HEAD OFFICE USA OFFICE Malaysian Rubber Export Promotion Council Malaysian Rubber Export Promotion Council Unit No. 36-02, Level 36, Q Sentral 3516, International Court, NW, Washington DC 2A Jalan Stesen Sentral 2, KL Sentral 20008 USA 50470 Kuala Lumpur, Malaysia Tel : +1 202 572 9771 / 9721 Tel : +60 3 2782 2100 Fax : +1 202 572 9787 Fax : +60 3 2782 2199 Email : [email protected] Email : [email protected] INDIA OFFICE CHINA OFFICE 907, Tulsiani Chambers Shanghai Nariman Point Mumbai-400021 Unit 1708, Hong Kong Plaza Maharashtra, India 283 Huaihai Road Central, Huangpu District Shanghai 200021, P.R. China Tel : +91 22 6221 6725 Fax : +91 22 6223 2359 Tel : +86 21 3376 7001 Email : [email protected] Fax : +86 21 3376 7002 Email : [email protected] EUROPE OFFICE Guangzhou Email : [email protected] Room 505, Block A, China Shine Plaza No. 9 Linhe Xi Road, Tianhe Guangzhou 510610, P.R. China Tel : +86 20 2205 7707 Fax : +86 20 2205 7706 Email : [email protected] Know Your Medical Gloves www.mrepc.com Contents Know Your Medical Gloves 01 02 03 04 05 Rubber Functions and Disposable %HQH½WV %HQH½WV Medical Limitations of Medical of Using of Using Gloves Medical Gloves Gloves NR Gloves Nitrile Gloves Rubber Medical Gloves _____ _____ _____ _____ _____ Medical gloves are a form of personal protective equipment that prevent contamination of healthcare workers’ hands and help reduce transmission of pathogens when they are used appropriately along 06 07 08-09 10 11 with proper hand hygiene practices. %HQH½WVRI8VLQJ Surgical Gloves: Acceptable USFDA Labelling MDR Labelling Polychloroprene & Synthetic Double Gloving & Quality Level (AQL) Requirements for Requirements for All medical gloves are disposable, single-use items to prevent cross-contamination. The two main Polyisoprene (PI) Gloves Breach Detection for Medical Gloves Medical Gloves Medical Gloves types of disposable medical gloves are examination gloves and surgical gloves and they are available _____ _____ _____ _____ _____ in various types of materials including natural rubber latex, nitrile, polychloroprene and synthetic polyisoprene. 12 13 14-15 16 17 Medical gloves protect both healthcare providers and patients from the spread of infection or disease Labelling Requirements Labelling Requirements Good Malaysia’s Other during medical procedures and examinations. The Centers for Disease Control and Prevention of International of International Manufacturing Strengths Considerations _____ _____ (CDC) and the Occupational Safety and Health Administration (OSHA) all stress the importance of ISO 11193 Standards for ISO 10282 Standards Practices (GMP) _____ appropriate glove selection. In 2017 alone, 233 billion pieces of rubber gloves were consumed globally Examination Gloves for Surgical Gloves _____ _____ with most of them for medical purposes. 1KNOW YOUR MEDICAL GLOVES Disposable Medical Gloves Medical gloves are single-use items for safety reasons and the reprocessing of used disposable medical gloves for reuse is not recommended for the following reasons: Functions and Limitations Soiled used medical gloves are usually highly contaminated. Reprocessing of these gloves may of Medical Gloves not be able to completely decontaminate them, basically due to the glove design. Used gloves may contain prions that can cause transmissible spongiform encepha lopathies Depending on the barrier effectiveness of the (TSE) which is known to be resistant to many methods of decontamination and sterilisation. A protective barrier for healthcare workers gloves used, gloves do not provide complete when handling potentially infectious protection from cross-contamination or Used gloves also contain different levels of soiled biological and chemical materials which can materials or during patient care. needle stick injuries. PDNHFOHDQLQJDQGVWHULOLVDWLRQRIWKHUHSURFHVVHGJORYHVGLI½FXOW6WHULOLW\FDQRQO\EHDVVXUHG when the bioburden is below 1000cfu/unit product. 5HGXFH WKH ULVNV RI KDQG ¾RUDO PLJUDWLRQ Small defects in gloves or inappropriate from healthcare workers to patients which glove removal may transmit pathogens. In addition, certain chemicals may be released during reprocessing, which can cause adverse may cause infections, such as surgical site The defects may be developed during the irreversible chemical reactions to the gloves such as dissociation of crosslinks. infections, and vice versa. glove manufacturing process, storage, or As such, reprocessing can cause deterioration in the properties of gloves, such as tensile and prolonged use, or inappropriate handling by Reduce the risks of transmitting pathogens WHDUVWUHQJWKUHVXOWLQJLQUHGXFHGGXUDELOLW\RIWKH½QDOSURGXFWV from one patient to another patient or from users, such as donning gloves while wearing a contaminated surface to a patient by rings with sharp edges. Reprocessed gloves may also contain endotoxins from the dead bacteria found in the soiled changing the gloves worn between contacts, gloves. Depending on the conditions of use, surgical followed by hand hygiene procedures. gloves should be changed at least once every 90 minutes while examination gloves once Currently, there is no validated method available for addressing the above risks. Until such a method every 15 minutes due to the risk of perforation. is developed/established, healthcare workers are advised against the use of reprocessed medical Hand hygiene is a must before wearing gloves. and after removal of glove to ensure no contamination. 2KNOW YOUR MEDICAL GLOVES 3KNOW YOUR MEDICAL GLOVES GOOD CONFORM CLOSELY CONTAIN NO OIL RESISTANCE BARRIER TEAR TACTILE ELASTICITY TO THE HAND GOOD BARRIER PROTEINS Better resistance PROPERTIES RESISTANCE SENSITIVITY 3URYLGHVJRRG½WDQG PROPERTIES Suitable for use by CONFIGURATION against oils, Superior than those Better than nitrile and Surpasses all other comfort, as well as Suitable for use as healthcare workers Due to the stress toluene, petrol than of gloves of other synthetic polyisoprene gloves available in the reduces hand fatigue. medical gloves. who are allergic to relaxation properties NR or synthetic materials. gloves, among others. market place. The cuff grips well to NR proteins. of rubber and body polyisoprene. the surgical gown. heat after wearing. PRODUCT OF ESTABLISHED ALCOHOL TECHNOLOGY RESISTANCE Easy to make and low defect rate due Better than nitrile PUNCTURE to the long history of ACCELERATOR- gloves. RESISTANCE manufacturing, less FREE NITRILE waste is generated AGAINST ROUNDED during manufacturing. GLOVES PROBE Easier to make than %HQH½WVRI8VLQJ Better than NR %HQH½WVRI8VLQJ accelerator-free gloves. Both nitrile NR gloves and are ENVIRONMENTALLY NR Gloves and NR gloves have Nitrile Gloves therefore readily FRIENDLY a similar puncture available in the Low carbon resistance against market. GOOD DURABILITY needles. footprint products, High tensile and tear biodegradable resistance properties. because NR gloves are made from plant- based materials. ANTISTATIC LOWER COST ABILITY TO RESEAL SMALL PERFORATIONS OZONE RESISTANCE PROPERTIES Lower costs than WHEN PUNCTURED BY SHARP OBJECTS GOOD RESISTANCE THIN-FILM NITRILE GLOVES Better than NR most synthetic Provides additional barrier protection against Resistant against Suitable for clean Consumes less rubber material per glove than gloves, ozone gloves except for transmission of infectious pathogens. This polar liquids and room applications NR, with improved tactile sensitivity than regular cracking rarely occurs PVC gloves which unique property is not found in most if not all chemicals. such as handling nitrile gloves. in nitrile gloves during are not durable. non-NR gloves. semi-conductor storage. products. 4KNOW YOUR MEDICAL GLOVES 5KNOW YOUR MEDICAL GLOVES Surgical Gloves: GOOD BARRIER %HQH½WVRI8VLQJ PROPERTIES Double Gloving & Breach Detection Suitable for use as Polychloroprene Gloves medical gloves. Medical gloves are normally tested fresh under unused conditions. 8QGHUDFWXDOXVHFRQGLWLRQVWKHLUSURSHUWLHVPD\GHWHULRUDWHVLJQL½FDQWO\GXHWR repeated stretching, abrasion, handling of sharp objects and exposure to different types of liquids and chemicals. CONTAIN NO GOOD SOLVENT GOOD AGEING PROTEINS GOOD ELASTICITY RESISTANCE RESISTANCE The cuff can grip Suitable for use by Solvent resistance Ageing resistance healthcare workers well to the surgical The perforation rate of medical gloves during use depends on the duration of use. against polar and against heat, ozone gown. who are allergic to non-polar solvents. and light. NR proteins. The failure rate of surgical gloves due to perforation during use can be as high as 70%. Surgical glove perforation is one of the reasons that causes surgical site infections %HQH½WVRI8VLQJ6\QWKHWLF to patients. Risks of contracting diseases due to injury during surgery: HIV up to 0.4%; Hepatitis Polyisoprene (PI) Gloves B up to 30%; and Hepatitis C up to 10%. A study indicated that the perforation rate of surgical gloves can be reduced from as high as 47.8% for single gloving to as low as 0.4% for double gloving, i.e. the rate where both outer and inner gloves were perforated. CONTAIN NO GOOD ELASTICITY The invasive nature of surgery with its increased exposure to blood could GOOD BARRIER PROTEINS ALCOHOL The cuff can grip lead to a high risk of transfer of pathogens. Therefore, double gloving is often PROPERTIES Suitable for use by RESISTANCE well to the surgical practised in surgical operations to enhance the needed safety. Suitable for use as healthcare workers Better than nitrile JRZQDQGWKH½WDQG medical gloves. who are allergic to gloves.