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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Suppression of Surgeons' Bacterial Hand Flora during Surgical Procedures with a New Antimicrobial Surgical Glove</title><author><name sortKey="Assadian, Ojan" sort="Assadian, Ojan" uniqKey="Assadian O" first="Ojan" last="Assadian">Ojan Assadian</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Kramer, Axel" sort="Kramer, Axel" uniqKey="Kramer A" first="Axel" last="Kramer">Axel Kramer</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Ouriel, Kenneth" sort="Ouriel, Kenneth" uniqKey="Ouriel K" first="Kenneth" last="Ouriel">Kenneth Ouriel</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Suchomel, Miranda" sort="Suchomel, Miranda" uniqKey="Suchomel M" first="Miranda" last="Suchomel">Miranda Suchomel</name><affiliation><nlm:aff id="aff4"></nlm:aff></affiliation></author><author><name sortKey="Mclaws, Mary Louise" sort="Mclaws, Mary Louise" uniqKey="Mclaws M" first="Mary-Louise" last="Mclaws">Mary-Louise Mclaws</name><affiliation><nlm:aff id="aff5"></nlm:aff></affiliation></author><author><name sortKey="Rottman, Martin" sort="Rottman, Martin" uniqKey="Rottman M" first="Martin" last="Rottman">Martin Rottman</name><affiliation><nlm:aff id="aff6"></nlm:aff></affiliation></author><author><name sortKey="Leaper, David" sort="Leaper, David" uniqKey="Leaper D" first="David" last="Leaper">David Leaper</name><affiliation><nlm:aff id="aff7"></nlm:aff></affiliation></author><author><name sortKey="Assadian, Afshin" sort="Assadian, Afshin" uniqKey="Assadian A" first="Afshin" last="Assadian">Afshin Assadian</name><affiliation><nlm:aff id="aff8"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24116857</idno><idno type="pmc">3924812</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3924812</idno><idno type="RBID">PMC:3924812</idno><idno type="doi">10.1089/sur.2012.230</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001C33</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001C33</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Suppression of Surgeons' Bacterial Hand Flora during Surgical Procedures with a New Antimicrobial Surgical Glove</title><author><name sortKey="Assadian, Ojan" sort="Assadian, Ojan" uniqKey="Assadian O" first="Ojan" last="Assadian">Ojan Assadian</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Kramer, Axel" sort="Kramer, Axel" uniqKey="Kramer A" first="Axel" last="Kramer">Axel Kramer</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Ouriel, Kenneth" sort="Ouriel, Kenneth" uniqKey="Ouriel K" first="Kenneth" last="Ouriel">Kenneth Ouriel</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Suchomel, Miranda" sort="Suchomel, Miranda" uniqKey="Suchomel M" first="Miranda" last="Suchomel">Miranda Suchomel</name><affiliation><nlm:aff id="aff4"></nlm:aff></affiliation></author><author><name sortKey="Mclaws, Mary Louise" sort="Mclaws, Mary Louise" uniqKey="Mclaws M" first="Mary-Louise" last="Mclaws">Mary-Louise Mclaws</name><affiliation><nlm:aff id="aff5"></nlm:aff></affiliation></author><author><name sortKey="Rottman, Martin" sort="Rottman, Martin" uniqKey="Rottman M" first="Martin" last="Rottman">Martin Rottman</name><affiliation><nlm:aff id="aff6"></nlm:aff></affiliation></author><author><name sortKey="Leaper, David" sort="Leaper, David" uniqKey="Leaper D" first="David" last="Leaper">David Leaper</name><affiliation><nlm:aff id="aff7"></nlm:aff></affiliation></author><author><name sortKey="Assadian, Afshin" sort="Assadian, Afshin" uniqKey="Assadian A" first="Afshin" last="Assadian">Afshin Assadian</name><affiliation><nlm:aff id="aff8"></nlm:aff></affiliation></author></analytic><series><title level="j">Surgical Infections</title><idno type="ISSN">1096-2964</idno><idno type="eISSN">1557-8674</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p><bold><italic>Background:</italic></bold> Perforations of surgical gloves are common and increase with the duration of glove wear. Skin flora, re-grown after pre-operative disinfection of the hands, may contaminate a surgical site. An antimicrobial surgical glove with chlorhexidine on its inner surface has been developed. We hypothesized that by suppressing the re-growth of skin flora during the complete course of a surgical procedure, antimicrobial gloves may reduce the risk of surgical site contamination in the event of an intra-operative glove breach.</p><p><bold><italic>Methods:</italic></bold> We conducted a randomized, double-blind, single-center trial, to measure any differences in the bacterial skin populations of surgeons' hands during surgical procedures done with antimicrobial and non-antimicrobial surgical gloves [ISRCTN71391952]. In this study, 25 pairs of gloves were retrieved from 14 surgeons who donned them randomly on their dominant or non-dominant hand. The number of bacteria retrieved from glove fluid was measured and expressed as colony forming units (CFU)/mL.</p><p><bold><italic>Results:</italic></bold> The median cfu/mL of antimicrobial gloves was 0.00 (LQ: 0.00 CFU/mL; UQ: 0.00 cfu/mL), with a mean log<sub>10</sub> cfu/mL=0.02 (range: 0.00–0.30). The median CFU/mL of non-antimicrobial gloves was 54.00 (LQ: 3.00 cfu/mL; UQ: 100.00 cfu/mL) with a mean log<sub>10</sub> CFU/mL=1.32 (range: 0.00–2.39). After a mean operating time of 112 min, the difference in the log<sub>10</sub> CFU/mL was 1.30 (p<0.001).</p><p><bold><italic>Conclusions:</italic></bold> A new antimicrobial surgical glove suppressed surgeons' hand flora during operative procedures. In the event of a glove breach, the use of such a glove may have the potential to prevent bacterial contamination of a sterile surgical site, thereby decreasing the risk of surgical site infection (SSI) and increasing patient safety. Further clinical studies are needed to confirm this concept.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Surg Infect (Larchmt)</journal-id><journal-id journal-id-type="iso-abbrev">Surg Infect (Larchmt)</journal-id><journal-id journal-id-type="publisher-id">sur</journal-id><journal-title-group><journal-title>Surgical Infections</journal-title></journal-title-group><issn pub-type="ppub">1096-2964</issn><issn pub-type="epub">1557-8674</issn><publisher><publisher-name>Mary Ann Liebert, Inc.</publisher-name><publisher-loc>140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24116857</article-id><article-id pub-id-type="pmc">3924812</article-id><article-id pub-id-type="publisher-id">10.1089/sur.2012.230</article-id><article-id pub-id-type="doi">10.1089/sur.2012.230</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject></subj-group></article-categories><title-group><article-title>Suppression of Surgeons' Bacterial Hand Flora during Surgical Procedures with a New Antimicrobial Surgical Glove</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Assadian</surname><given-names>Ojan</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Kramer</surname><given-names>Axel</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Ouriel</surname><given-names>Kenneth</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Suchomel</surname><given-names>Miranda</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>McLaws</surname><given-names>Mary-Louise</given-names></name><xref ref-type="aff" rid="aff5"><sup>5</sup></xref></contrib><contrib contrib-type="author"><name><surname>Rottman</surname><given-names>Martin</given-names></name><xref ref-type="aff" rid="aff6"><sup>6</sup></xref></contrib><contrib contrib-type="author"><name><surname>Leaper</surname><given-names>David</given-names></name><xref ref-type="aff" rid="aff7"><sup>7</sup></xref></contrib><contrib contrib-type="author"><name><surname>Assadian</surname><given-names>Afshin</given-names></name><xref ref-type="aff" rid="aff8"><sup>8</sup></xref></contrib><aff id="aff1"><label><sup>1</sup></label>Clinical Department for Hospital Hygiene,<institution>Medical University of Vienna</institution>, Vienna,<country>Austria</country>.</aff><aff id="aff2"><label><sup>2</sup></label>Institute for Hygiene and Environmental Medicine,<institution>University Medicine Greifswald</institution>, Greifswald,<country>Germany</country>.</aff><aff id="aff3"><label><sup>3</sup></label><institution>Syntactx</institution>, New York, New York.</aff><aff id="aff4"><label><sup>4</sup></label>Division for Medical-technical Hygiene, Institute for Hygiene and Applied Immunology,<institution>Medical University of Vienna</institution>, Vienna,<country>Austria</country>.</aff><aff id="aff5"><label><sup>5</sup></label><institution>University of New South Wales</institution>, NSW Medicine, UNSW Australia, Sydney,<country>Australia</country>.</aff><aff id="aff6"><label><sup>6</sup></label>Hõpitaux Universitaires d'l Ouest Parisien (APFHP),<institution>Université de Versailles St. Quentin en Yvelines</institution>,<country>France</country>.</aff><aff id="aff7"><label><sup>7</sup></label>Department of Surgery, St. Mary's Hospital,<institution>Imperial College</institution>, London,<country>United Kingdom</country>.</aff><aff id="aff8"><label><sup>8</sup></label>Department for Vascular and Endovascular Surgery,<institution>Wilhelminen Hospital Vienna</institution>, Vienna,<country>Austria</country>.</aff></contrib-group><author-notes><corresp><addr-line>Address correspondence to:</addr-line><addr-line><italic>Univ.-Prof. Dr. Ojan Assadian</italic></addr-line><addr-line><italic>Clinical Department for Hospital Hygiene</italic></addr-line><institution><italic>Medical University of Vienna</italic></institution><addr-line><italic>Waehringer Guertle 18-20</italic></addr-line><addr-line><italic>1090 Vienna,</italic></addr-line><country>Austria</country><break></break><italic>E-mail:</italic><email xlink:href="mailto:ojan.assadian@meduniwien.ac.at">ojan.assadian@meduniwien.ac.at</email></corresp></author-notes><pub-date pub-type="ppub"><day>01</day><month>2</month><year>2014</year><pmc-comment>string-date: February 2014</pmc-comment>
</pub-date><pub-date pub-type="pmc-release"><day>01</day><month>2</month><year>2014</year><pmc-comment>string-date: February 2014</pmc-comment>
</pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
<volume>15</volume><issue>1</issue><fpage>43</fpage><lpage>49</lpage><permissions><copyright-statement>Copyright 2014, Mary Ann Liebert, Inc.</copyright-statement><copyright-year>2014</copyright-year></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="sur.2012.230.pdf"></self-uri><abstract><title>Abstract</title><p><bold><italic>Background:</italic></bold> Perforations of surgical gloves are common and increase with the duration of glove wear. Skin flora, re-grown after pre-operative disinfection of the hands, may contaminate a surgical site. An antimicrobial surgical glove with chlorhexidine on its inner surface has been developed. We hypothesized that by suppressing the re-growth of skin flora during the complete course of a surgical procedure, antimicrobial gloves may reduce the risk of surgical site contamination in the event of an intra-operative glove breach.</p><p><bold><italic>Methods:</italic></bold> We conducted a randomized, double-blind, single-center trial, to measure any differences in the bacterial skin populations of surgeons' hands during surgical procedures done with antimicrobial and non-antimicrobial surgical gloves [ISRCTN71391952]. In this study, 25 pairs of gloves were retrieved from 14 surgeons who donned them randomly on their dominant or non-dominant hand. The number of bacteria retrieved from glove fluid was measured and expressed as colony forming units (CFU)/mL.</p><p><bold><italic>Results:</italic></bold> The median cfu/mL of antimicrobial gloves was 0.00 (LQ: 0.00 CFU/mL; UQ: 0.00 cfu/mL), with a mean log<sub>10</sub> cfu/mL=0.02 (range: 0.00–0.30). The median CFU/mL of non-antimicrobial gloves was 54.00 (LQ: 3.00 cfu/mL; UQ: 100.00 cfu/mL) with a mean log<sub>10</sub> CFU/mL=1.32 (range: 0.00–2.39). After a mean operating time of 112 min, the difference in the log<sub>10</sub> CFU/mL was 1.30 (p<0.001).</p><p><bold><italic>Conclusions:</italic></bold> A new antimicrobial surgical glove suppressed surgeons' hand flora during operative procedures. In the event of a glove breach, the use of such a glove may have the potential to prevent bacterial contamination of a sterile surgical site, thereby decreasing the risk of surgical site infection (SSI) and increasing patient safety. Further clinical studies are needed to confirm this concept.</p></abstract><counts><fig-count count="1"></fig-count><table-count count="2"></table-count><ref-count count="37"></ref-count><page-count count="7"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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