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Thank you Chris This is very useful information indeed. Gill Smith (Mrs) Director- Eminence Occupational Health Ltd Specialist Occupational Health Nurse Ph: 07711284142 Email: [log in to unmask] Eminence Final Logo_Low Resolution.jpg Eminence Occupational Health Limited`s Head office is registered at 3 Summerfield Drive, Llantrisant, Pontyclun, CF72 8QF. Registered Number is: 7848586 This e-mail and any files transmitted with it are confidential and are intended solely for the individual or entity to whom they are addressed and may contain information that is confidential, subject to copyright or which constitutes a trade secret. If you have received this e-mail in error, please notify us and then delete it immediately. If you are not the intended recipient, any disclosure, copying, distribution or other use of this e-mail is strictly prohibited. Any views or opinions presented are solely those of the author and do not necessarily represent those of Eminence Occupational Health Ltd which does not accept liability for any action taken in reliance of this e-mail. Whilst all reasonable care has been taken, no guarantee is given that this correspondence is free from any virus and we accept no liability or responsibility for such viruses. Eminence Occupational Health Limited use Microsoft Office 2007, if you are having problems opening attachments contained within emails, you can download the office 2007 viewer from the Microsoft website. P Please think before printing this page 115 billion sheets of paper are used annually for PC printers. Source: id2.ca/downloads/eco-design-paper-facts.pdf From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Chris Packham Sent: 21 October 2011 07:55 To: [log in to unmask] Subject: Re: [OCC-HEALTH] what to do if someone develops dermatitis possible due to glove use? Diane Just to respond on the forum on this. Without knowing a lot more about the exact circumstances it is difficult to suggest a definitive approach. However, the following are some of the questions that I would ask myself if I were called upon to investigate the problem. 1. Has anything already been done to identify the type of dermatitis. Almost inevitably this would require a clinical investigation by a dermatologist who can carry out patch testing to determine if we are dealing with a genuine allergic reaction and to what? 2. I would want to take a full history of what has happened. This would also be needed for the dermatologist to know what to patch test with. 3. What gloves are being worn? Are they appropriate for the circumstances? I have encountered situations where the problem has been attributed to the gloves, whereas as a result of glove permeation the dermatitis was due to the chemical against which the gloves were supposed to be protecting. Remember that manufacturers' performance data as published is based on a flawed standard and laboratory test methods that do not necessarily reflect how gloves are used. In some situations 'in use' testing is required to establish how long the gloves will protect for. 4. Are the gloves being used correctly, i.e. clean hands into gloves, correct removal so that hands are not being contaminated with what is on the outside of the glove (a very common problem, as we find when we carry out glove awareness training). Dermatitis due to glove wearing is frequently an irritant contact dermatitis due to the hyperhydration that occurs to the occluded skin. It can be identical to an allergic reaction to the actual glove, so often a false assumption occurs. In Germany the problem with occlusion has been recognised and where gloves have to be worn for more than two hours in total in an eight hour shift special measures, such as the wearing of separate cotton liners, regular skin condition checks by a suitably qualified person, etc. are required. As a short term measure, and assuming that the correct glove selection and use system is in place and being adhered to, the use of separate cotton liners would be one measure that could be tried. Chris Chris Packham FRSPH, FInstSMM, MCMI, MIIRSM, MBICSc EnviroDerm Services Unit 10, Building 11, The Mews, Mitcheldean, GL17 0SN Tel: +44 1386 832 311 (office), Mobile: +44 7818 035 898 ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH