

Research output: Contribution to journalArticle

Abstract

To determine the potential rate of intraoperative parenteral exposure of physicians and patients caused by glove perforation during ophthalmic surgery, gloves were analyzed after 125 procedures. Gloves were collected from all surgical team members (surgeon, assistants, scrub nurse, and circulating nurse). The rate of glove perforation was significantly lower for the surgeon, 0.3% (one of 303 gloves) than for the assistants, 5% (ten of 202 gloves [P = .001]), scrub nurses, 16% (52 of 326 gloves [P = .0001]), and circulating nurses, 15% (43 of 293 gloves [P = .0001]); similarly, assistants had a significantly lower rate than did scrub nurses (P = .0001) and circulating nurses (P = .001). There was no statistically significant difference in number of perforations on the basis of surgery duration or type of ophthalmic procedure. These findings suggest that the risk of parenteral exposure during ophthalmic surgery is low for the surgeon, and higher for other surgical personnel. We also analyzed additional safety precautions. Further study is warranted to determine the effectiveness of precautions and to guide policy formulation.

Original languageEnglish (US)
Pages (from-to)397-404
Number of pages8
JournalAmerican Journal of Ophthalmology
Volume114
Issue number4
StatePublished - 1992
Externally publishedYes

Fingerprint

Nurses
Physicians
Safety
Surgeons

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Glove perforations in ophthalmic surgery. / Prendiville, P.; McDonnell, Peter J; Lee, P. P.

In: American Journal of Ophthalmology, Vol. 114, No. 4, 1992, p. 397-404.

Research output: Contribution to journalArticle

Prendiville, P, McDonnell, PJ & Lee, PP 1992, 'Glove perforations in ophthalmic surgery', American Journal of Ophthalmology, vol. 114, no. 4, pp. 397-404.
Prendiville, P. ; McDonnell, Peter J ; Lee, P. P. / Glove perforations in ophthalmic surgery. In: American Journal of Ophthalmology. 1992 ; Vol. 114, No. 4. pp. 397-404.
@article{921a240628f04b1f9386ea02e17a5e92,
title = "Glove perforations in ophthalmic surgery",
abstract = "To determine the potential rate of intraoperative parenteral exposure of physicians and patients caused by glove perforation during ophthalmic surgery, gloves were analyzed after 125 procedures. Gloves were collected from all surgical team members (surgeon, assistants, scrub nurse, and circulating nurse). The rate of glove perforation was significantly lower for the surgeon, 0.3{\%} (one of 303 gloves) than for the assistants, 5{\%} (ten of 202 gloves [P = .001]), scrub nurses, 16{\%} (52 of 326 gloves [P = .0001]), and circulating nurses, 15{\%} (43 of 293 gloves [P = .0001]); similarly, assistants had a significantly lower rate than did scrub nurses (P = .0001) and circulating nurses (P = .001). There was no statistically significant difference in number of perforations on the basis of surgery duration or type of ophthalmic procedure. These findings suggest that the risk of parenteral exposure during ophthalmic surgery is low for the surgeon, and higher for other surgical personnel. We also analyzed additional safety precautions. Further study is warranted to determine the effectiveness of precautions and to guide policy formulation.",
author = "P. Prendiville and McDonnell, {Peter J} and Lee, {P. P.}",
year = "1992",
language = "English (US)",
volume = "114",
pages = "397--404",
journal = "American Journal of Ophthalmology",
issn = "0002-9394",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - Glove perforations in ophthalmic surgery

AU - Prendiville, P.

AU - McDonnell, Peter J

AU - Lee, P. P.

PY - 1992

Y1 - 1992

N2 - To determine the potential rate of intraoperative parenteral exposure of physicians and patients caused by glove perforation during ophthalmic surgery, gloves were analyzed after 125 procedures. Gloves were collected from all surgical team members (surgeon, assistants, scrub nurse, and circulating nurse). The rate of glove perforation was significantly lower for the surgeon, 0.3% (one of 303 gloves) than for the assistants, 5% (ten of 202 gloves [P = .001]), scrub nurses, 16% (52 of 326 gloves [P = .0001]), and circulating nurses, 15% (43 of 293 gloves [P = .0001]); similarly, assistants had a significantly lower rate than did scrub nurses (P = .0001) and circulating nurses (P = .001). There was no statistically significant difference in number of perforations on the basis of surgery duration or type of ophthalmic procedure. These findings suggest that the risk of parenteral exposure during ophthalmic surgery is low for the surgeon, and higher for other surgical personnel. We also analyzed additional safety precautions. Further study is warranted to determine the effectiveness of precautions and to guide policy formulation.

AB - To determine the potential rate of intraoperative parenteral exposure of physicians and patients caused by glove perforation during ophthalmic surgery, gloves were analyzed after 125 procedures. Gloves were collected from all surgical team members (surgeon, assistants, scrub nurse, and circulating nurse). The rate of glove perforation was significantly lower for the surgeon, 0.3% (one of 303 gloves) than for the assistants, 5% (ten of 202 gloves [P = .001]), scrub nurses, 16% (52 of 326 gloves [P = .0001]), and circulating nurses, 15% (43 of 293 gloves [P = .0001]); similarly, assistants had a significantly lower rate than did scrub nurses (P = .0001) and circulating nurses (P = .001). There was no statistically significant difference in number of perforations on the basis of surgery duration or type of ophthalmic procedure. These findings suggest that the risk of parenteral exposure during ophthalmic surgery is low for the surgeon, and higher for other surgical personnel. We also analyzed additional safety precautions. Further study is warranted to determine the effectiveness of precautions and to guide policy formulation.

UR - http://www.scopus.com/inward/record.url?scp=0026644751&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026644751&partnerID=8YFLogxK

M3 - Article

C2 - 1415447

AN - SCOPUS:0026644751

VL - 114

SP - 397

EP - 404

JO - American Journal of Ophthalmology

JF - American Journal of Ophthalmology

SN - 0002-9394

IS - 4

ER -