This document discusses the importance of using high-quality gloves in healthcare settings to prevent the spread of infections. Poor-quality gloves that tear or have pinholes can allow bacteria and viruses to pass between patients and staff, potentially causing outbreaks. Healthcare-associated infections already cause over 1.4 million illnesses globally each year. If gloves do not meet manufacturing standards, hundreds of thousands of bacteria can enter open wounds or penetrate a wearer's skin. Choosing gloves that pass water leak tests and meet international standards helps create an effective barrier against pathogens and protects vulnerable patients and healthcare workers.

1. Roll Of Gloves
Protecting Doctors, Patients, &
Healthcare staff.
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2. Patients & Healthcare providers
Entrust Quality Of Life And Life
Itself to Our Industry
Gloves Literally Touch Every Patient
Make Sure They Are Excellent
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3.  If gloves tear, abrade easily, or have
pinholes, microorganism can pass from
hospital staff to highly vulnerable
patients.
 If gloves are of poor quality, have
pinholes and do not meet various
manufacturing standards, hundreds of
thousands bacteria mixed with sweat
from the hand can flow into the open
wound and Vice Versa.
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4.  Staff, though generally far less susceptible
to infections than vulnerable patients, are
still at risk. Severe outbreaks of SARS,
Influenza, Norovirus, Tuberculosis, and
Hepatitis B have occurred, as have
infections such as Hepatitis C and rarely,
HIV. Additionally, healthcare staffs are
exposed to toxic agents such as
chemotherapeutic drugs which can readily
permeate through non-standard gloves and
penetrate into the wearer’s skin.
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5.  These infection not only impact
their lives, but can also cause
infertility and birth defects
affecting future generations of
Medical and Para-Medical Staff.
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6.  Compounders mixing the chemo drugs,
nurses infusing the patients, nurses aides
cleaning up vomit or excrement, and
custodial staff are all potentially exposed at
some level. Hospital staff must be informed
of potential consequences and aware of the
importance of proper protection.
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7. Global HAI Statistics
 At any point in time, >1.4 million peoples
are suffering from complications from HAIs
globally.
 HAIs: one of leading death globally.
 Developing countries HAIs can exceed
25%; with ICU at > 65%
 Though HAIs are quite high in developing
countries like INDIA
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8. INDIA Yearly
Human Burden of HAIs
 In India , like other developed and developing countries,
the Deaths due to HAIs have far more surpassed then
those due to Road Accidents, Diabetes, and other
infections.
 The main cause is lack of any regulatory body to oversee
or monitor quality of healthcare and disposable surgical
products.
 Lack of Awareness about the quality of product used and
most of the medical staff being played at the hands of Non-
sensitive Importers and Traders.
 Ironically, Glove market, unlike other Disposable products,
is majorly Rate Driven, rather than being QUALITY
SENSITIVE.
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9. Associated Financial Costs
 Direct US hospital costs:$35.7 to$45 billion.
 Even more if business and family costs calculated:
lost income for patient
• home care cost
• Disability subsidies
• Life insurance payout
• Malpractice litigation
• Cost of procuring/training replacement
• Direct Burden of HAI’s is on Government,
Government run and Subsidized Hospitals.
• Doctor, Staff and their families are at higher risk.
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10. Contact Transmission Is By Far
The Most Frequent Mode Of
Spreading pathogens.
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11. We don’t believe the things we
can’t see
If seeing is believing…
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12. …Lets Visualize
 We can’t see Air
 But as medicine man, we know of
 Air-borne infections
 We can feel air
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13. Very Recent Studies
 Floor/trays of lab refrigerators
 Phone handles
 I.V. solution bags
 Working station for mixing; bio-safety hoods
 Working surface for packaging and labeling
 Floor of preparation rooms
 Waste such as absorbent pads in treatment
area
 Contaminated pens, pencils, papers, food-
stuff
 Spills(small dries drips hazardous for
months)
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14. It all starts harmless enough.
depositing a few pathogens
 On bed side, Hospital furniture, uncovered
surfaces, even open cotton, Dressings,
Instruments, Electronic Equipments,
exposed Surgical products and likewise.
 Environmental surface contamination is
estimated to be 73% even contamination
don’t die when the surfaces become dry.
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15. So How/Where are Healthcare
professionals Getting Contaminated?
Chemo drugs found to be on:
 Cleaning up diarrhea of treated patient
 In heavy dose chemo
 sweat from health worker
 Leaking intravenous tubing connections
 Improper cleaning of spills
 During removal of personal protective equipment
 Food, drink eaten/stored in chemo preparation
areas.
 Disconnecting IV, Pump components at change-
outs; after finishing infusion.
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16. How Fast Do You Think An
Infection Could spread Here?
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17.  We as health Professionals can be a victims
ourselves at any given time due to any of
above causes.
 A time has a come when we need to move
together, towards preventive medicines and
measures then curative medicines.
 It is our moral duty to get on to the cause of
HAIs and sincerely plug the cause.
 Quality & Standard Glove is one of the
important tools in tackling HAI’s.
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18. So Let’s Kill
Infection Causing Pathogens by Use of Proper Gloves
Before Transfer To Another surface
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19. Use High Quality Glove
 Like Air, We can not see the pinholes in
gloves with Naked eye, but their presence
is Harmful.
 Pinholes allow bi-lateral crossing of
infection those defeating the purpose of
glove use.
 Surgical and Examination gloves
confirming to standards such as ASTM
D3577, EN 455 and ISO 282, must be
used.
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20. Barrier Performance
 All Gloves must pass the prescribed
standard for water leak test. The AQL for
this test must not exceed 1.5 and all
glove be sampled and inspected in
accordance with ISO standard.
High strength
 High strength is important to minimize the
possibility of Glove rupture or tear and
stress during use.
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21. Minimum Protein
 Latex protein allergies arising from presence of
high levels of residual extractable proteins can be
minimized by use of low protein and low powder
glove as per International Standards.
Quality Management
 All the manufactured gloves must have been
tested in laboratories accredited to ISO/IEC
17025 and be fully equipped to test various
gloves.
Eco Friendly
 Natural rubber/Latex is Bio-Degradable and Eco-
friendly in comparison to Nitriles.
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22. Rate Driven Market
 To compete on Rates, Quality is
compromised by
a. Glove thinning
b. Adding fillers that reduce tensil strength
c. Shorter cuffs(reduce splash protection
arm and gown cuff)
d. Reducing chlorination to one side:
 Increased concentration can push cross-
linking of surface from beneficial to
breakdown
 Changing formulation(impacts
penetration rate- even the dye!)
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23. The Single most ideal criteria for
selecting medical gloves:
 Ability to provide very effective barrier
performance against blood pathogens
and harmful infections.
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24. Presentation By: DR. Shekhar C Jindal