CHAMGAP
VERIFIEDPassed the Codex final verification and publication gate. Evidence-verification cutoff: 2026-08-14. AI was used for research and drafting; the existence of all 2 cited sources was verified at the original page, followed by blind grading, adversarial audit, and build validation. Methodology v1.0.
Verdict No. 2549 · Search date 2026-08-14 · Methodology v1.0

Clean nonsterile gloves,
does it really help with No increase in post-repair wound infection versus sterile surgical gloves?

30-Second Summary
B
Evidence Grade B · 70 · Safety acceptable
Fresh clean nonsterile gloves did not increase infection compared with sterile gloves during uncomplicated clean wound repair.
Do not extrapolate to complex or contaminated wounds, flaps or grafts, or immunocompromised patients. Hand hygiene, skin preparation, sterile instruments, and standard infection-control procedures remain necessary regardless of glove type.
What the
research shows
The grade is B. In an 816-participant emergency-department laceration trial, infection was 4.4% with clean gloves versus 6.1% with sterile gloves; the sterile-to-clean RR was 1.37 (95% CI 0.75 to 2.52). A general-practice minor-excision trial randomized 493 and analyzed 478, finding 8.7% versus 9.3%, difference -0.6 points (95% CI -4.0 to 2.9), within a prespecified 7-point noninferiority margin. Wound types differ, but direct evidence supports no infection increase, giving B with 70 points.
What the
ads claim
Clean gloves do not replace hand hygiene, skin preparation, sterile instruments, standard closure, or follow-up. A fresh boxed glove in standardized minor surgery is not evidence for abandoning asepsis in contaminated or complex wounds.
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Useful facts when choosing a product

  • Heal used fresh clean nonsterile boxed gloves while standardizing the rest of the procedure.
  • The noninferiority margin was a seven-point absolute infection difference; the observed 95% CI was -4.0 to +2.9 points.
  • Flaps, sebaceous cysts, immunosuppressive drugs, and current oral antibiotics were excluded from Heal.
ID

Chamgap Semantic Classification Code

Candidate index · review held

UNK.fresh-clean-nonsterile-examination-gloves.UNK.no-increase-in-post-repair-wound-infection.increase.UNK

Unknown > Fresh clean nonsterile examination gloves > Unknown > No increase in post-repair wound infection > Increase claim > Unknown

An automated migration candidate, not an issued permanent code; exact claim scope remains under review. This machine-generated migration candidate helps retrieval but is not a permanent assignment. The original verdict ID and URL remain authoritative.

Download semantic index (JSON) · Codebook v1

Gap Measurement · Verdict 2549 · B 70
What advertising claims
What independent, higher-quality research supports
△ GAP
01

What the research actually shows

Perelman multicenter-randomized 816 immunocompetent patients with uncomplicated lacerations and obtained follow-up in 98% of the sterile group and 96.6% of the clean group. No registration or complete funding text was confirmed. Heal used computer-generated numbers and opaque sealed envelopes for 493 participants, 250 versus 243. Infection assessors were masked, 478 (97.0%) contributed data, and per-protocol plus all-missing-as-infected or uninfected sensitivity analyses preserved noninferiority. The primary infection outcome and comparison matched ACTRN12612000698875.

02

Why this is classified as B (70)

A 493-participant trial with a prespecified margin and masked infection assessment established noninferiority, supported by an 816-participant laceration trial; indication and estimand differences plus noninferiority design give B with 70 points.

Counterpoint. B does not mean all sterile technique is unnecessary. It narrowly changes glove sterility during clean minor skin closure.

Rejudgment record. Cross-check applied — We cross-checked wound types, randomized and analyzed denominators, follow-up, infection definitions, noninferiority margin, sensitivity analyses, and masking against both articles and the registry.

Stored scoring profile
EndpointHHard endpoint - actual events such as death
ReplicationR1Single confirmatory trial
IndependenceI1Mixed funding sources
Effect sizeE+Meets the clinically important threshold

Stored derived and displayed grades match; this is not a current recalculation or validity check (B).

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Sub-claim grades by effect

This ingredient is marketed for several effects. A single overall grade blends strong and weak claims together, so each effect is graded separately here. The overall grade reflects the strongest disconfirming or core claim.

Effect (sub-claim)GradeBasis
Clean nonsterile gloves do not increase infection during uncomplicated laceration repair.BInfection was 4.4% versus 6.1% in an 816-participant trial.
Clean nonsterile gloves are noninferior within the prespecified margin for minor skin excision.BThe 95% CI upper bound of 2.9 points was below the seven-point margin.
✓

Cross-check — AI research and Codex final gate

AI was used for research and drafting. Blind grading, adversarial audit, and the methodology boundary rules were then reapplied before Codex performed the final evidence, grade, copy, and build checks. If a grade cannot be narrowed, both evidence positions and their reasons are published.
03

Evidence Table

StudyDesignSampleFundingEndpointResultWeight
Perelman VS et al., uncomplicated emergency-laceration trial 2004Prospective multicenter randomized sterile-glove-controlled trial816 randomized; follow-up 98% in sterile and 96.6% in clean groupsFunding or acknowledgment text was not confirmedClinical wound infection after repairClean 4.4% (95% CI 2.4 to 6.4) versus sterile 6.1% (3.8 to 8.4); sterile-to-clean RR 1.37 (0.75 to 2.52)Large supportive uncomplicated-laceration evidence
Heal C et al., primary-care minor-excision trial 2015Prospective single-center randomized noninferiority trial493 randomized, 250 versus 243; 478 analyzed, 241 versus 237Funding or acknowledgment text was not confirmedStandard-definition surgical-site infection within 30 days21/241 (8.7%) versus 22/237 (9.3%); difference -0.6 points (95% CI -4.0 to 2.9), prespecified margin 7 pointsDirect confirmatory noninferiority evidence meeting a prespecified margin
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Receipt — 2 References

All 2 cited sources were verified for existence at the original page (as of 2026-08-14).

Perelman VS, Francis GJ, Rutledge T, Foote J, Martino F, Dranitsaris G. Sterile versus nonsterile gloves for repair of uncomplicated lacerations in the emergency department: a randomized controlled trial. Ann Emerg Med. 2004;43(3):362-370. PMID: 14985664. DOI: 10.1016/j.annemergmed.2003.09.008.
checked
Heal C, Sriharan S, Buttner PG, Kimber D. Comparing non-sterile to sterile gloves for minor surgery: a prospective randomised controlled non-inferiority trial. Med J Aust. 2015;202(1):27-31. PMID: 25588441. DOI: 10.5694/mja14.00314. ACTRN12612000698875.
checked
Research and draft: AI used · Cross-check: blind grading and adversarial audit
Final verification and publication gate: Codex · Evidence date: 2026-08-14 · Corrections: none
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Cite this verdict

Clean nonsterile gloves x infection after uncomplicated wound repair Evidence Grade B card
[Chamgap] Clean nonsterile gloves x infection after uncomplicated wound repair — Evidence Grade B·70. 2 cited sources checked. Source: https://chamgap.com/en/verdicts/skin-hair/clean-nonsterile-gloves-uncomplicated-wound-repair-infection/ · CC BY 4.0

CC BY 4.0 — free to use with attribution; do not distort grades, numbers, or verdict meaning.

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What this document does and does not do

Chamgap is an information source. It reports what research has and has not confirmed; it does not tell readers what to take or buy. That decision belongs to readers and, when needed, medical or legal professionals. This verdict reflects literature available up to the search date and may change as new research appears. Nothing here is medical advice.
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