Hand dermatitis. The role of gloves

The wide range of problems that occur in association with occupational skin exposure has brought into focus the need to understand the role of allergens in skin disease. Their impact on health, their role in the causation of skin disease, and the measures that can be instituted to regulate, control, and prevent skin problems are receiving increased attention by OR managers because of the associated costs of skin reactions in OR nurses and the inherent dangers associated with latex allergy. Latex gloves have become a standard part of OR attire, and even though they serve as the primary form of hand protection in the OR, gloves also may serve as one of the key causes of contact or allergic dermatitis in OR personnel. The high frequency of latex glove allergy, especially in OR nurses and surgeons, focuses attention on the need to evaluate the type and quality of surgical latex gloves selected for use. When instances of new skin reactions appear in nursing personnel. OR managers should look for recent changes in glove brands, scrub products, or antimicrobial agents as possible trigger allergens. In such circumstances, managers may wish to use hypoallergenic products as a solution. Although hypoallergenic and/or powder-free gloves or scrub products may be more costly on a unit basis, when compared to the time lost from work, physical discomfort of the worker, and the expense of treatment, they are really quite a bargain.