Latex-free gloves: safer for whom?

Increasing latex hypersensitivity among patients and health care workers has prompted the development of latex-free surgical gloves. Latex-free gloves must perform equally as the existing latex standard. We analyzed perforation rates in a clinical trial comparing latex and a latex-free alternative during primary hip and knee arthroplasty. The overall latex glove perforation rate was 8.4% compared with 21.6% for the latex-free alternative (chi(2) P < .001). The operation perforation rate for latex gloves was 34.4% compared with 80% for latex-free gloves (chi(2) P < .001). We suggest that the latex-free glove tested cannot provide a reliable barrier between the surgeon and the patient. As such, we question the safety of these gloves and the standards sets by the regulators.

[1]  A. Flahault,et al.  Natural rubber latex allergy among health care workers: a systematic review of the evidence. , 2006, The Journal of allergy and clinical immunology.

[2]  D. Bonauto,et al.  Workers' compensation latex claims. , 2001, Journal of occupational and environmental medicine.

[3]  T. J. Sullivan,et al.  Health care worker disability due to latex allergy and asthma: a cost analysis. , 1999, American journal of public health.

[4]  P. Kelkar,et al.  Management of occupational allergy to natural rubber latex in a medical center: the importance of quantitative latex allergen measurement and objective follow-up. , 2002, The Journal of allergy and clinical immunology.

[5]  M. Lierl,et al.  Latex allergy in hospital employees. , 1993, Annals of allergy.

[6]  D. West The Risk of Hepatitis B Infection Among Health Professionals in the United States: A Review , 1984, The American journal of the medical sciences.

[7]  E. Berg,et al.  Efficacy of double-gloving as a barrier to microbial contamination during total joint arthroplasty. , 1981, The Journal of bone and joint surgery. American volume.

[8]  J. Goedert,et al.  HTLV-III infection among health care workers. Association with needle-stick injuries. , 1985, JAMA.

[9]  W. Barrie,et al.  Surgical glove perforations , 1988, The British journal of surgery.

[10]  Burkett,et al.  Prehistoric polymers: rubber processing in ancient mesoamerica , 1999, Science.

[11]  F. Lagier,et al.  Prevalence of latex allergy in operating room nurses. , 1992, The Journal of allergy and clinical immunology.

[12]  P. Finn,et al.  Glove perforation and contamination in primary total hip arthroplasty. , 2005, The Journal of bone and joint surgery. British volume.

[13]  L. W. Hunt,et al.  An Epidemic of Occupational Allergy to Latex Involving Health Care Workers , 1995, Journal of occupational and environmental medicine.

[14]  C. Skudlik,et al.  Primary prevention of natural rubber latex allergy in the German health care system through education and intervention. , 2002, The Journal of allergy and clinical immunology.

[15]  R. Arellano,et al.  Prevalence of latex sensitization among hospital physicians occupationally exposed to latex gloves. , 1992, Anesthesiology.

[16]  D. Williamson,et al.  Glove punctures in an orthopaedic trauma unit. , 1990, Injury.

[17]  C. Moran,et al.  Glove perforation during hip arthroplasty. A randomised prospective study of a new taperpoint needle. , 1993, The Journal of bone and joint surgery. British volume.