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OCTOBER 3, 2018

Defending the Breach: Minimizing Glove–Gown Fluid Exposure

Evidence Overwhelmingly Favors Double Gloving and Careful Gown Selection, But Barriers to Wider Adoption Persist

By Ajai Raj

New Orleans—The Ebola outbreak of 2014-2016 in West Africa brought renewed scrutiny to the importance of personal protective equipment (PPE) for health care workers in the perioperative setting. The large volumes of fluids discharged by infected patients, combined with the highly pathogenic nature of the Ebola virus itself, served to amplify the risk for infection through fluid transmission and called attention to one vulnerability in particular—the interface of surgical