Sterile gloves not essential for minor procedures

New research from James Cook University has found that clean, boxed gloves are just as effective in reducing the risk of wound infections for minor procedures as sterile gloves.

As the clean, boxed gloves cost significantly less, the findings may help reduce costs for procedures in developing countries with limited health resources, without increasing infection rates.

The research, led by JCU’s Dr Clare Heal, Associate Professor in General Practice and Rural Medicine, was published on 19 January in the Medical Journal of Australia.

Dr Heal said the research involved doctors using either clean, boxed gloves or sterile gloves on a group of 478 randomly selected patients who required minor procedures in a Mackay primary care clinic.

“We were trying to establish or determine if the clean, boxed gloves were just as effective as the sterile gloves at preventing wound infections,” Dr Heal said.

Of the 478 patients providing data, 43 had developed a wound infection by the time they came to have stitches removed, which translates to an overall infection rate of 9.0%.

While those treated with the clean, boxed gloves had an infection rate of 8.7%, the sterile gloves group recorded an infection rate of 9.3%.

“In regard to wound infection, non-sterile, clean, boxed gloves are just as good as sterile gloves for minor skin excisions in general practice,” Dr Heal said.

Dr Heal said the overall infection rate of 9.0% was higher than the suggested acceptable rate of less than 5%, noting that it may be due to “the hot, humid weather and patient occupations and hobbies in our rural setting”.

“These findings are not applicable to more complicated surgery, such as skin flaps, but the results can be applied to other minor surgeries, such as contraceptive implant insertion or suturing of lacerations, for example.

“The cost-saving benefit of using non-sterile gloves - without increasing infection rates - may be of particular relevance to developing countries with limited healthcare resources.”

The research was conducted from June 2012 to May 2013.