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Efficiency of Donning and Doffing Medical Examination Gloves
Daniel Preece, Roger Lewis, Matt J. Carré
Pages - 1 - 17     |    Revised - 30-06-2020     |    Published - 01-08-2020
Volume - 10   Issue - 1    |    Publication Date - August 2020  Table of Contents
Medical Examination Gloves, Donning, Glove Fit, Latex, Nitrile.
Quickly donning and doffing medical gloves is of vital importance for high-pressure environments. The efficiency of glove donning, however, is sometimes hindered because of moisture on the hand. A variety of commercial glove coatings exist that are said to enable a smoother donning process, however, no previous studies have examined the differences in time taken to don or doff gloves manufactured using different materials and coatings. The aim of this new study was to compare the efficiency of donning and doffing different glove types. 14 participants were timed on their efficiency to don and doff chlorinated latex and nitrile gloves, as well as polymer coated latex and nitrile gloves. All glove types were studied in both dry and wet hand conditions, leading to a total of 8 different glove condition combinations. The results indicate that polymer coated latex gloves are desirable when a quick glove change is required as there was no statistically significant difference between the average time taken to don these gloves in dry and wet hand conditions. Higher incidences of sticking were found among the wet hands, particularly in the polymer coated nitrile, which took the longest to don. However, little differences were found between all glove types, suggesting that neither the material itself, nor the internal coating, have an effect on the overall donning process when hands are dry. Discrepancies in best fit size were also noticed between the recommended sizes based on anthropometric measurements and the participants preferred glove size.
1 J.B.T. Herron, A.G.C. Hay-David, A.D. Gilliam, and P.A. Brennan. "Personal protective equipment and Covid 19- a risk to healthcare staff?" British Journal of Oral and Maxillofacial Surgery, vol. 58, no. 5, pp. 500-502, 2020.
2 V. Erasmus, T.J. Daha, H. Brug, J.H. Richardus, M.D. Behrendt, M.C. Vos, and E.F. van Beek. "Systematic Review of Studies on Compliance with Hand Hygiene Guidelines in Hospital Care." Infection Control & Hospital Epidemiology, vol. 31, no. 3, pp. 283-294, 2010.
3 World Health Organization. "WHO Guidelines on Hand Hygiene in Health Care". Geneva, Switzerland: WHO, 2011, pp. 12-64.
4 W. Picheansathian and J. Chotibang. "Glove utilization in the prevention of cross transmission: a systematic review." JBI Database of Systematic Reviews and Implementation Reports, vol. 13, no. 4, pp. 188-230, 2015.
5 E. Yip and P. Cacioli. "The manufacture of gloves from natural rubber latex." Journal of Allergy and Clinical Immunology, vol. 110, no. 2, pp. s3-s14, 2002.
6 C. Rock, A.D. Harris, N.G. Reich, J.K. Johnson, and K.A. Thom. "Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time?-A randomized controlled trial." American Journal of Infection Control, vol. 41, no. 11, pp. 994-996, 2013.
7 J. Baloh, K.A. Thom, E. Perencevich, C. Rock, G. Robinson, M. Ward, L. Herwaldt, and H.S. Reisinger. "Hand hygiene before donning nonsterile gloves: Healthcare workers' beliefs and practices." American Journal of Infection Control, vol. 47, no. 5, pp. 492-497, 2019.
8 M. Liu, S.-Z. Cheng, K.-W. Xu, Y. Yang, Q-T. Zhu, H. Zhang, D-Y. Yang, S-Y. Cheng, H. Xiao, J-W. Wang, H-R. Yao, Y-T. Cong, Y-Q. Zhou, S. Peng, M. Kuang, F-F. Hou, K. Cheng, and H-P. Xiao. "Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: cross sectional study". BMJ, vol. 369, no. m2195, pp. 1-6, 2020.
9 P. Mylon, R. Lewis, M.J. Carr�, and N. Martin. "A critical review of glove and hand research with regard to medical glove design." Ergonomics, vol. 57, no. 1, pp. 116-129, 2014.
10 D. Preece, R. Lewis, and M.J. Carré. (2020, Feb.). "A critical review of the assessment of medical gloves." Tribology - Materials, Surfaces & Interfaces. [Online]. pp. 1-10. Available: https://www.tandfonline.com/doi/abs/10.1080/17515831.2020.1730619 [May. 23, 2020].
11 A.D. Roberts and C.A. Brackley. "Comfort and frictional properties of dental gloves." Journal of Dentistry, vol. 24, no. 5, pp. 339-343, 1996.
12 A.D. Roberts and C.A. Brackley. "Friction of surgeons' gloves." Journal of Physics D: Applied Physics, vol. 25, no. 1A, pp. A28-A32, 1992.
13 J. Manhart, A. Hausberger, B. Maroh, A. Holzner, R. Schaller, W. Kern, and S. Sch�gal. "Tribological characteristics of medical gloves in contact with human skin and skin equivalents." Polymer Testing, vol. 82, pp. 106318, 2020.
14 I. Dianat, C.M. Haslegrave, and A.W. Stedmon, 'Methodology for evaluating gloves in relation to the effects on hand performance capabilities: a literature review',. Ergonomics. vol. 55, no. 11, pp. 1429-1451, 2012.
15 L.J. Pavlovich, M.J. Cox, J.G. Thacker, and R.F. Edlich. "Ease of donning surgical gloves: An important consideration in glove selection." The Journal of Emergency Medicine, vol. 13, no. 3, pp. 353-355, 1995.
16 R.F. Edlich, C.L. Heather, J.G. Thacker, and T.C. Wind. "Ease of Donning of New Powder-Free Non-Latex and Latex Double-Glove Hole Puncture Indication Systems." Journal of Long-Term Effects of Medical Implants, vol. 13, no. 2, pp. 91-96, 2003.
17 M.D. Fisher, J.G. Neal, J.N. Kheir, J.A. Woods, J.G. Thacker, and R.F. Edlich. "Ease of donning commercially available powder-free surgical gloves." Journal of Biomedical Materials Research, vol. 33, no. 4, pp. 291-295, 1996.
18 E.M. Jackson, F.M. Williams, J.G. Neal, F. Suber, J.G. Thacker, and R.F. Edlich. "Biomechanical performance of examination gloves". Journal of Biomedical Materials Research, vol. 48, no. 4, pp. 572-577, 1999.
19 S.J. Cóté, M.D. Fisher, J.N. Kheir, R.B. Paull, J.G. Neal, E.M. Jackson, F. Suber, J.G. Thacker, J.S. O'Keffe, and E.F. Edlich. "Ease of donning commercially available latex examination gloves." Journal of Biomedical Materials Research, vol. 43, no. 3, pp. 331-337, 1998.
20 T. Drabek, C.D. Boucek, and C.W. Buffington. "Wearing the Wrong Size Latex Surgical Gloves Impairs Manual Dexterity." Journal of Occupational and Environmental Hygiene, vol. 7, no. 3, pp. 152-155, 2010.
21 E.L. Ong. "Recent Advances in the Malaysia's Glove Industry in Meeting Today's healthcare Challenges." Proceedings Latex Conference 2001. 2001, pp. 37-50.
22 T. Akabane. "Production Method & Market Trend of Rubber Gloves." International Polymer Science and Technology, vol. 43, no. 5, pp. 45-50, 2016.
23 P. Mylon, R. Lewis, M.J. Carré, N. Martin, and S. Brown. "A study of clinicians' views on medical gloves and their effect on manual performance." American Journal of Infection Control, vol. 42, pp. 48- 54, 2014.
24 Health and Safety Executive. "Glove sizes - measuring your hand". Internet: https://www.hse.gov.uk/skin/employ/glovesizes.htm, 2010, [Jul. 3, 2020]
25 B.N.J. Persson, A. Kovalev, and S.N. Gorb. "Contact Mechanics and Friction on Dry and Wet Human Skin." Tribology Letters, vol. 50, no. 1, pp. 17-30, 2013.
26 G.Y. Yew, T.C. Tham, C.L. Law, D.-T. Chu, C. Ogino, and P.L. Show. "Emerging crosslinking techniques for glove manufacturers with improved nitrile glove properties and reduced allergic risks." Materials Today Communications, vol. 19, pp. 39-50, 2019.
27 M. Watson, P. Christoforou, P. Herrera, D. Preece, J. Carrell, M. Harmon, P. Krier, S. Lewis, R. Maiti, W. Skipper, E. Taylor, J. Walsh, M. Zalzalah, L. Alhadeff, R. Kempka, J. Lanigan, Z.S. Lee, B. White, K. Ishizaka, R. Lewis, T. Slatter, R. Dwyer-Joyce, and M. Marshall. "An analysis of the quality of experimental design and reliability of results in tribology research." Wear, vol. 426-427, pp. 1712-1718, 2019.
28 S. Jee and M.H. Yun. "Estimation of stature from diversified hand anthropometric dimensions from Korean population." Journal of Forensic and Legal Medicine, vol. 35, pp. 9-14, 2015.
29 H.D. Bondell and B.J. Reich. "Simultaneous factor selection and collapsing levels in ANOVA." Biometrics, vol. 65, no. 1, pp. 169-177, 2009.
30 W. Haynes. "Tukey's Test" In: Encyclopedia of Systems Biology. New York, USA: Springer, 2013, pp. 2303-2304.
31 Dinno. "Nonparametric Pairwise Multiple Comparisons in Independent Groups using Dunn's Test." The Stata Journal: Promoting communications on statistics and Stata, vol. 15, no. 1, pp. 292-300, 2015.
32 F. Wilcoxon. "Individual Comparisons by Ranking Methods." Biometrics Bulletin, vol. 1, no. 6, pp. 80-83, 1945.
33 J. Sawyer and A. Bennet. "Comparing the Level of Dexterity offered by Latex and Nitrile SafeSkin Gloves." Annals of Occupational Hygiene, vol. 50, no. 3, pp. 289-296, 2005.
34 H.B. Patel, G.J.P. Fleming, and F.J.T. Burke. "Puncture resistance and stiffness of nitrile and latex dental examination gloves." British Dental Journal, vol. 196, no. 11, pp. 695-700, 2004.
35 P. Mylon, R. Lewis, M.J. Carré, and N. Martin. "An evaluation of dexterity and cutaneous sensibility tests for use with medical gloves." Proceedings of the Institution of Mechanical Engineers, Part C: Journal of Mechanical Engineering Science, vol. 120, no 16, pp. 2896-2912, 2016.
Mr. Daniel Preece
Mechanical Engineering, University of Sheffield, Sheffield, S1 3JD - United Kingdom
Professor Roger Lewis
Mechanical Engineering, University of Sheffield, Sheffield, S1 3JD - United Kingdom
Professor Matt J. Carré
Mechanical Engineering, University of Sheffield, Sheffield, S1 3JD - United Kingdom