Modern hand protection in medicine Modern hand protection in medicine The main means of protecting the hands of medical personnel are latex medical gloves , the use of which has increased significantly over the past decade, primarily due to the spread of infectious diseases and the protection of medical personnel. For the first time the gloves of rubber were used in 1834 by Dr. Richard Cook in New Jersey as a means of protection against pelvic sepsis in obstetrics, and in 1883 Dr. Joseph Bladgud conducted research on the level of infection, and proved that when using medical personnel gloves during surgical operations, the infection rate of patients is sharply reduced. But unfortunately when using latex glovesthere is a risk of allergy: - allergy to proteins contained in natural latex (Protein allergy type 1) - allergy to chemicals left in gloves after the end of the manufacturing process (Allergic contact dermatitis type 4). According to the latest research from Finland, more than 15% of medical personnel suffer from allergies. In order to reduce the risk of allergic reactions in the manufacture of gloves, special intensive cleaning and repeated washing technologies are used, the so-called "leaching", which ensures the minimum content of proteins and allergens. The frequency of positive reactions depends on the quality of the gloves used. ... In many cases, people who have tested positive to most allergenic gloves can use the less allergenic latex gloves completely painlessly . The sharp increase in cases of allergy to natural latex is also explained by the fact that gloves have recently appeared on the medical market. production by new companies that do not have sufficient experience in the production of latex products and are unable to provide the necessary quality control, but nevertheless, these gloves are widely available due to their low prices. Only major manufacturers, including Ansell, have the ability to continually improve their production technology, reducing both protein levels and chemical allergens. Unfortunately, some manufacturing companies still use the term "hypoallergenic", despite the fact that the latest edition of the European standard for gloves EN 455 part 3 and the US FDA standard prohibit the use of this term due to the fact that tests are carried out only to determine residual chemicals, but they cannot accurately determine the presence or absence of natural latex proteins, APPLYING CONFUL AND UNSUMMED GLOVES In our country, powdered latex gloves are widespread . Traditionally, powder has been used to make donning the glove easier. ... At the present time, there is no need to apply powder, because for this purpose, other substances are used that do not allow the latex to stick together. Powder, due to its abrasiveness, is one of the main causes of contact dermatitis (non-allergic), as well as frequent hand washing, use of soap or powder. Although powder itself is not an allergic agent, it can exacerbate allergic reactions to protein latex due to the fact that it can transport (through the air) latex allergens. In addition, studies have shown that being bioabsorbable, powder, falling on the wound surface during surgical operations, can serve as an additional aggressive factor. Therefore, there has been a recent trend towards more widespread use of powder-free gloves.For example, in some European countries it is not recommended to use powdered gloves during surgical procedures. Ansell offers a wide range of powder-free gloves , such as NUTEX, GAMMEX, DERMA CLEAN, NO POWDER SENSICLEAN, which, in addition to the above, have other advantages, namely: - a significant reduction in the content of latex allergens, both water-soluble proteins and irritating chemicals; - Surface treatment with silicone facilitates donning and provides additional protection against body fluids and contaminated blood serum; - additional surface treatment of the gloves guarantees a better grip in both dry and wet environments. SYNTHETIC GLOVES An alternative to gloves made of latex are synthetic gloves . A patient with an allergic reaction to latex should be treated in a completely latex-free environment. If there is at least one person in the surgical team who is allergic to latex, the use of synthetic gloves is recommended for all other members of the team . The use of synthetic glovesIt is also recommended for some categories of people who have not previously been diagnosed for an allergic reaction to latex, but who pose a statistical risk in the manifestation of allergies, such as patients who have undergone repeated surgical interventions or who have a hereditary predisposition to allergic reactions. For these categories of people, the only way to avoid the risk of allergies is to completely eliminate latex from the environment. Ansell, founded in 1905 and currently the largest manufacturer of latex products in the world, pioneered and began manufacturing synthetic gloves made from polymeric materials such as neoprene, polyurethane, vinyl (PVC) and nitrile. The advantage synthetic gloves is that, not inferior to natural latex in physical parameters, namely elasticity, elasticity and strength, synthetic gloves do not contain proteins and chemical catalysts used in the production of latex gloves , which means they are absolutely hypoallergenic. In addition, they provide comfort and convenience as reduce hand fatigue and sweating. Below are the synthetic products offered by Ansell, listing the benefits beyond the main benefit of all synthetic gloves , which is the absence of latex, compared to traditional latex gloves . DERMA PRENE Powder-free surgical gloves are made of neoprene. Provides better pull and puncture resistance than latex gloves and a wide range of chemicals including alcohols. Create an effective barrier against blood and pathogens. NITRA TEX Powder-free examination gloves are made of nitrile. Provides effective protection against chemicals, ideal for use in laboratories. Thanks to the thermoelastic material, they fit the hand well, creating additional comfort. SYNSATION Powder-free and powdered examination gloves are made of polyvinyl chloride. Resistant to oils and oily substances. Currently, ANSELL produces more than 20 types of latex low-allergenic and synthetic medical gloves , the safest for the consumer, both general-purpose and specialized, which are used in various fields of medicine. Specialized gloves include: MICRO-THIN Surgical powder-free super thin gloves providing extra sensitivity for use in ophthalmology, microsurgery and neurosurgery. MAXXUS Surgical powdered and powder-free very durable gloves (52% thicker than a regular surgical glove) provide higher puncture resistance, are used in traumatology and orthopedics. X-TENDA CUFF Gloves with an extended cuff (39 cm) for urology, gynecology and obstetrics СUT-RESISTANT Surgical synthetic gloves made of polypropylene fiber ("chain mail"), reusable (sterilized at least 12 times), protecting against cuts, are used when operating on infected patients, including HIV-infected. RADIATION ATTENUATION Lead- injected powder-free surgical gloves are used for radiography and radiotherapy. Ansell traditionally maintains a high level of quality of its products, which is primarily determined by the low content of allergenic proteins (<10 g / g according to the HLPC method (High Pressure Liquid Chromatography) and chemical allergens, the AQL does not exceed 1.5, and in some latex gloves, for example, Derma Clean 0.065. Products comply with international standards ISO 9002 and EN 46002 and Russian standards GOST 3-88 and TU 38 406416-91, have CE, BSI TUV, AFNOR and FDA certificates, as well as the Russian State Standard. 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