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Systematiskt handskbyte under ortopediska operationer: en litteraturstudie om förekomsten av perforationer på operationshandskarna
Umeå University, Faculty of Medicine, Department of Nursing.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Systematic glove changes during orthopaedic surgery : a review of literature about the incidence of glove perforations (English)
Abstract [sv]

BAKGRUND: En riskfaktor för säker vård är vårdrelaterade infektioner och till dem hör djupa sårinfektioner. Under operation utgör operationshandskar ett tvåvägsskydd mot patogen, en skyddsbarriär som bryts med handskperforation. Längre användning av handskar gör att risken för perforationer ökar. Under större ortopediska operation finns även andra faktorer som påverkar handskarnas hållbarhet. Trots detta finns inga nationella eller internationella riktlinjer om när handskarna ska bytas. SYFTE: Litteraturstudiens syfte var att beskriva förekomst av handskperforation, fördelningen av perforationer i operationsteamet och perforationens lokalisation på handsken under större ortopediska operationer. METOD: Litteraturstudie av åtta studier med kvantitativ design, studierna har kvalitetsgranskats och resultaten har analyserats och sammanställts. Sökningarna genomfördes i PubMed och CINAHL. RESULTAT: Resultatet sammanställdes i områden utgående från syftet: förekomst av perforationer och andel som upptäcks under operation, fördelningen av perforationer i operationsteamet och perforationens lokalisation på handsken. KONKLUSION: Resultatet i litteraturstudien visar att mellan 3,3% och 21,6% av handskarna var perforerade. Andelen av handskperforationer som upptäcktes under operation varierade, perforationer av innerhandskarna förblev ofta oupptäckta. Operatören hade högst andel perforerade handskar, flest perforationer fanns på den inte-dominanta handen, perforationens lokalisation på handsken var övervägande pekfinger och tumme. Interventionsstudier gjorda inom området visar att ett systematiskt handskbyte minskar andelen perforerade handskar och vården blir säkrare.

Abstract [en]

BACKGROUND: Healthcare-associated infections including surgical site infections are a main threat to safety in care. During surgery sterile gloves provide a two-way protection against the transmission of pathogens. If a perforation occurs the protective barrier breaks down. The risk of perforations increases the longer the gloves are in use. Also, during major orthopaedic surgery there are other factors that affect the durability of the gloves. Despite this, there are no national or international guidelines stating how often the gloves should be changed. AIM: The aim of this literature study was to investigate the incidence of glove perforations during major orthopaedic surgery, as well as localization on the glove, and distribution among the operating staff. METHOD: Eight studies found in PubMed and CINAHL were analyzed with quantitative approach and the results were thereafter compiled. RESULTS: The results were compiled into domains based on the aim: the incidence of glove perforation and the rate of perforations detected during surgery, the allocation of perforations among the operating staff and the localization of the perforation on the glove. CONCLUSION: The result shows that between 3.3% and 21.6% of the gloves were perforated. The rate of perforations detected during surgery varied, perforations of the inner-gloves remained often unnoticed. Highest incidence of perforated gloves was found in the surgeons, the non-dominant hand and mainly on the second and the first digits. Intervention studies on the subject show that a systematic change of gloves decreases the rate of perforated gloves and increases the safety.

Place, publisher, year, edition, pages
2017. , 42 p.
Keyword [en]
patient safety, safety in care, surgical gloves, perforations, orthopaedic surgery
Keyword [sv]
patientsäkerhet, säker vård, operationshandskar, perforationer, ortopediska operationer
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-137480OAI: oai:DiVA.org:umu-137480DiVA: diva2:1119294
Presentation
2017-05-29, Vårdvetarhuset Umeå Universitet A303, Umeå, 08:30 (Swedish)
Supervisors
Examiners
Available from: 2017-09-26 Created: 2017-07-03 Last updated: 2017-09-26Bibliographically approved

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