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Oxy  
#1 Posted : 19 August 2021 07:21:51(UTC)
Rank: Forum user
Oxy

We have just started works on a project. We are working in very hot conditions, it can be very humid and the technicians are sweating very heavily when working. Of course this comes with challenges, with most of them having obvious controls which we have implemented...however, one issue that keep coming to light is the moisture build up and sweating within the gloves that technicians are wearing, this is causing their skin to saturate and for the skin to break down on their fingers/palms, with the outer layers of the epidermis to peel off. This has only been the first couple of days working with this, so I want to find some sort of solution to this quickly. Our project/company requirements require gloves conforming to EN 407 and EN 388 to be worn at at all times. Anyone faced this issue before? Or alternatively, any suggestions would be great. 

Kate  
#2 Posted : 19 August 2021 08:09:27(UTC)
Rank: Super forum user
Kate

An organisation I worked for had a similar issue and the answer was to abandon the "wear gloves all the time" blanket policy.

thanks 1 user thanked Kate for this useful post.
peter gotch on 19/08/2021(UTC)
Roundtuit  
#3 Posted : 19 August 2021 08:42:39(UTC)
Rank: Super forum user
Roundtuit

Chris.Packham is eminently knowlegeable in this field - you could try a PM

Roundtuit  
#4 Posted : 19 August 2021 08:42:39(UTC)
Rank: Super forum user
Roundtuit

Chris.Packham is eminently knowlegeable in this field - you could try a PM

chris.packham  
#5 Posted : 19 August 2021 09:49:28(UTC)
Rank: Super forum user
chris.packham

The simple fact is that all occlusive gloves will cause irritant damage to the skin regardless of the material they are made from. Whilst it is commonly believed that this is due to sweat, this is not the case. Nor is this an allergic reaction to the gloves as often assumend.

We all lose water through the skin all the time over the whole of the body, including the hands. It is called trans-epidermal water loss, generally referred to as TEWL. Normally TEWL is invisible and evaporates unseen and unfelt from the body. However, when gloves are worn this cannot happen for the hands. The moisture is reabsorbed into the skin and creates what is termed hyperhydration. Any sweating will exacerbate this. This hyperhydration causes reactions in cells in the epidermis and can easily lead to irritant contact dermatitis when gloves are worn for more than short periods. In the PPE regulations there is a requirement to manage this condition. How will depend on actual conditions under which gloves are used. One can argue that wearing occlusive gloves when they are not required contravenes the requirements of COSHH as it is deliberately exposing the workers' hands to damage. Happy to advise if contacted off the forum.

thanks 6 users thanked chris.packham for this useful post.
Kate on 19/08/2021(UTC), CptBeaky on 19/08/2021(UTC), peter gotch on 19/08/2021(UTC), Gerry Knowles on 19/08/2021(UTC), Oxy on 20/08/2021(UTC), nic168 on 01/09/2021(UTC)
Kate  
#6 Posted : 19 August 2021 10:20:04(UTC)
Rank: Super forum user
Kate

I like the argument that mandating gloves when not needed is in contravention of COSHH!

thanks 1 user thanked Kate for this useful post.
peter gotch on 19/08/2021(UTC)
chris.packham  
#7 Posted : 19 August 2021 10:56:12(UTC)
Rank: Super forum user
chris.packham

Kate, it is on a par with the one size of chemical protective glove will be suitable for use across a site of workplace. Totally disregards the complexity of selection and use of gloves for chemical protection.

Oxy  
#8 Posted : 20 August 2021 02:52:00(UTC)
Rank: Forum user
Oxy

Thanks for replies. Yes, I will push for gloves to being used for 'hands on' tasks that require them. There has been discussions on how to manage this on site: suggestions are the regular application of baby powder inside the gloves to absorb the moisture, and to issue technicians with a small towel to dry hands regularly. The temperatures can reach up to 35 and the humidty is high so as you can imagine the gents out on site are sweating a lot and making the issue worse. 

stevedm  
#9 Posted : 20 August 2021 07:56:47(UTC)
Rank: Super forum user
stevedm

not necessarily about the gloves more the work environment skind issue is a by product...rotation, regular changing of the gloves, we have had issues in the past with paramedics and doctors in hot countries (mid east and africa) more asbout working in extreme environments than the fact that they have the gloves on 

chris.packham  
#10 Posted : 20 August 2021 08:56:01(UTC)
Rank: Super forum user
chris.packham

Baby powder will do nothing much to prevent skin hyperhydration and may even cause skin problems when used in an occluded situation.

REGULATION (EU) 2016/425 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 9 March 2016 on personal protective equipment and repealing Council Directive 89/686/EEC

2.2  PPE enclosing parts of the body to be protected

PPE must be designed and manufactured in a way that perspiration resulting from use is minimised. Otherwise it must be equipped with means of absorbing perspiration

Taken from my slides for a webinar on gloves that I have held this study illustrates that glove occlusion on normal skin 6 h/day for 14 days compromises skin barrier function, as measured by TEWL. Furthermore, occlusion caused dermatitis in 6 of the 37 (16%) volunteers participating in the study.

"The irritant effect on the barrier function was prevented by the use of a cotton glove worn under the occlusive glove." - Ramsing DW, Agner T, Effect of glove occlusion on human skin (II) Long-term experimental exposure, Contact Dermatitis, 1996. 34, 25S-262

Of course, given your conditions, it will be ncccessary to replace the cotton gloves several times as they become saturated. If cost dictates they can be rinsed, dried and reused.

In Germany their technical regulations for hazardous substances states that where gloves are worn for more that 2 hours in total in an eight hour shift cotton undergloves must we worn.

If you need more PM me.

thanks 2 users thanked chris.packham for this useful post.
peter gotch on 20/08/2021(UTC), Oxy on 21/08/2021(UTC)
craigroberts76  
#11 Posted : 23 August 2021 11:30:38(UTC)
Rank: Forum user
craigroberts76

my wife works in an opticians and NHS england are still demanding that they all wear gloves apart from when on lunch. They have to adhere to the rules or lose their license, however to me the ability to quickly wash hands and sanitize (bear in mind all regulations have now been dropped in the bigger world) is a better solution than wearing gloves all day and potentially causing dermatitus issues later on.

chris.packham  
#12 Posted : 23 August 2021 12:41:16(UTC)
Rank: Super forum user
chris.packham

Craig - If all hospitals adhered to the NICE accredited guidance on infection prevention for NHS England then hand washing would be a rarity on most wards. Yet our local hospital still majors on hand washing for nurses despite the guidance being for alcohol sanitiser (with two specific exceptions). Furthermore when a study looked at the transmission of microorganisms, specifically MRSA, they found that the vector in 85% of cases was the virus on the surface of the nurses gloves. Sometimes I despair!

chris.packham  
#13 Posted : 23 August 2021 12:47:50(UTC)
Rank: Super forum user
chris.packham

Craig - I have just looked up the recommendation in the NICE accredited guidance for NHS England regarding gloves and this is what I find:

Recommendation SP22

Gloves must be:

• worn as single-use items;

• put on immediately before an episode of patient contact or treatment;

removed as soon as the episode is completed;

• changed between caring for different patients; and

• disposed of into the appropriate waste stream in accordance with local policies for waste management

Note the one I have underlined!

chris.packham  
#14 Posted : 26 August 2021 09:44:52(UTC)
Rank: Super forum user
chris.packham

With regard to gloves for use in a healthcare setting, those concerned would do well to go the the WHO document 'Glove Use Information Leaflet' in their section on Patient Safety. If you have difficulty accessing this drop me a PM with an e-mail address and I will send you a copy.

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