In 90% cases, it is not uncommon to find cleaners cleaning without wearing gloves or food handlers serving food with bare hands or for that matter hospital washroom janitor working without any protection. In hospitals, doctors use hand gloves for sterile surgical procedures, for surgeries and also for patient examination. Nurses and other healthcare workers use hand gloves during patient care to protect themselves from blood and other body fluids and also from HIV, HbsAg, HCV and other contact infections. Food outlets, personel care centres and the housekeeping industry also warrant the use of hand gloves.
The general reluctance to wear them is because of lack of enforcement, opines Jayachandran Pillai, CEO, Clean Pro, a facility management firm based out of Bangalore. “Basically in India, wearing gloves was never a practice. Menial jobs, irrespective of a private or government organization, was being done by a set of people who were never bothered to be educated.” Even though, gloves are an inherent part of workplace uniform and as important as wearing helmets or boots at workshops, it is seldom given that importance in common places like a washroom, which is much more contaminated and hazardous.
“The use of gloves when not indicated represents a waste of resources,” affims Dr Dhruv K. Mamtora, Consulting Microbiology and Infection Control Officer, S.L. Raheja Hospitals, Mumbai. He is also a member of IAMM, IATP and ISID. This approach of adhering to compliances is no doubt good. At the same time, not implementing the same in places which may not have statutory obligation but require compliance is generally evaded. Further, even in places where gloves are used extensively as a matter of compliance, lack of proper handling of gloves too can create infection. “Improper handling may also result in missed opportunities for hand hygiene. The use of contaminated gloves caused by inappropriate storage, inappropriate handling and techniques for donning and removing, may result in germ transmission,” he adds.
The hand glove market in India is big and growing, with a lot of brand presence. From cotton to nitrile, and from powder-free to slip-proof, the varieties are amazing and customised for utility in each industry. The general consumption of gloves depends on the patient/client footfall and corresponding use. Maximum sterile supply in hospitals are for OT, procedure rooms and for routine dressing purposes. The examination gloves are used in laboratory, critical care and other areas where direct patient blood or body fluid exposure is anticipated. In facility management, hand gloves are used while cleaning restrooms in residential and commercial establishments.
Strength, comfort and fitting of gloves are the factors that guide in choosing the right brands. Hospitals are guided by their own purchase policy too. Surgicare, with its tested quality and peerless performance remains the surgeons’ choice in hospitals. Brands like 3M and Scotch brite are very commonly used in the housekeeping industry.