Efficacy of double-gloving as a barrier to microbial contamination during total joint arthroplasty

J Bone Joint Surg Am. 1981 Jun;63(5):811-3.


After ten total hip replacements in which a double-glove technique was used, 275 outer and inner gloves were tested for microbial contamination and for holes. The operating rooms were equipped with specially designed air-filtration mechanisms. The results indicated that the gloves that most frequently were contaminated were the ones used exclusively for draping. This finding suggests that using a separate pair of outer gloves only for draping is a valuable technique during total hip replacement.

Clinical relevance: Although the practice of using double gloves during a total joint-replacement procedure is accepted widely, there is little evidence that double-gloving actually decreases microbial contamination. The results of this study indicate that changing outer gloves at appropriate times during the procedure is indeed an important way to minimize contamination.

MeSH terms

  • Antisepsis / methods*
  • Asepsis / methods*
  • Bacteriological Techniques
  • Gloves, Surgical*
  • Hip Prosthesis*
  • Humans
  • Surgical Wound Infection / prevention & control*