Veille documentaire MTPH

J Chir (Paris). 2005 Jul-Aug;142(4):226-30.
Le gantage chirurgical en France: une evolution lente mais necessaire.
‘Caillot JL.
Service des Urgences Chirurgicales, Centre Hospitalier Lyon-Sud, Pierre-Benite, EA 37-38 Faculte de Medecine Lyon-Sud, Oullins. JL.Caillot@wanadoo.fr’
Since the end of the 19th century, surgeons have used gloves to prevent infectious complications to the patient. The AIDS epidemic of the 1980’s sparked the use of universal precautions to protect the surgeon from infection and vice-versa. The interface between surgeon and patient is in effect a two-way street. Surgical techniques must be modified and barrier protection optimized to minimize these risks. A single layer glove is a fragile barrier to blood exposure; unrecognized glove perforations may lead to unrecognized and prolonged exposure. Double gloving, though far from being a widespread practice in France, seems to be the best protection from pathogen exposure. Glove powder and latex allergies have their own inherent risks to both surgeon and patient in the form of latex allergies and adhesive peritonitis. New institutional protocols will be necesssary in order to make powder-free non-latex gloves available to French surgeons.
MeSH Terms: Disease Transmission, Patient-to-Professional/prevention & control* – English Abstract – France – Gloves, Surgical/utilization* – Humans – Infection Control – Latex Hypersensitivity – Peritonitis/etiology – Physician’s Practice Pattern
Publication Types: Review