The role of surgical gloving is to minimise the risk of surgical site infection (SSI) and to protect the surgical team from cross infection. However, different practitioners have different views as to when double gloving is appropriate, with many factors like speciality and procedure dictating their use. This review will look at best practice through the evidence available and provide recommendations for practice.
AielloA, CimiottiJ, Della-LattaP, LarsonE2005A comparison of bacteria found on the hands of homemakers and neonatal intensive care unit nursesJournal of Hospital Infection56(4) 310–315
2.
Al-MaiyahM, BajwaA, FinnP, MackenneyP, HillD, PortA, GreggP2005Glove perforation and contamination in primary total hip arthroplastyJournal of Bone Joint Surgery87(4) 556–559
3.
BeesleyJ, PirieS2005Standards and Recommendations for Safe Perioperative PracticeHarrogate, National Association of Theatre Nurses
4.
BorgesL, SilvaB, FilhoP2007Hand washing: Changes in the skin floraAmerican Journal of Infection Control (35) 6417–420
5.
BowlersG2006Safer surgical gloves: evaluation and implementationJournal of Perioperative Practice16(2) 67–70
6.
British Standards Institute2009Medical Gloves for Single Use: Requirements and testing for physical properties BS EN 455–2London, British Standards Institute
7.
CaillotJ, PaparelP, ArnalE, SchreiberV, VoiglioE2006Anticipated detection of imminent surgeon-patient barrier breaches.A prospective randomised controlled trial using an indicator underglove system World Journal of Surgery30(1) 134–138
DirschkaT, WinterK, KraljN, HofmannF2004Glove perforation in outpatient dermatologic surgeryAmerican Society for Dermatologic Surgery30(9) 1210–1213
11.
EdlichR, WindT, HillL, ThackerJ2005Resistance of double glove hole puncture indication systems to surgical needle punctureJournal of Long-term Effects of Medical Implants15(2) 85–90
12.
FlormanS, BurgdofM, FiniganK, SlakeyD, HewittR, NicholsR2005Efficacy of double gloving with an intrinsic indicator systemSurgical Infection6(4) 385–395
13.
GanczakM, BialeckiP, BohatyrewiczA2004Double-gloving in reducing the interoperative risk of bloodborne pathogensJournal of Infection Control69(4) 249–254
14.
GardlundB2007Postoperative surgical site infections in cardiac surgery: An overview of preventive measuresActa Pathologica, Microbiologica et Immunologica Scandinavica115(9) 989–995
15.
GrantC2005Biogel Super-sensitive and biogel indicator glove systemsBritish Journal of Nursing14(17) 1148–1151
16.
HarnoßJ, ParteckeL, HeideckeC, HübnerN, KramerA, AssadianO2009Concentration of bacteria passing through puncture holes in surgical glovesAmerican Journal of Infection Control37(8) 1–5
17.
HurstS2009Double gloving in the OROperating Room Nurse3(4) 8–9
18.
LaineT, AarnioP2004Glove perforation in orthopaedic and trauma surgery.A comparison between single, double indicator gloving and double gloving with two regular gloves Journal of Bone Joint Surgery86(6) 898–900
19.
LaineT, KaipiaA, SantavirtaJ, AarnioP2004Glove perforations in open and laparoscopic abdominal surgery: the feasibility of double glovingScandinavian Journal of Surgery93(1) 73–76
20.
LarsP, NaverS, GottrupF2005Incidence of glove perforations in gastrointestinal surgery and the protective effect of double gloves: a prospective randomised controlled studyEuropean Journal of Surgery1661–3
21.
LefebvreD, StrandeL, HewittC2008An enzyme-mediated assay to quantify inoculation volume delivered by suture needlestick injury: Two gloves are better than oneJournal of the American College of Surgeons206(1) 113–122
22.
MalhotraM, SharmaJ, WadhwaL, AroraR2004Prospective study of glove perforation in obstetrical and gynaecological operations: Are we safe enough?Journal of Obstetrics & Gynaecology Research30(4) 319–322
23.
MisteliH, WeberW, ReckS2009Surgical glove perforation and the risk of surgical site infectionArchives of Surgery144(6) 553–558
24.
National Institute for Health and Clinical Excellence2003Infection Control: Prevention of healthcare-associated infections in primary and community careLondon, NICE Publications
25.
National Institute for Health and Clinical Excellence2008Surgical Site Infection: Prevention and treatment of surgical site infectionLondon, NICE Publications
26.
NicolayC2006Hand hygiene: An evidence-based review for surgeonsInternational Journal of Surgery4(1) 53–65
27.
Nursing and Midwifery Council2008Code of Professional Conduct: standards for conduct, performance and ethicsLondon, Nursing and Midwifery Council
28.
ParahooK2006Nursing Research (2nd edition) Basingstoke, Palgrave Macmillan
29.
ParishC2006Double gloving recommended for low-risk surgical proceduresNursing Standard21(6) 11–12
30.
Royal College of Nursing2003Clinical Governance: an RCN resource guideLondon, Royal College of Nursing
31.
TannerJ2008Choosing the right surgical glove: an overview and updateBritish Journal of Nursing17(12) 740–744
32.
TannerJ, ParkinsonH2006Double gloving to reduce surgical cross-infection (Cochrane Review) In: The Cochrane Library Issue 3 2006Chichester, John Wiley & Sons
33.
Thomas-CopelandJ2009Do surgical personnel really need to double-glove?AORN Journal89(2) 322–328
34.
TrampuzA, WidmerA2004Hand hygiene: a frequently missed lifesaving opportunity during patient careMayo Clinic Proceedings79109–116
35.
WardD2006Compliance with infection control precautions in primary carePrimary Health Care16(10) 35–39
36.
WickerP, O'NeillJ2006Caring for the Perioperative PatientOxford, Blackwell Publishing Ltd