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Posted By Edward H
I am trying to source a moisturising hand cream that can be used by latex glove wearers that will not degrade the latex.
Can any of you suggest a suitable product and/or supplier?
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Posted By Tracey C
Hi Edward
Ring a company call Jangro Supplies Ltd on 0845 458 5223 they do a product call Flora Free Skin Conditioning Cream Code BN060 they come in 700ml bottles and a case of 6 or you can buy them individually. If you ring them ask for Zoe she has all the answers.
Hope this helps.
T
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Posted By Chris Packham
Question:- Why use hand creams underneath gloves?
A hand cream is used to replace the skin's natural hydrolipidic layer so as to prevent excessive moisture loss such that the stratum corneum dries and ceases to work effectively as a barrier.
Unerneath an occlusive (i.e. chemical protective glove of any material) the opposite is our concern. The skin will become excessively moist, which itself can cause occupational contact dermatitis. Thus the use of a cream underneath gloves is pointless and can actually be a potential hazard.
Almost all creams contain a preservative. This is another name for a biocide. Biocides are all irritant and virtually all are sensitisers.
Used on unoccluded skin the small amount of preservative does not normally cause any problem (although allergic reactions can and do occur). However, in the hyperhydrated skin inside a glove pathways are created whereby the preservative (i.e. irritant and sensitiser) can penetrate and reach the viable epidermis. This creates an increased risk of sensitisation and allergic reaction.
In other words, creams should not be used on the skin when the skin is to be inserted into an occlusive glove.
Chris
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Posted By John-Mark
Latex Gloves? Speaking from personal experience, the skin problems they cause are bad enough without worrying about creams. Consider swapping them for non-latex types, eg vinyl.
JM
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Posted By Chris Packham
I have to respond about the negative comments re latex gloves.
The often hyped up problem of latex allergy has always been restricted to the high free protein, powdered (and usually cheap) single use natural rubber latex gloves.
At the conference at the Royal Free Hospital in London on Monday it was stated by two eminent speakers that there are no validated reports of latex sensitisation to the low free protein, unpowdered natural rubber latex gloves. Industrial latex gloves have never shown this problem anyway.
Vinyl should not be used as a replacement for natural rubber latex against biological hazards as numerous studies have shown lower levels of protection against such hazards.
The recommendation in the new "official" guidelines on prevention of infection in hospitals in England and Wales (epic2) states that natural rubber latex gloves should be the gloves of choice.
Of course, when concerned with protection against chemical hazards natural rubber latex might not be the correct material, but if it isn't then the data show that vinyl would not be either.
Chris
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Posted By Diane Thomason
Hi Chris
Would be most grateful for a "quotable quote" about the 2 speakers at the Royal Free.
i.e. who they were and what they said.
Would be very useful for those cases when a degree of evidence is needed.
Regards
Diane
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Posted By Chris Packham
Diane
I have a massive amount of evidence on latex allergy and it is a question of sorting what is most suitable for you. I suggest you give me a call on 01386 832 311 and we can discuss what best meets your needs.
Chris
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Posted By Edward H
This is what I love about this forum, a simple request can spark off all kinds of tangents.
However to return to the original matter... the scenario is that for the majority of the time the staff do not need to use gloves, they follow a good hand washing regime which controls the main risk of cross-contamination. However the repeated washing drys the skin and a moisturiser helps.
From time to time they need to deal with higher-risk procedures that require gloving, this may occur soon after they have moisturised and I am concerned that residual oils etc. could compromise the latex glove.
Vinyl is an option, but several staff prefer latex and I was hoping to be able to allow their choice. Any other offers for brands of moisturiser?
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Posted By Blaise Hi Edward Have a look at STOKO's Progel which is an under glove product to help combat skin problems. Here's a link - http://www.stoko.com/not...37B?opendocument&nspr=enWe use it in our Laboratories and have found it affective. It should be used in conjunction with a good hygiene regime. Blaise
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Posted By Chris Packham
As I stated in my original posting, there is no point served in moisturising if hands are to be inserted into occlusive gloves. The purpose of the moisturiser is to prevent excessive moisture loss (TEWL) from the skin. Under an occlusive glove the opposite is the case.
In Germany, for example, wearing occlusive gloves is equated with wet work. Where gloves have to be worn for exended periods, then special precautions have to be taken (Technisch Regel fur Gefahrstoffe Nr. 401). Wearing of creams underneath the gloves is not one of the recommendations.
I had a long discussion about this with the dermatologist who participated in our course last month and his view was the same as mine. The wearing of creams underneath gloves can increase the risk of allergic contact dermatitis from the constituents in the cream.
However, once the gloves are removed, then the hands should be rinsed in lukewarm or cold water, dried and then a moisturising lotion applied.
Note: Lotion, not cream. There is evidence that applying thick creams (which is what many of the skin care product manufacturers will recommend) to relatively undamaged skin can increase the potential for damage due to contact with irritants.
Chris
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