Make the best choice
for both of you
Your patient is trusting you to limit
any risk during surgery and now you
don’t have to compromise
To clinicians who don’t double
glove I say, do it! Double gloving
is such a simple way to protect
yourself and everyone else.
Julie Karlsson,
Trauma Nurse
WHO estimates…
occur among health care workers each year1.
1. World Health Organization 2003. Health Care Worker Safety. Aide-Memoire for a strategy to protect health
workers from infection with blood-borne viruses. WHO/BCT/03.11.
WHO estimates…
occur among health care workers each year1.
1. World Health Organization 2003. Health Care Worker Safety. Aide-Memoire for a strategy to protect health
workers from infection with blood-borne viruses. WHO/BCT/03.11. 2. Survey conducted by SERMO. 510 actively
practicing UK, US, German, Swedish, Japanese and Australian surgeons responded to a survey on the
importance of surgical gloves. April 2019.
of surveyed surgeons have
experienced a needlestick
injury or seen a colleague
experience one at some point
in their careers2.
WHO estimates…
occur among health care workers each year1.
1. World Health Organization 2003. Health Care Worker Safety. Aide-Memoire for a strategy to protect health
workers from infection with blood-borne viruses. WHO/BCT/03.11. 2. Survey conducted by SERMO. 510 actively
practicing UK, US, German, Swedish, Japanese and Australian surgeons responded to a survey on the importance of
surgical gloves. April 2019. 3. Maffulli N et al. Glove perforation in hand surgery. J Hand Surg 1991; 16(6): 1034-7.
As much as
of glove perforations go
unnoticed during surgery
whilst single gloving3.
Any contact with blood
increases the risk of
blood borne disease1.
1. Time to Act: A State of Nation report on Surgical Site Infections in the UK.
Mölnlycke Health Care 2020. Data on file. 2. Tarantola A, Abiteboul D, Rachline A.
Infection risks following accidental exposure to blood or body fluids in healthcare workers:
a review of pathogens transmitted in published cases. Am J Infect Control. 2006;34(6):367-75.
or more blood-borne pathogens
can be transmitted due to accidental
exposures. HIV, Hep B and Hep C
account for most of this risk2.
A glove perforation
can make staff feel
unsafe, while also
putting patients at
risk of surgical site
infections (SSIs)1.
1. Misteli H, Weber WP, Reck S, et al. Surgical glove perforation and the risk of surgical site infection.
Arch Surg.2009;144(6):553-8. 2. Time to Act: A State of Nation report on Surgical Site Infections in the UK.
Mölnlycke Health Care 2020. Data on file.
At least
of patients undergoing a surgical
procedure in the UK develop an SSI2.
In a recent survey of
agreed that ‘high quality surgical
gloves can positively impact overall
patient outcomes’1.
1. Survey conducted by SERMO. 510 actively practicing UK, US, German, Swedish, Japanese and Australian
surgeons responded to a survey on the importance of surgical gloves. April 2019.
A study showed that glove
perforation is associated with an
increased risk of SSIs1,
and as a consequence longer
post-op hospital stays, as well
as a need for longer antibiotic
treatment2.
1. Misteli H, Weber WP, Reck S, et al. Surgical glove perforation and the risk of surgical site infection.
Arch Surg.2009;144(6):553-8. 2. Junker T, et al. Prevention and control of surgical site infections: review of the Basel
Cohort Study. Swiss Med Wkly. 2012;4;142:w13616.
Double gloving is a smart,
easy and effective way to
prevent avoidable injuries
and exposure to dangerous
contamination and infection
for you and your patients1.
1. Mischke C et al. Gloves, extra gloves or special types of gloves for preventing percutaneous exposure injuries
in healthcare personnel. Cochrane Database Syst Rev. 2014: 7;(3):CD009573. 2. Thomas S. et al. Intraoperative
glove perforation – single versus double gloving in protection against skin contamination. Postgrad. Med. J.
2001:77 458-460.
Double gloving reduces the risk
of needlestick injuries and
exposure to infection by up to
2
A 2014 Cochrane review concluded
that double gloving substantially
reduces the risk of a barrier breach
between surgical staff and patients1.
1. Mischke C et al. Gloves, extra gloves or special types of gloves for preventing percutaneous exposure injuries
in healthcare personnel. Cochrane Database Syst Rev. 2014: 7;(3):CD009573.
The risk of an inner glove
perforation when double gloving
is reduced by as much as
compared to single gloving1.
A 2014 Cochrane review concluded
that double gloving substantially
reduces the risk of a barrier breach
between surgical staff and patients1.
1. Mischke C et al. Gloves, extra gloves or special types of gloves for preventing percutaneous exposure injuries
in healthcare personnel. Cochrane Database Syst Rev. 2014: 7;(3):CD009573.
Studies showed that “two pairs of
gloves reduced blood stains on
the skin by
1”.
The preventive
effect of double
gloves on
percutaneous
exposure incidents
in surgery does
not need further
research1.
1. Mischke C et al. Gloves, extra gloves or special types of gloves for preventing percutaneous exposure injuries
in healthcare personnel. Cochrane Database Syst Rev. 2014: 7;(3):CD009573.
I notice a small
difference in tactile
sensitivity, but
there’s no question;
I much prefer
double gloving to
single gloving.
Dr Mikael Barbu,
Thoracic surgeon
I will
lose tactile
sensitivity
A 2014 Cochrane review found no
indications that using more layers
of gloves decreases sensitivity of the
fingers1, while a study by the
American College of Surgeons
showed that manual dexterity and
tactile sensitivity are preserved
while double gloving2.
1. Mischke C, Verbeek JH, Saarto A, Lavoie MC, PahwaM, Ijaz S. Gloves, extra gloves or special types
of gloves for preventing percutaneous exposure injuries in healthcare personnel. Cochrane
Database of Systematic Reviews 2014, Issue 3. Art. No.:CD009573.DOI:
10.1002/14651858.CD009573. 2. Fry D E et al. Influence of double-gloving on manual dexterity and
tactile sensation of surgeons. J Am Coll Surg. 2010; 210(3):325-330.
I will
lose tactile
sensitivity
Biogel® Indicator® Systems are
more than a protective barrier.
They are also valued by clinicians
for their ability to maintain tactile
sensitivity when double gloving1-4.
Find out for yourself: Try the two-
point discriminator test to compare
tactility between no gloves, a single
pair of gloves and double gloving.
1. Carter S, Choong S, Marino A, Sellu D. Can surgical gloves be made thinner without increasing their
liability to puncture? Ann R Coll Surg Engl. 1996 May;78(3 (Pt 1)):186-7. 2. Collins J. A Clinical
Investigation to Evaluate the Biogel PI Micro Surgical Glove. Mölnlycke Health Care, 2014. Data on file.
3. Collins J. A Clinical Evaluation of Polyisoprene Biogel Orthopaedic Surgical Gloves. Mölnlycke Health
Care, 2011. Data on file. 4. Summary of Technical Documents. Mölnlycke Health Care. Data on file.
A medical diagnostic tool used to
objectively measure tactile sensitivity.
Can be used to demonstrate that double
gloving does not compromise tactile
sensitivity1.
The test series are done on the same
finger three times. First without any
glove, which serves as your control,
secondly with one glove and finally with
two gloves.
1. Fry D E et al. Influence of double-gloving on manual dexterity and tactile sensation of surgeons.J Am Coll Surg.
2010; 210(3):325-30.
My hands
will tire more
quickly
The
can make a difference to your
hand comfort and fatigue1-4
when double gloving.
1. Gottrup F, Müller K, Bergmark S, Nørregaard S. Powder-free, non-sterile gloves assessed in a
wound healing centre. Eur J Surg. 2001 Aug;167(8):625-7. 2. Webb and Penlaw. Double gloving and
surgical technique. Annals of the Royal College of Surgeons of England 1993;75:291-292 3. Moog et
al. Do your surgical glove characteristics and wearing habits affect your tactile sensibility? Ann.
Med. Surg. 57(2020) 281–286. 4. Palosuo et al. Latex Medical Gloves: Time for a Reappraisal. Int
Arch Allergy Immunol 2011;156:234–246.
My hands
will tire more
quickly
Biogel puncture indicator gloves
are designed to remain
comfortable for longer, while
keeping patients and staff safe1-5.
The ergonomically shaped formers
and material properties lead to
Biogel gloves being rated high by
customers for comfort even during
long procedures6-9.
1. Aldlyami, Ehab; Kulkarni, Ashwin; et al. Latex-free gloves Safer for Whom?; The Journal of
Arthroplasty; 2010; Vol. 25 No. 1 pp. 27-30. 2. Collins J. A Clinical Evaluation of Polyisoprene Biogel
Orthopaedic Surgical Gloves. Mölnlycke Health Care, 2011. Data on file. 3. Collins J. A Clinical
Investigation to Evaluate the Biogel PI Micro Surgical Glove to Ensure Performance as Intended. Clinical
Investigation Report, G14-001 (DP39), Mölnlycke Health Care 2014. 4. Gottrup F, Müller K, Bergmark S,
Nørregaard S. Powder-free, non sterile gloves assessed in a wound healing centre. Eur J Surg. 2001
Aug;167(8):625-7. 5. Summary of Technical Documents. Mölnlycke Health Care. Data on file. 6. Biogel
PI Micro Indicator glove test. Mölnlycke Health Care, 2015. Data on file. 7. Biogel Thinner PI Underglove
Customer Survey Analysis. Mölnlycke Health Care, 2018. Data on file. 8. Biogel Thinner PI Overglove
Customer Survey Analysis. Mölnlycke Health Care, 2017. Data on file. 9. Assessment of Biogel® PI
UltraTouch® S Surgical Glove and Ansell Gammex Non Latex Sensitive & Gammex Non-Latex gloves.
User Evaluation Report. Mölnlycke Health Care, 2020. Data on file.
I’m not used
to double
gloving
If you make double gloving your routine, you’re less likely to forget to do it when the work gets hectic.
Hillevi Björkqvist,
General Nurse, specializing in surgery
I’m not used
to double
gloving
Evidence shows that most
surgical staff fully
to double gloving
within just one1
or two2 days.
1. Novak CB, Patterson JM, Mackinnon, SE. Evaluation of hand sensibility with single and double
latex gloves. Plast Reconstruct Surg 1999; 103. 128-131. 2. Patterson, JM et al. Surgeons’ concerns
and practices of protection against blood-borne pathogens. Ann Surg 1998; 228:266-72.
I’m not used
to double
gloving
Adapting to double gloving
with a Biogel® Indicator®
System is easy.
The Biogel under- and
overgloves are available
packed together, meaning
less packaging to open
and quick and easy double
donning. The underglove
has a smooth surface
which makes double
donning particularly easy.
1. Historical fact. Pickard, S. and Hilton G., Regent Medical Limited. Puncture indicating gloves.
Great Britain patent: GB2453000, 2007.
The Biogel® Indicator®
System shows
1. Summary of Indication Performance of Biogel Gloves Indicator Systems versus Competitors’ Double Gloving
Combinations. October 2020. Data on file.
The use of indicator gloves
significantly increased the
detection of perforations
during surgery from:
in the single glove group1
1. Laine T, Arnio P. Glove perforation in orthopaedic and trauma surgery - A comparison between single, double
indicator gloving and double gloving with two regular gloves. J Bone Joint Surg Br. 2004; 86(6):898-900.
The use of indicator gloves
significantly increased the
detection of perforations
during surgery from:
in the group combining two
regular gloves1
1. Laine T, Arnio P. Glove perforation in orthopaedic and trauma surgery - A comparison between single, double
indicator gloving and double gloving with two regular gloves. J Bone Joint Surg Br. 2004; 86(6):898-900.
The use of indicator gloves
significantly increased the
detection of perforations
during surgery to:
1. Laine T, Arnio P. Glove perforation in orthopaedic and trauma surgery - A comparison between single, double
indicator gloving and double gloving with two regular gloves. J Bone Joint Surg Br. 2004; 86(6):898-900.
I say, do it!
Double gloving
is such a simple
way to protect
yourself and
everyone else.
Julie Karlsson,
Trauma Nurse
* Manufactured without chemical accelerators known to cause contact dermatitis, such as Thiazoles, Thiurams, Carbamates, Thioureas and Diphenylguanidine
If you know double gloving with an indicator system is the way forward for protecting
you and your patients, but you’re concerned about it impacting your tactile sensitivity,
dexterity, and comfort, give us the chance to change your mind.
Find out more about
Biogel® gloves at
www.molnlycke.com
Mölnlycke Health Care AB, Box 13080, Gamlestadsvägen 3C, SE-402 52
Göteborg, Sweden. Phone + 46 31 722 30 00.
The Mölnlycke, Biogel, Indicator, Eclipse and UltraTouch trademarks, names and logos
are registered globally to one or more of the Mölnlycke Health Care group of companies.
© 2022 Mölnlycke Health Care AB. All rights reserved. HQIM004029
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Influence of double gloving on manual dexterity and tactile sensation of surgeons
Donald E Fry, MD, FACS, W Edwin Harris, PhD, Elizabeth N Kohnke, OTR, Carolyn L Twomey, RN, BSN J Am Coll Surg. 2010 Mar;210(3):325-30. doi: 10.1016/j.jamcollsurg.2009.11.001. Epub 2009 Dec 24. PMID: 20193896
Surgeons’ concern and practices of protection against bloodborne pathogens
Patterson, JM et al., Ann Surg. 1998; 228(2):266-72
Gloves, extra gloves or special types of gloves for preventing percutaneous exposure injuries in healthcare personnel
Cochrane Database of Systematic Reviews 2014; 7(3):CD009573. Mischke C, Verbeck JH, Saarto A, Lavoie M-C, Pahwa M, Ijaz S.
Prevention and control of surgical site infections: review of the Basel Cohort Study
Junker, T., et al. Swiss Med Wkly. 2012;142:w13616.
Glove perforation in hand surgery
Maffulli, N et al., J Hand Surg Am 1991;16(6):1034-7
Surgical glove perforations and the risk of surgical site infection
Misteli H et al. Archives of Surgery. 2009; 144(6): 553-8.
Glove perforation in orthopaedic and trauma surgery. A comparison between single, double indicator gloving and double gloving with two regular gloves.
Laine, T et al., J Bone Joint Surg Br 2004. 86(6):898-900.
Evaluation of hand sensibility with single and double latex gloves
Novak, C.B. et al., Plast Reconstr Surg. 1999;103(1):128-31
