Why is a powder-free double-glove hole indication system used during the surgical treatment of necrotizing fasciitis?

Updated: Sep 02, 2020
  • Author: Steven A Schulz, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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During surgery, all operating room personnel should wear a powder-free double-glove hole indication system (ie, including an underglove with distinct color that becomes apparent when the outer glove is punctured in the presence of fluid). This protects the staff as well as the patient from exposure to potentially deadly blood-borne viral infections. [86]

The US Food and Drug Administration (FDA) only requires that the leakage rate of sterile surgical gloves does not exceed 1.5%. This high frequency of glove holes is an invitation to the spread of deadly blood-borne infections between operating room personnel and the patient.

Cornstarch in wounds has been well documented to potentiate the development of infection. Using powder-free gloves reduces this potentially serious complication. In addition, the cornstarch on latex gloves can carry the latex antigen and precipitate anaphylactic reactions in individuals who are allergic to latex. [87]

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