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Muto et al. described a higher frequency of micro perforations in examination gloves than in surgical gloves [ 8].
This study evaluated the frequency of unnoticed micro perforations in two different types of examination gloves in relation to the duration of wearing.
This shows that occult micro perforations in gloves may play an important role for cross-transmission of pathogens if hands are not thoroughly disinfected before gloving and after degloving [ 23, 24].
Our data indicate that not mechanical stress of putting on or handling over the glove or the time of wearing alone without interspace, but the combination with HCWs tasks is the cause of micro perforations in gloves.
To the best of our knowledge, this is the first observational study that investigated the duration of wearing of gloves by HCWs on ICUs and the rate of associated micro perforations in gloves.
Pitten et al. have already shown the influence of disinfectants on the rate of micro perforations in examination gloves depending on the brand [ 25] and that remarkable differences existed in the durability of gloves under routine working conditions [ 26].
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On the good side, it looks like the plastic backing for the device actually doesn't feel like plastic, according to the reviewers, thanks to micro-perforations in the surface.
We demonstrated that the risk is high of micro-organisms passing through undetected micro-perforations in surgical gloves during surgery.
As we showed previously, the incidence of micro-perforations in surgical gloves depends on the duration of wear [ 2].
This study confirms previous results that bacterial migration through unnoticed micro-perforations in surgical gloves does occur under real practical surgical conditions.
In addition, in this editorial it was suggested that increased pressure due to abdominal carcinomatosis or adhesions from prior surgeries might lead to micro-perforations in vulnerable areas of the bowel, with subsequent delayed healing due to bevacizumab.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com