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Changing gloves during cesarean section for prevention of postoperative infections: a systematic review and meta-analysis
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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7907110/ https://www.ncbi.nlm.nih.gov/pubmed/33633326 http://dx.doi.org/10.1038/s41598-021-84259-w |
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author | Rattanakanokchai, Siwanon Eamudomkarn, Nuntasiri Jampathong, Nampet Luong-Thanh, Bao-Yen Kietpeerakool, Chumnan |
author_facet | Rattanakanokchai, Siwanon Eamudomkarn, Nuntasiri Jampathong, Nampet Luong-Thanh, Bao-Yen Kietpeerakool, Chumnan |
author_sort | Rattanakanokchai, Siwanon |
collection | PubMed |
description | 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 | Online Article Text |
id | pubmed-7907110 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-79071102021-02-26 Changing gloves during cesarean section for prevention of postoperative infections: a systematic review and meta-analysis Rattanakanokchai, Siwanon Eamudomkarn, Nuntasiri Jampathong, Nampet Luong-Thanh, Bao-Yen Kietpeerakool, Chumnan Sci Rep Article 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. Nature Publishing Group UK 2021-02-25 /pmc/articles/PMC7907110/ /pubmed/33633326 http://dx.doi.org/10.1038/s41598-021-84259-w Text en © The Author(s) 2021, corrected publication 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Rattanakanokchai, Siwanon Eamudomkarn, Nuntasiri Jampathong, Nampet Luong-Thanh, Bao-Yen Kietpeerakool, Chumnan Changing gloves during cesarean section for prevention of postoperative infections: a systematic review and meta-analysis |
title | 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_short | 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 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7907110/ https://www.ncbi.nlm.nih.gov/pubmed/33633326 http://dx.doi.org/10.1038/s41598-021-84259-w |
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