Changing gloves during cesarean section for prevention of postoperative infections: a systematic review and meta-analysis

Abstract This systematic review and meta-analysis was conducted to assess associations between changing gloves during cesarean section (CS) and postoperative infection. A literature search was conducted using the major electronic databases MEDLINE, Scopus, ISI Web of Science, PubMed, CINAHL, and CEN...

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Autores principales:	Siwanon Rattanakanokchai, Nuntasiri Eamudomkarn, Nampet Jampathong, Bao-Yen Luong-Thanh, Chumnan Kietpeerakool
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ad6d64bd39154169966b0aeb90f6aaeb
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spelling	oai:doaj.org-article:ad6d64bd39154169966b0aeb90f6aaeb2021-12-02T11:35:58ZChanging gloves during cesarean section for prevention of postoperative infections: a systematic review and meta-analysis10.1038/s41598-021-84259-w2045-2322https://doaj.org/article/ad6d64bd39154169966b0aeb90f6aaeb2021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84259-whttps://doaj.org/toc/2045-2322Abstract This systematic review and meta-analysis was conducted to assess associations between changing gloves during cesarean section (CS) and postoperative infection. A literature search was conducted using the major electronic databases MEDLINE, Scopus, ISI Web of Science, PubMed, CINAHL, and CENTRAL from their inception to September 2020. Randomized controlled trials (RCTs) comparing glove change during CS to no glove change were included. Outcomes of interest were endometritis, febrile morbidity, and incisional surgical site infection (SSI). GRADE approach was applied to assess the quality of evidence. Ten reports of six studies involving 1707 participants were included in the analyses. Glove change was associated with a reduction in the risk of incisional SSI following CS (pooled RR 0.49, 95% CI 0.30, 0.78; moderate quality of evidence). Compared to no glove change, glove change during CS did not reduce the risks of endometritis (pooled RR 1.00, 95% CI 0.80, 1.24; low quality of evidence) or febrile morbidity (pooled RR 0.85, 95% CI 0.43, 1.71; very low quality of evidence). Changing gloves during CS was associated with a decreased risk of incisional SSI. The risks of postoperative endometritis and febrile morbidity were not altered by changing gloves.Siwanon RattanakanokchaiNuntasiri EamudomkarnNampet JampathongBao-Yen Luong-ThanhChumnan KietpeerakoolNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Siwanon Rattanakanokchai Nuntasiri Eamudomkarn Nampet Jampathong Bao-Yen Luong-Thanh Chumnan Kietpeerakool Changing gloves during cesarean section for prevention of postoperative infections: a systematic review and meta-analysis
description	Abstract This systematic review and meta-analysis was conducted to assess associations between changing gloves during cesarean section (CS) and postoperative infection. A literature search was conducted using the major electronic databases MEDLINE, Scopus, ISI Web of Science, PubMed, CINAHL, and CENTRAL from their inception to September 2020. Randomized controlled trials (RCTs) comparing glove change during CS to no glove change were included. Outcomes of interest were endometritis, febrile morbidity, and incisional surgical site infection (SSI). GRADE approach was applied to assess the quality of evidence. Ten reports of six studies involving 1707 participants were included in the analyses. Glove change was associated with a reduction in the risk of incisional SSI following CS (pooled RR 0.49, 95% CI 0.30, 0.78; moderate quality of evidence). Compared to no glove change, glove change during CS did not reduce the risks of endometritis (pooled RR 1.00, 95% CI 0.80, 1.24; low quality of evidence) or febrile morbidity (pooled RR 0.85, 95% CI 0.43, 1.71; very low quality of evidence). Changing gloves during CS was associated with a decreased risk of incisional SSI. The risks of postoperative endometritis and febrile morbidity were not altered by changing gloves.
format	article
author	Siwanon Rattanakanokchai Nuntasiri Eamudomkarn Nampet Jampathong Bao-Yen Luong-Thanh Chumnan Kietpeerakool
author_facet	Siwanon Rattanakanokchai Nuntasiri Eamudomkarn Nampet Jampathong Bao-Yen Luong-Thanh Chumnan Kietpeerakool
author_sort	Siwanon Rattanakanokchai
title	Changing gloves during cesarean section for prevention of postoperative infections: a systematic review and meta-analysis
title_short	Changing gloves during cesarean section for prevention of postoperative infections: a systematic review and meta-analysis
title_full	Changing gloves during cesarean section for prevention of postoperative infections: a systematic review and meta-analysis
title_fullStr	Changing gloves during cesarean section for prevention of postoperative infections: a systematic review and meta-analysis
title_full_unstemmed	Changing gloves during cesarean section for prevention of postoperative infections: a systematic review and meta-analysis
title_sort	changing gloves during cesarean section for prevention of postoperative infections: a systematic review and meta-analysis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/ad6d64bd39154169966b0aeb90f6aaeb
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Changing gloves during cesarean section for prevention of postoperative infections: a systematic review and meta-analysis

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