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Sterile versus non-sterile gloves for traumatic wounds in the ED
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Metcalfe, David, Parsons, Nick R. and Costa, Matthew L. (2022) Sterile versus non-sterile gloves for traumatic wounds in the ED. Emergency Medicine Journal, 39 (9). pp. 648-649. doi:10.1136/emermed-2022-212517
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WRAP-sterile-versus-non-sterile-gloves-traumatic-wounds-ED-2022.pdf - Accepted Version - Requires a PDF viewer. Download (363Kb) | Preview |
Official URL: https://doi.org/10.1136/emermed-2022-212517
Abstract
In their Emergency Medicine Journal paper, Zwaans et al present a randomised controlled trial that asked whether the use of non-sterile gloves and dressings affects risk of infection when suturing traumatic wounds in the ED.1
Most randomised trials compare two treatments so they can determine which is better. However, such a ‘superiority’ design would not make sense when comparing the effect of sterile and non-sterile gloves as there is no reason to think that non-sterile gloves should be superior in terms of reducing wound infections. There may nevertheless be other reasons to prefer non-sterile gloves if they are ‘not much worse’—perhaps because they are cheaper, more accessible or generate less packaging waste. Zwaans et al therefore chose a non-inferiority trial design. Instead of asking whether sterile or non-sterile gloves are ‘better’, their trial asked whether non-sterile gloves are ‘much worse’ than sterile equivalents.
| Item Type: | Journal Item | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > RD Surgery | ||||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||||
| Library of Congress Subject Headings (LCSH): | Surgical gloves, Surgical wound infections -- Prevention, Wounds and injuries -- Treatment | ||||||||||
| Journal or Publication Title: | Emergency Medicine Journal | ||||||||||
| Publisher: | BMJ Group | ||||||||||
| ISSN: | 1472-0205 | ||||||||||
| Official Date: | 23 August 2022 | ||||||||||
| Dates: |
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| Volume: | 39 | ||||||||||
| Number: | 9 | ||||||||||
| Page Range: | pp. 648-649 | ||||||||||
| DOI: | 10.1136/emermed-2022-212517 | ||||||||||
| Status: | Peer Reviewed | ||||||||||
| Publication Status: | Published | ||||||||||
| Reuse Statement (publisher, data, author rights): | This article has been accepted for publication in Emergency Medicine Journal, 2022 following peer review, and the Version of Record can be accessed online at http://dx.doi.org/10.1136/emermed-2022-212517 © Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ. | ||||||||||
| Access rights to Published version: | Restricted or Subscription Access |
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