From Big Medical Encyclopedia

GLOVES MEDICAL (synonym: gloves are medical protective, gloves safety) — the rubber gloves applied in medicine to protection of hands of personnel against pollution, traumatization, effect of aggressive and toxic agents (alkali, to - you, solutions of salts of heavy metals, etc.), and also for prevention of infection with hands of sterile objects, devices and tissues of the patient.

In the USSR gloves surgical rubber (GOST 3 — 75) and P. of m anatomic are issued (TU No. 38106140 — 76).

Items of m surgical apply during operations and bandagings since any of ways of processing of hands does not guarantee them to absolute sterility. At the same time they protect hands from infection separated from purulent wounds.

For the first time in 1889 W. S. Halsted applied gloves from fabric, I. Mikulich in 1897 — gloves, braided of threads, B. G. Tsege-Manteyfel in 1897 — gloves from rubber. In 1898 Mr. P. L. Friedrich suggested to make for surgeons of a glove of latex compound, to-rye were generally recognized.

In the USSR surgical gloves are made of rubber adhesive (type A) or latex compound — natural latex of rubber-bearing plants (type B). Gloves from latex compound are stronger. Depending on width of a wrist and a brush, length of a long (III) finger release gloves of ten numbers (see the table).

&Tablitsa.Nbsp; Principal dimensions of gloves surgical rubber, released in the USSR (&vnbsp; oo)

Length of a glove of any number 275 of mm, thickness of two walls — 0,45 +-i 1,15 mm. Gloves are made without seams; The I finger of a glove otformovyvatsya towards a palmar surface at the level of II fingers. The Manzhetny part of a glove comes to an end with a nimbus 2 thick ± 0,5 mm. Number of a glove can be determined by length of this nimbus (without stretching). At distance no more than 50 mm from a nimbus are put marking in which the type of gloves (And or B) and number is specified.

For performance of operation P. of m it is necessary to put on previously processed hands (see. Processing of hands ). During operation of a hand in gloves quickly sweat, their epidermis is loosened and from deep layers of skin sweat together with microbes which mixing up with talc, epidermis, a secret of sebaceous glands is emitted, forms so-called glove juice. In case of disturbance of an integrity of gloves there is a real threat of infection of a wound. Therefore the surgeon is obliged to watch closely an integrity of gloves and to timely change them, processing hands every time of 96% alcohol. X. X. Mathias (1977) recommends to operate for bigger reliability in 2 pairs of gloves.

Before P.'s use m will sterilize in the autoclave at t ° 120 ° +-2 ° within 30 min., previously having dried up, having poured harmless powder (talc) and having separately turned in a gauze.

For washing, a reversing, oversleeping by talc and checks of gloves on an integrity are designed special cars, to-rye apply at the centralized sterilization; in small operating rooms all this becomes manually. At a mortgaging on sterilization and before putting on on hands it is important to check gloves for an integrity. It is reached by crossclamping of a manzhetny part of a glove and squeezing of its other part. Once the used gloves can be sterilized repeatedly, previously laundering from blood.

The gloves used in dressing and viewing after washing with soap will sterilize, immersing in a liquid antiseptic agent (chloroamine, Diocidum, etc.) and keeping in solution not less than 1 hour.

In medical practice also apply so-called liquid gloves — filmogens. One of the drugs forming a bactericidal film on hands is the tse-crossbar; the film after operation is washed away by alcohol.

Items of m anatomic serve in the basic for protection of hands of medical staff against pollution, bruises and influence of harmful substances during the opening of corpses, their preparation and other works. These gloves have the same sizes, as surgical, but is much stronger than them (thickness to 0,5 mm). They are opaque, can be painted in various colors.

It is recommended to store P. of m at a temperature from 0 to +25 ° and relative humidity of air not higher than 80% at distance not less than 1 m from sources of heat. It is not necessary to treat gloves to action of the direct sunshine, UV rays, oils, gasoline, ether and other substances destroying rubber. Warranty period of storage of P. of m of 15 months.

Bibliography: The reference book of the instrument and dressing nurse, under the editorship of B. D. Komarov, page 31, M., 1976.

V. A. Sakharov.