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The Journal of Bone and Joint Surgery, Vol 63, Issue 5 811-813, Copyright © 1981 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Efficacy of double-gloving as a barrier to microbial contamination during total joint arthroplasty

SF McCue, EW Berg and EA Saunders

After ten total hip replacements in which a double-glove technique was used, 275 outer and inner gloves were tested for microbial contamination and for holes. The operating rooms were equipped with specially designed air-filtration mechanisms. The results indicated that the gloves that most frequently were contaminated were the ones used exclusively for draping. This finding suggests that using a separate pair of outer gloves only for draping is a valuable technique during total hip replacement. Clinical Relevance: Although the practice of using double gloves during a total joint-replacement procedure is accepted widely, there is little evidence that double-gloving actually decreases microbial contamination. The results of this study indicate that changing outer gloves at appropriate times during the procedure is indeed an important way to minimize contamination.
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