Author:
Rattanakanokchai Siwanon,Eamudomkarn Nuntasiri,Jampathong Nampet,Luong-Thanh Bao-Yen,Kietpeerakool Chumnan
Abstract
AbstractThis 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.
Publisher
Springer Science and Business Media LLC
Cited by
6 articles.
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