Disposable Nitrile Gloves Research Articles

Assessing the health risks of dermal exposure to heavy metals dust among nail salon technicians.

Nail salon technicians are susceptible to potential exposure to a diverse array of hazardous chemicals in the form of dust or vapors. One of the main routes of exposure is dermal contact. The aim of present study was to health risk assessment of dermal exposure to dust containing heavy metals in nail salon technicians. Dust sampling was done on the work surface of 20 available nail salon technicians. The concentration of five metals including cadmium, lead, chromium, nickel, and manganese were determined using ICP-MS. Afterwards, the United States Environmental Protection Agency (USEPA) guideline was used to estimate the potential health risks, including carcinogenic and non-carcinogenic risks, associated with the analyzed metals. Results indicated the mean concentrations of Pb, Cd, Ni, Cr and Mn were 0.7953±0.4373, 0.0952±0.0264, 0.7666±0.8629, 0.4900±0.5994 and 1.134±0.4736, respectively. The hazard quotient (HQ) of all metals was within the permissible value, while hazard index (HI) was greater than 1. The probability of cancer risk (CR) resulting from dermal exposure to Ni, Cd and Cr exceeded the acceptable risk levels (10-6-10-4), but CR calculated for Pb was less than allowable value. Implementation of engineering controls such as downdraft vented nail tables and portable source capture systems is necessary. Besides, the use of personal protective equipment such as disposable nitrile gloves, N95 respirator masks, and ensuring proper training on safe work practices is recommended.

Disposable Nitrile Glove Resistance to Limonene: Dextrous Robot Hand Versus ASTM F739 Comparison.

The current technique to assess glove resistance to chemicals for worker protection relies on challenging a flat, 2.54 cm diameter glove piece at or near room temperature. This does not simulate a donned whole glove near the skin temperature subjected to work activity forces. Four different types of disposable nonpowdered unlined/unsupported nitrile gloves in triplicate were measured for thickness, porosity, and for the acrylonitrile content (A) of the challenge and collection sides. Limonene permeation at 35 °C through a whole glove on a clenching and nonclenching dextrous robot hand and with the standard ASTM F739 technique were facilitated by taking samples from the collection sides for GC-MS analysis. The standardized breakthrough time (SBT) when permeation reached 100 ng/cm2/min and the steady state permeation rate (SSPR) depended on A, thickness, and porosity. Only the thinnest glove (Lavender) showed statistically significant (p ≤ 0.05) increased average SSPR for the clenching hand relative to the nonclenching hand and for the ASTM technique. The ASTM test data for the three thickest gloves were not statistically different from those of the robot hand, but differed from the manufacturer's. More research with different chemicals and higher clenching forces is needed. Clenching forces can enhance the permeation. Workers wearing ultrathin disposable nitrile gloves have a higher potential for chemical penetration/permeation. Company glove permeation data obtained near room temperature may have a longer SBT and lower SSPR than in practice. Double gloving may be advisible in emergencies and for unknown chemicals when no appropriate thicker Chemical Protective glove is available.

Synthesis of zinc oxide derived from wastewater of glove manufacturing via adsorption-desorption-precipitation path

The demand for ZnO significantly increased over the past decades. Extraction and refinement of zinc ores results in the release of hazardous wastes to the environment. In particular, the tremendous demand for disposable nitrile gloves during the Covid-19 pandemic has spiked superior demand for ZnO used as a crosslinking agent in the manufacturing process and leads to the generation of zinc containing wastewater traditionally removed via chemical precipitation. This paper focuses on the application of adsorption for zinc removal which opens an opportunity to recycle zinc to synthesize secondary zinc oxide. This study evaluated the feasibility of zinc oxide synthesis via the adsorption-desorption-chemical precipitation pathway. Palm shell activated carbon (PSAC), a low-cost adsorbent, was used for the removal of zinc from the synthetic and industrial wastewaters. Subsequently, zinc desorption was carried out using 0.3 M HCl. Then ZnO was synthesized from the desorption solutions via chemical precipitation using potassium hydroxide. Average zinc conversion rate of 98 % was achieved in this study. The synthesized ZnO exhibited high surface area of 97.4 m2/g after calcination (400 °C, 3 hr), high purity and crystallinity. The results confirmed the feasibility of zinc ions recovery for recycling to produce secondary good quality zinc oxide.

Reusing COVID-19 disposable nitrile gloves to improve the mechanical properties of expansive clay subgrade: An innovative medical waste solution

The COVID-19 pandemic not only poses an unprecedented threat to global health but also severely disrupts the natural environment and ecosystems. Mitigating the adverse impacts of plastic-based personal protective equipment (PPE) waste requires the cooperation of professionals from various fields. This paper discusses a novel, cleaner approach to soil stabilisation by repurposing the nitrile gloves into a sustainable road material to improve the mechanical properties of expansive clay soil as pavement subgrade. For the first time, extensive geotechnical testings, including standard compaction, unconfined compressive strength (UCS), unsoaked California bearing ratio (CBR), repeated load triaxial (RLT), and swelling-shrinkage tests, were carried out to investigate the engineering performance of different proportions of the shredded nitrile gloves (SNG) (e.g., 1%, 1.5%, 2%) were blended with expansive clay (EC). In addition, surface roughness, scanning electron microscopy (SEM), and X-ray micro-CT analyses were conducted, and images were obtained to study the microstructural modification of the EC-SNG mixtures. The experimental results indicated that the blend of expansive clay with SNG helped in increasing the compressive strength, resilient modulus, and CBR and assisted in reducing the swelling and shrinkage of the soil. SEM and surface roughness analyses indicated the interaction between the soil matrix interface and the rough surface of the SNG. The main reasons for increasing the strength and stability of clay soil could be attributed to the high tensile strength of the SNG and the formation of the three-dimensional grid, and friction between the soil particles and SNG. According to the X-ray micro-CT test results, the incorporation of SNG led to an increase in closed porosity.

Use of COVID-19 personal protective equipment pollutants to improve physical properties of silty sand in Yellow River flooded area

Silty sand in the Yellow River flood area (YRFA) of China exhibits a low cohesive force and water-holding capacity. Its direct use for subgrade filling leads to phenomena such as subgrade bed depression, slurry, and mud. Therefore, from the perspective of waste utilization, this study investigates disposable protective clothing (DPC) and disposable nitrile gloves (DNG) produced due to COVID-19 in combination with silty sand as subgrade filling for the YRFA. Through an unconfined compressive strength and permeability test, we studied the influence of personal protective equipment (PPE) with different moisture content, concentration, and size on the strength and permeability of mixed samples. Further, we discuss its impact on the improvement of subgrade filling in YRFA. Results show that adding DPC improves both the compressive strength and ductility of the sample. However, the impermeability of the sample remains unchanged. In contrast, the addition of DNG does not increase the compressive strength and ductility of the sample at the same time, whereas it significantly improves its impermeability. The size of PPE has a considerable influence on the compressive strength of the mixed sample, whereas it does not affect the sample permeability. This method makes use of the PPE waste produced due to COVID-19, reduces environmental pollution, and provides a novel concept for improving silty sand in the YRFA.

Determination of Nitrile Gloves Appropriate for Use When Dry Handling Art

ABSTRACT Nineteen brands of latex-free, powder-free, disposable nitrile glove were investigated for use when dry handling art. Results from a rub test, a modified Oddy test, scanning electron microscopy-energy dispersive spectroscopy (SEM-EDS), and ion chromatography (IC) were combined to identify gloves that caused the least damage to artificially aged metal coupons. The rub test involved repeated wiping of lead (Pb), copper (Cu), and silver (Ag) coupons with donned gloves then visually assessing the result to look for evidence of deposited residues. Ten brands deposited residues. The modified Oddy test studied the impact of glove handling on evidence of coupon corrosion. Twelve glove brands instigated moderate to severe corrosion of the coupons during artificial aging. SEM-EDS data showed that deposited residues led to pitting and corrosion of coupon surfaces with the presence of chlorine and oxygen dominating corrosion sites. Larger amounts of chloride ions (Cl–) in gloves were affiliated generally with greater corrosion. Ansell Bioclean™ Biotac white cleanroom and Showa® 7500PF blue economy grade gloves deposited no visible residues, induced minimal corrosion, and showed lower anion contents relative to other gloves, making them the best brands tested here for dry handling art.

Instant killing of pathogenic chytrid fungi by disposable nitrile gloves prevents disease transmission between amphibians.

To prevent transmission of the pathogenic chytrid fungi Batrachochytrium dendrobatidis (Bd) and Batrachochytrium salamandrivorans (Bsal), hygiene protocols prescribe the single use of disposable gloves for handling amphibians. We discovered that rinse water from nitrile gloves instantly kills 99% of Bd and Bsal zoospores. Transmission experiments using midwife toads (Alytes obstetricans) and Bd, and Alpine newts (Ichthyosaura alpestris) and Bsal, show that the use of the same pair of gloves for 2 subsequent individuals does not result in significant transmission of any chytrid fungus. In contrast, handling infected amphibians bare-handed caused transmission of Bsal in 4 out of 10 replicates, but did not result in transmission of Bd. Based on the manufacturer’s information, high resolution mass spectrometry (HRMS) and colorimetric tests, calcium lactate and calcium nitrate were identified as compounds with antifungal activity against both Bd and Bsal. These findings corroborate the importance of wearing gloves as an important sanitary measure in amphibian disease prevention. If the highly recommended single use of gloves is not possible, handling multiple post-metamorphic amphibians with the same pair of nitrile gloves should still be preferred above bare-handed manipulation.

Double gloving of disposable nitrile gloves exposed to diethylene glycol mono-n-butyl ether

Double gloving of disposable gloves is now commonplace in healthcare settings when extra protection is needed against aqueous solutions and especially for antineoplastic drugs in isotonic aqueous media. In the present study, an ASTM F739 2.54 cm cell with closed-loop water collection without recirculation at 35 °C in a moving tray water bath was used to test the permeation of diethylene glycol mono-n-butyl ether (DGBE) through four types of disposable nitrile gloves that were singly and doubly layered in the permeation cell. Samples were taken over 8 hr for capillary gas chromatograph-mass spectrometer quantitation. The breakthrough time (tn) at a permeation of 250 ng/cm2 increased as thickness increased for single layers, but the steady-state permeation rates Ps in µg/cm2/min did not always decrease with increasing thickness. The double-layer tn, Ps and thickness were also more variable relative to a single layer. The thinnest glove with 80 m thickness showed a tn = 0–5 min whereas its double layer was 15–20 min. The thickest glove of 132 µm exhibited a tn = 10–15 min but its double layer was tn = 45–55 min. The adjusted double-layer average tn divided by the adjusted single-layer average tn was 4.0 ± 0.8. The adjusted average single-layer Ps divided by the adjusted average double-layer Ps was 3.5 ± 0.8. Other results showed that the average glove swelling was <10%; microscopic and leak testing indicated no penetration and reflectance infrared analysis also showed no chemical changes on the inside glove surfaces. Thus, the permeations were adjudged to obey Fick’s First Law of Diffusion to allow calculation of diffusion coefficients D in cm2/min. The average single-layer D divided by the average double-layer D was 1.3 ± 0.2. Double gloving in the field is therefore also probably more protective than single gloving against DGBE for the four types of disposable nitrile gloves tested.

Chemical permeation of similar disposable nitrile gloves exposed to volatile organic compounds with different polarities: Part 1: Product variation

Many glove manufacturers of chemical protective clothing produce chemical resistance guides to aid in selection of an appropriate product. Some manufacturers provide permeation data, but others provide a general rating system without reporting testing their own products. A critical issue is that considerable variation in chemical resistance, both with breakthrough times and steady-state permeation rates, have been observed with disposable nitrile gloves. The main purpose of this study was to determine whether significant variation in chemical resistance was present between products from a single brand that provided a generalized chemical resistant guide. The objective was to determine if the ratings noted on the chemical resistance guide were sufficient for protection against chemical permeation. The chemical permeation of ten disposable nitrile gloves against three organic solvents of varying polarity (cyclohexane, tert-butanol, and cyclohexanol) was performed in triplicate. Despite the similar chemical resistant ratings for the products, significant variation in both breakthrough times and steady-state permeation rates were observed among the ten nitrile gloves. The largest variation in breakthrough time was about 8-fold. The largest variation in steady-state permeation rate was about 177-fold. A proposed chemical resistance rating system was used to further evaluate the variation in performance, as it would relate to similar rating systems used by glove manufacturers or brands. Polarity played a role in the observed performance, with the nitrile gloves providing increased protection with an increase in solvent polarity, more notably with the dielectric constant. Using a proposed rating system, the percentages of products rating as excellent to good were 20% (cyclohexane), 60% (tert-butanol), and 90% (cyclohexanol). Ultimately, the ratings noted on the general chemical resistance guide were not sufficient for worker protection against chemical permeation. It is not valid to assume that little variation should exist among the different glove products under a same brand or based on the use of generic chemical resistant data. When critical, occupational health and safety professionals should base glove selection on product-specific chemical permeation data.

Chemical permeation of similar disposable nitrile gloves exposed to volatile organic compounds with different polarities Part 2. Predictive polymer properties

A follow-up study evaluated the chemical and physical parameters of 10 disposable nitrile glove products in association with the observed variability in chemical permeation performance. The aim was to determine which polymer properties explained or were predictive of the observed wide variation in breakthrough time and steady state permeation rate. The physical and mechanical properties evaluated were thickness, area density, volume fraction and modulus 50–100%. The chemical composition properties evaluated were relative acrylonitrile content, relative carboxylation content, oily plasticizers, inorganic fillers and organic polymer content. A combination of correlation and multiple regression analyses were performed to evaluate the predictive nature of these parameters. For the regression analyses, stepwise, forward selection and backward elimination methods were used to determine an optimal regression fit. Both thickness and area density were strongly correlated with the breakthrough time. With the addition of volume fraction, these factors accounted for about 88–89% of the variation in breakthrough times. The correlation results for the steady-state permeation rate were largely inconclusive and only a moderate correlation with thickness was observed with one solvent. However, regression analyses revealed a moderate to strong association (R2 = 0.742; p < 0.001) between the permeation rate and thickness and volume fraction. With the inclusion of volume fraction in all regression models, the microstructure of the polymer played a critical role in chemical permeation, which requires further investigation. Based on these results, selection based on the availability of chemical permeation data for the product should always be preferred, especially when skin protection is critical. When chemical resistance ratings are based on general performance data, additional factors such as thickness and area density should be taken into consideration. In general, increases in thickness and area density are associated with increases in breakthrough time and decreases in the steady-state permeation rate. However, evidence in the literature and this study support the need for inclusion of additional factors associated with the microstructure of the polymer.

Permeation of ethoxy- and butoxy-ethanols through a disposable nitrile glove.

The purpose of this study was to investigate the permeation of the glycol ethers, 2-ethoxyethanol (2-EE) and 2-butoxyethanol (2-BE) through disposable, nitrile exam gloves using a modified American Society for Testing and Materials (ASTM) closed-loop module. The purple unsupported, unlined, powderless nitrile glove from Kimberly-Clark was challenged by the two pure glycol ethers. Their permeation parameters were measured with the aid of a 2.54 cm ASTM F739 closed-loop permeation cell using water collection at 35.0 ± 0.5°C in a moving tray water bath, and capillary gas chromatography-mass spectrometry for quantification. Each set of experiments consisted of four standard permeation cells with water as the collection solvent. The steady state permeation rate for 2-EE of 4.83 ± 0.45 µg/cm2/min was about 4 times that of 2-BE (1.27 ± 0.11 µg/cm2/min). Permeation of the more nonpolar 2-BE was less than for 2-EE. Both solvents exceeded the ASTM threshold normalized breakthrough time in the closed-loop testing module. Glove samples failed to pass permeation criteria defined by Kimberly Clark and Ansell. Such gloves are not recommended as personal protective equipment for exposure to 2-butoxyethanol or 2-ethoxyethanol, even for very short period exposures. Glove manufacturers should reconsider existing permeation testing method for low volatile compounds and apply the closed-loop module due to higher sensitivity and accuracy.

Permeation of limonene through disposable nitrile gloves using a dextrous robot hand.

The purpose of this study was to investigate the permeation of the low-volatile solvent limonene through different disposable, unlined, unsupported, nitrile exam whole gloves (blue, purple, sterling, and lavender, from Kimberly-Clark). This study utilized a moving and static dextrous robot hand as part of a novel dynamic permeation system that allowed sampling at specific times. Quantitation of limonene in samples was based on capillary gas chromatography-mass spectrometry and the internal standard method (4-bromophenol). The average post-permeation thicknesses (before reconditioning) for all gloves for both the moving and static hand were more than 10% of the pre-permeation ones (P≤0.05), although this was not so on reconditioning. The standardized breakthrough times and steady-state permeation periods were similar for the blue, purple, and sterling gloves. Both methods had similar sensitivity. The lavender glove showed a higher permeation rate (0.490±0.031 μg/cm2/min) for the moving robotic hand compared to the non-moving hand (P≤0.05), this being ascribed to a thickness threshold. Permeation parameters for the static and dynamic robot hand models indicate that both methods have similar sensitivity in detecting the analyte during permeation and the blue, purple, and sterling gloves behave similarly during the permeation process whether moving or non-moving.

Whole glove permeation of cyclohexanol through disposable nitrile gloves on a dextrous robot hand and comparison with the modified closed-loop ASTM F739 method 1. No fist clenching

ABSTRACTThe aim was to develop a whole glove permeation method for cyclohexanol to generate permeation parameter data for a non-moving dextrous robot hand (normalized breakthrough time tb, standardized breakthrough time ts, steady state permeation rate Ps, and diffusion coefficient D). Four types of disposable powderless, unsupported, and unlined nitrile gloves from the same producer were investigated: Safeskin Blue and Kimtech Science Blue, Purple, and Sterling. The whole glove method developed involved a peristaltic pump for water circulation through chemically resistant Viton tubing to continually wash the inner surface of the test glove via holes in the tubing, a dextrous robot hand operated by a microprocessor, a chemically protective nitrile glove to protect the robot hand, an incubator to maintain 35°C temperature, and a hot plate to maintain 35°C at the sampling point of the circulating water. Aliquots of 1.0 mL were sampled at regular time intervals for the first 60 min followed by removal of 0.5 mL aliquots every hour to 8 hr. Quantification was by the internal standard method after gas chromatography-selective ion electron impact mass spectrometry using a non-polar capillary column. The individual glove values of tb and ts differed for the ASTM closed loop method except for Safeskin Blue, but did not for the whole glove method. Most of the kinetic parameters agreed within an order of magnitude for the two techniques. The order of most protective to least protective glove was Blue and Safeskin, then Purple followed by Sterling for the whole gloves. The analogous order for the modified F739 ASTM closed loop method was: Safeskin, Blue, Purple, and Sterling, almost the same as for the whole glove. The Sterling glove was “not recommended” from the modified ASTM data, and was “poor” from the whole glove data.

Whole glove permeation of cyclohexanol through disposable nitrile gloves on a dextrous robot hand: Fist clenching vs. non-clenching

ABSTRACTThe differences in permeation parameters when a gloved dextrous robot hand clenched and did not were investigated with the dynamic permeation system described in the companion paper. Increased permeation through the gloves of the present study for cyclohexanol when the gloved hand clenched depended on glove thickness and porosity for cyclohexanol permeation. The Sterling glove, the thinnest and most porous, was the least protective. Hand clenching promoted more permeation for the Sterling glove in terms of breakthrough times, steady state permeation rate, and diffusion coefficient. The Safeskin glove showed increased permeation only for the steady state permeation rate but not breakthrough times or diffusion coefficient. The Blue and Purple gloves showed no differences when the hand was clenching or not. The correlational analysis supported differences between the clenching and non-clenching situations, and the risk assessment considered the worst and best scenarios relative to one and two hydrated hands that were and were not protected by specific gloves.

Microbial contamination of disposable nitrile gloves: A prospective, randomized pilot study of a novel sterilization technique for use in Mohs micrographic surgery

Microbial contamination of disposable nitrile gloves: A prospective, randomized pilot study of a novel sterilization technique for use in Mohs micrographic surgery

Polymer properties associated with chemical permeation performance of disposable nitrile rubber gloves

ABSTRACTUnlike other chemical protective clothing and devices, disposable gloves are not reliably certified to exceed chemical permeation performance standards. In light of generalized chemical compatibility charts, significant variability in performance exists between similar products on the market. This study evaluates whether nitrile rubber composition and uniformity are better associated with the observed product variability in chemical resistance than the available mechanical testing (e.g., tensile strength) done on these products. The independent variables evaluated include two physical, three mechanical, and four compositional parameters. Based on correlation and multiple regression analyses, the factors associated with variation in permeation of ethanol are area density, acrylonitrile content, carboxylation of the base polymer, the amount of extractable oils and oily plasticizers, and polymer uniformity. Increases in area density, acrylonitrile content, and carboxylation improve chemical resistance. Decreases in extractable oils and polymer variability (uniformity) also improve chemical resistance. On average, these combined factors accounted for about 53–67% of the observed variability in permeation, which were moderate but not strong associations. In contrast, tensile strength accounted for about 1% of the observed variability, a negligible effect. These results support the notion that standardized tests and certification criteria need to address polymer composition and uniformity to reduce gaps in performance. However, in light of the lack of strong correlations, further evaluation with tighter control over chemical composition is warranted. © 2014 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2015, 132, 41449.

Chemical Resistance of Disposable Nitrile Gloves Exposed to Simulated Movement

Large discrepancies between laboratory permeation testing and field exposures have been reported, with indications that hand movement could account for a portion of these differences. This study evaluated the influence of simulated movement on chemical permeation of 30 different disposable nitrile glove products. Products were investigated out-of-box and with exposure to simulated whole-glove movement. Permeation testing was conducted using ethanol as a surrogate test chemical. A previously designed pneumatic system was used to simulate hand movement. No movement and movement tests were matched-paired to control for environmental conditions, as were statistical analyses. Permeation data were collected for a 30-min exposure period or until a breakthrough time (BT) and steady-state permeation rate (SSPR) could be determined. A third parameter, area under the curve at 30 min (AUC-30), was used to estimate potential worker exposure. With movement, a significant decrease in BT (p ≤ 0.05), ranging from 6–33%, was observed for 28 products. The average decrease in BT was 18% (p ≤ 0.001). With movement, a significant increase in SSPR (p ≤ 0.05), ranging from 1–78%, was observed with 25 products. The average increase in SSPR was 18% (p ≤ 0.001). Significant increases in AUC-30 (p ≤ 0.05), ranging from 23–277%, were also observed for all products where it could be calculated. On average, there was a 58% increase (p ≤ 0.001). The overall effect of movement on permeation through disposable nitrile gloves was significant. Simulated movement significantly shortened the BT, increased the SSPR, and increased the cumulative 30-min exposure up to three times. Product variability also accounted for large differences, up to 40 times, in permeation and cumulative exposure. Glove selection must take these factors into account. It cannot be assumed that all products will perform in a similar manner.

Tensile Properties and Integrity of Clean Room and Low-Modulus Disposable Nitrile Gloves: A Comparison of Two Dissimilar Glove Types

The selection of disposable nitrile exam gloves is complicated by (i) the availability of several types or formulations, (ii) product variability, and (iii) an inability of common quality control tests to detect small holes in the fingers. Differences in polymer formulation (e.g. filler and plasticizer/oil content) and tensile properties are expected to account for much of the observed variability in performance. This study evaluated the tensile properties and integrity (leak failure rates) of two glove choices assumed to contain different amounts of plasticizers/oils. The primary aims were to determine if the tensile properties and integrity differed and if associations existed among these factors. Additional physical and chemical properties were evaluated. Six clean room and five low-modulus products were evaluated using the American Society for Testing and Materials Method D412 and a modified water-leak test to detect holes capable of passing a virus or chemical agent. Significant differences in the leak failure rates and tensile properties existed between the two glove types (P ≤ 0.05). The clean room gloves were about three times more likely to have leak failures (chi-square; P = 0.001). No correlation was observed between leak failures and tensile properties. Solvent extract, an indication of added plasticizer/oil, was not associated with leak failures. However, gloves with a maximum modulus <4 MPa or area density (AD) <11 g cm(-2) were about four times less likely to leak. On average, the low-modulus gloves were a better choice for protection against aqueous chemical or biological penetration. The observed variability between glove products indicated that glove selection cannot rely solely on glove type or manufacturer labeling. Measures of modulus and AD may aid in the selection process, in contrast with common measures of tensile strength and elongation at break.

Evaluation of bacterial contaminants found on unused paper towels and possible postcontamination after handwashing: A pilot study

Bacterial contamination is a concern in the pulp and paper industry. Not only is the machinery contaminated but also can be the end-paper products. Bacterial transmission from unused paper towels to hands and surfaces is not well documented. The culturable bacterial community of 6 different unused paper towel brands was determined by culture methods and by sequencing the 16S ribosomal DNA of bacterial contaminants. Next, we investigated the possible airborne and direct contact transmissions of these bacterial contaminants during hand drying after washing. Between 10(2) and 10(5) colony-forming units per gram of unused paper towels were isolated from the different paper towel brands. Bacteria belonging to the Bacillus genus were by far the most abundant microorganisms found (83.0%), followed by Paenibacillus (15.6%), Exiguobacterium (1.6%), and Clostridium (0.01%). Paper towels made from recycled fibers harbored between 100- to 1,000-fold more bacteria than the virgin wood pulp brand. Bacteria were easily transferred to disposable nitrile gloves when drying hands with paper towels. However, no evidence of bacterial airborne transmission was observed during paper towel dispensing. This pilot study demonstrated that a large community of culturable bacteria, including toxin producers, can be isolated from unused paper towels and that they may be transferred to individuals after handwashing. This may have implications in some industrial and clinical settings as well as in immunocompromised individuals.

Integrity of Disposable Nitrile Exam Gloves Exposed to Simulated Movement

Every year, millions of health care, first responder, and industry workers are exposed to chemical and biological hazards. Disposable nitrile gloves are a common choice as both a chemical and physical barrier to these hazards, especially as an alternative to natural latex gloves. However, glove selection is complicated by the availability of several types or formulations of nitrile gloves, such as low-modulus, medical grade, low filler, and cleanroom products. This study evaluated the influence of simulated movement on the physical integrity (i.e., holes) of different nitrile exam glove brands and types. Thirty glove products were evaluated out-of-box and after exposure to simulated whole-glove movement for 2 hr. In lieu of the traditional 1 L water-leak test, a modified water-leak test, standardized to detect a 0.15 ± 0.05 mm hole in different regions of the glove, was developed. A specialized air inflation method simulated bidirectional stretching and whole-glove movement. A worst-case scenario with maximum stretching was evaluated. On average, movement did not have a significant effect on glove integrity (chi-square; p = 0.068). The average effect was less than 1% between no movement (1.5%) and movement (2.1%) exposures. However, there was significant variability in glove integrity between different glove types (p ≤ 0.05). Cleanroom gloves, on average, had the highest percentage of leaks, and 50% failed the water-leak test. Low-modulus and medical grade gloves had the lowest percentages of leaks, and no products failed the water-leak test. Variability in polymer formulation was suspected to account for the observed discrepancies, as well as the inability of the traditional 1 L water-leak test to detect holes in finger/thumb regions. Unexpectedly, greater than 80% of the glove defects were observed in the finger and thumb regions. It is recommended that existing water-leak tests be re-evaluated and standardized to account for product variability.