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Perforation Rates for Nonsterile Examination Gloves in Routine Dermatologic Procedures
Authors:Krista Kupres  DO    Capt  Usa  MC    Steven E Rasmussen  MD  MAJ    Usaf  Fs  MC    John G Albertini  MD  MAJ    Usaf  MC
Institution:Department of Dermatology, Brooke Army Medical Center, Fort Sam Houston, Texas 78234, USA.
Abstract:BACKGROUND: Low cost, nonsterile examination gloves are used routinely to perform various dermatologic procedures. OBJECTIVE: To evaluate the perforation rate of nonsterile examination gloves in routine dermatologic procedures. METHODS: Three hundred fifty nonsterile latex examination gloves used to perform shave biopsies were evaluated for perforations using an air inflation/water submersion method. Ninety gloves, which were intentionally perforated with a 30-gauge needle, were used as controls to assess our evaluation method. RESULTS: Eight of the 350 gloves were found to have a perforation, which corresponds to a 2.3% perforation rate. Seven of the eight perforations were found in the web space between the second and third finger sleeves, with one being an obvious manufacturing error. All 90 perforations of the control group were correctly identified. CONCLUSION: There appears to be a very low risk of glove perforation when nonsterile examination gloves are used in routine dermatologic procedures.
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