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Edward E. Cornwell III, MD

Arch Surg. 2009;144(6):558.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

This 2-year study by Misteli and colleagues relates SSI to the incidence of surgical glove perforation in more than 4100 general surgery patients. Glove perforation occurred in 16.3% of cases and rose dramatically in cases lasting longer than 2 hours (34.0% vs 9.4%). Surgical site infection was identified in 7.5% of the cases in which there was a glove perforation vs 3.9% when there was none. The essence of the study resides in the multivariate logistic regression analysis, by which glove perforation was found to be a significant risk factor for SSI but only in cases in which prophylactic antibiotics were not used.

Although the authors handled the limitations of this study nicely, a few issues persist:

• Nearly 70% of the cases (n = 2831) were class 1 (clean), yet antibiotic prophylaxis was withheld in only 914 (32.3%) of the class 1 cases. This implies that the . . . [Full Text of this Article]

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