Double gloving and a glove perforation indication system during the dental treatment of HIV-positive patients: are they necessary? NLM AIDSLINE Important note: Information in this article was accurate in 1999. The state of the art may have changed since the publication date.

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Double gloving and a glove perforation indication system during the dental treatment of HIV-positive patients: are they necessary?

Br Dent J. 1999 Jan 9;186(1):27-9. Unique Identifier : AIDSLINE MED/99153115
Avery CM; Gallagher P; Birnbaum W; Department of Oral and Maxillofacial Surgery, King's College; Hospital, London.

Abstract: AIM: The aim of this study was to compare the incidence of glove perforation when double gloved or single gloved during the routine treatment of HIV-positive patients. In addition, a glove perforation indication system based on a double gloving technique was assessed. DESIGN: Prospective, randomised and open study of glove perforation. METHODS: 138 consecutive HIV-positive patients underwent routine dental treatment by senior dental staff and dental hygienists in a teaching hospital. Staff wore either single gloves (Regent Biogel D or standard surgical gloves) or double gloves (Regent 'Reveal' perforation indication system or standard surgical gloves). A subjective assessment of glove comfort, sensitivity and ease of donning was made using a visual analogue scale. RESULTS: The incidence of glove perforation/procedure was low, 2.9%. There were no skin penetrating injuries, visible exposure to body fluids or unnoticed perforations. Double gloving was subjectively less comfortable and sensitive than single gloving (P < 0.0001). The glove perforation indication system did not increase the detection of intra-operative perforations. CONCLUSIONS: There is unlikely to be any significant benefit from the use of a double gloving technique or perforation indication system during the routine dental treatment of HIV-positive patients.
Keywords: CLINICAL TRIAL JOURNAL ARTICLE RANDOMIZED CONTROLLED TRIAL Dental Care for Chronically Ill/*METHODS Disease Transmission, Patient-to-Professional/*PREVENTION & CONTROL Equipment Design Equipment Failure *Gloves, Surgical Human *HIV Seropositivity Needlestick Injuries/*PREVENTION & CONTROL Prospective Studies Statistics, NonparametricKWDclinicaltrialjournalarticlerandomizedcontrolledtrialdentalcareforchronicallyill/KWDmethodsdiseasetransmission,patient-to-professional/KWDprevention&controlequipmentdesignequipmentfailureKWDgloves,surgicalhumanKWDhivseropositivityneedlestickinjuries/KWDprevention&controlprospectivestudiesstatistics,nonparametric
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