To the Editor The article by Stapleton et al1 on the use of perioperative jackets made interesting reading on this side of the Atlantic. In the UK National Health Service, we have a uniform policy that requires staff to be bare below the elbows. Operating room staff in the United Kingdom can be disciplined for covering up their forearms, whereas in the United States they can be disciplined for exactly the opposite. Neither policy has an adequate evidence base, so the response of surgeons is one of either reluctant acceptance or ridicule.
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Thomas AM. Use of Disposable Perioperative Jackets and Surgical Site Infections. JAMA Surg. Published online March 04, 2020. doi:10.1001/jamasurg.2019.6371
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