Commentary by the Commission for Hospital Hygiene and Infection Prevention (KRINKO) on the indication-based use of disposable medical gloves in the healthcare sector.

Abstract

Introduction: When using disposable medical gloves, the indications for their use are not always clear in practice, so that they are often worn even in cases where this is neither necessary for the protection of the patient nor for self-protection. This can not only lead to neglect of adequate hand hygiene, but is also ecologically critical in terms of glove consumption and the resources used.

Method: German and international recommendations, including WHO guidelines and information, statements and separate publications on indications and non-indications of disposable medical gloves were evaluated as the basis for deriving the indications for wearing disposable medical gloves.

Results: Typical indications for disposable medical gloves for direct and indirect patient contact, laboratory work and other medical activities are summarized in a table. Situations in which the use of disposable medical gloves is not indicated are also shown separately in tabular form.

Discussion: Further situations are discussed in which the wearing of disposable medical gloves is currently recommended from an infection prevention or occupational health and safety perspective, but should be re-evaluated in the future. In addition to other aspects for reducing glove consumption, such as glove disinfection, guidelines for implementing the use of gloves according to indication are also presented, emphasizing the special role-model function of hygiene staff.

Conclusion: By avoiding the use of disposable medical gloves where there is no indication and by selecting suitable glove material where there is an indication, not only can sustainability be increased, but costs can also be saved without jeopardizing patient and occupational safety.