Transcript Slide 1

Hand Protection
Gloves
 Minimize
the risk of acquiring infections from patients
 Prevent
microbial flora from being transmitted from
dental health care providers to patients
 Reduce
contamination of the hands of dental health
providers by microbial flora that can be transmitted from
patient to patient
 Are
not a substitute for hand washing!
Latex Hypersensitivity

Mild to Moderate
 Contact
Dermatitis – Localized Rash
 Non
Allergic type – Skin Dry & Itchy
 Allergic Type IV: Delayed reactionappears over time 12-48 hrs

Moderate to Severe Hypersensitivity
 Allergic
Type I
 Immediate
hypersensitivity – may include runny
nose, itchy eyes, hives, ‘burning’ skin
 Severe reactions effect respiratory system
Irritant Contact Dermatitis:
Irritant Contact Dermatitis: Most common reaction to latex products. Dry,
itchy, irritated areas on the skin, usually the hands. Not a true allergy.
Allergic Contact Dermatitis:
Results from exposure
to chemicals added to
latex during
harvesting, processing
or manufacturing.
Rash usually begins
24- 48 hours after
contact and may
progress to oozing
skin blisters.
Latex allergy can be
acquired over time.
Latex Allergy (Type 1 or immediate):
The most
serious of
the reactions
that usually
begins within
minutes of
exposure to
latex, can
occur hours
later with a
variety of
symptoms.
Incidence of latex reaction
In Summary:


Hand washing

Wet hands with cool or lukewarm water, apply soap, rub
hands together for at least 15 seconds

Rinse and dry with disposable towel

Use towel to turn off faucet
Hand rubs

Apply to palm of one hand, rub hands
together covering all surfaces until dry

Volume:
 Based
on manufacturer’s instructions

Wear gloves when contacting blood, saliva, and
mucous membranes

Remove gloves immediately torn, cut or punctured

Remove gloves after patient care

Do not wash, disinfect or sterilize
gloves for reuse
Recommendations for Gloving:

Wear gloves when contact with blood, saliva, and mucous
membranes is possible

Remove gloves immediately that are torn, cut or punctured

Remove gloves after patient care

Do not wash, disinfect or sterilize gloves for reuse
Types of Procedural Gloves”
Patient Procedure
Surgical
Housekeeping
Housekeeping
Gloves
Look closely at the gloves
you choose!
Vinyl gloves used to clean
the operatory look very
similar to the latex gloves.
It is hard to tell the
difference between them.
(Vinyl is thicker to the feel).
Types of Patient Procedure Gloves:
Nitril
Latex
A Balancing Act: Which to choose?
Glove Fit:




Should be available in
a variety of sizes and
types
May causes hand
fatigue if gloves don’t
fit correctly
Glove integrity may be
compromised
Injury is more likely to
occur do to an ill fitting
glove
Example of Gloves that are too TIGHT
Will cause fatigue as fingers try to flex
Pulls too tightly across the palm.
Will cause fatigue at thumb joint.
Example of Gloves that are too LOOSE
Gloves that are too large pose a danger as excess
glove material can catch on something and tear.
Tactile sensitivity during procedures is greatly
reduced as well.
Example of Gloves that are JUST RIGHT!
Taking off the first glove:
1.
2.
3.
4.
5.
Taking off the second glove:
2.
1.
5.
4.
6
.
Disposal: