Rubber Accelerators in Medical Examination and Surgical Gloves

Dermatitis. 2018 Mar/Apr;29(2):66-76. doi: 10.1097/DER.0000000000000342.

Abstract

Background: Rubber accelerators play a significant role in glove-related occupational contact dermatitis, especially among health care workers. Currently, there is limited information readily available outlining the accelerators used in specific medical examination and surgical gloves.

Objective: The aim of this study was to ascertain the accelerators used in medical examination and surgical gloves for major glove manufacturers within the United States.

Methods: An initial Internet-based search was performed to establish relevant manufacturers and product lines, with subsequent inquiry with each corresponding company regarding accelerators used in each medical and surgical glove line.

Results: Eleven glove manufacturers were identified and contacted. Responses were obtained from all manufacturers, but because of legal limitations, changes in product lines, or inability to supply necessary data, only 8 companies were able to be included in the final analysis, totaling data for 190 gloves. Carbamates were the most common accelerator, used in 90.5% (172/190) of gloves, whereas thiurams were used in only 11 gloves (5.8%). Eight companies surveyed are now advertising and offering touted accelerator-free gloves.

Conclusions: Accelerators are used in most examination and surgical gloves; however, manufacturers are now expanding their product offerings to include accelerator-free options.

MeSH terms

  • Benzothiazoles / adverse effects*
  • Carbamates* / adverse effects
  • Dermatitis, Allergic Contact / etiology
  • Dermatitis, Occupational / etiology
  • Gloves, Surgical* / adverse effects
  • Guanidines / adverse effects
  • Hand Dermatoses / etiology
  • Health Care Sector
  • Humans
  • Rubber / chemistry*
  • Thiram* / adverse effects
  • United States

Substances

  • Benzothiazoles
  • Carbamates
  • Guanidines
  • Thiram
  • diphenylguanidine
  • Rubber