The History of Medical Gloves

Pro­tec­tive gloves are wide­ly avail­able, and their use dur­ing med­ical pro­ce­dures is required by stan­dards and pro­ce­dures. But it has­n’t always been this way, and his­to­ry of gloves and mod­ern asep­sis dates back just over 130 years [1] – from the per­spec­tive of med­ical his­to­ry, that’s real­ly not very long. How did they become wide­spread, who pop­u­lar­ized them, and what does the his­to­ry of med­ical gloves look like? Here are some inter­est­ing facts on the sub­ject.

Who invented protective gloves gloves for medical purposes?

Asep­tic and anti­sep­tic tech­niques accom­pa­ny­ing sur­gi­cal pro­ce­dures were adopt­ed in the 19th cen­tu­ry, but the neces­si­ty of using gloves and pro­tec­tive masks was not intro­duced imme­di­ate­ly. Changes occurred grad­u­al­ly as per­son­al pro­tec­tive equip­ment became more com­mon and pub­lic aware­ness in this area increased [2].

The first use of gloves (then still made of leather), as indi­cat­ed by sources, occurred in 1758 when Dr. Johann Wald­baum (1724–1799) used them for fetal manip­u­la­tion dur­ing a gynae­co­log­i­cal pro­ce­dure [2]. Ini­tial­ly, the use of gloves was pri­mar­i­ly to pro­tect the doc­tor from dirt and blood, as there was no knowl­edge about the caus­es of infec­tions, and the well-being of the patient was not con­sid­ered. Among the doc­tors advo­cat­ing for wear­ing such pro­tec­tion was Vien­nese der­ma­tol­o­gist Joseph Plenk (1739–1807), who sug­gest­ed that gloves could be used pre­ven­ta­tive­ly to pro­tect against hand infec­tions. Avail­able sources also indi­cate that Dr. Ignac Sem­mel­weiss (1818–1865) used gloves for gynae­co­log­i­cal exam­i­na­tions [1].

After Charles Goodyear invent­ed the tech­nol­o­gy for rub­ber pro­duc­tion in 1839 and patent­ed the vul­can­iza­tion process in 1844, mass pro­duc­tion of rub­ber prod­ucts, includ­ing gloves, became pos­si­ble.

The first sci­en­tif­ic reports on the ben­e­fits of hand pro­tec­tion date back to the mid-19th cen­tu­ry. In 1848, Eng­lish physi­cian William Acton issued a doc­u­ment high­light­ing the advan­tages of using rub­ber gloves in med­ical prac­tice. How­ev­er, since this rec­om­men­da­tion was pri­mar­i­ly direct­ed at doc­tors per­form­ing autop­sies, it was not wide­ly adopt­ed among rep­re­sen­ta­tives of oth­er med­ical dis­ci­plines [2].

Gloves — Recent History: From Allergies to Protection

The iden­ti­ty of the inven­tor of pro­tec­tive gloves and the indi­vid­ual respon­si­ble for pop­u­lar­iz­ing them remains spec­u­la­tive as lit­tle is known. William Stew­art Hal­st­ed, a pro­fes­sor of surgery at John Hop­kins Hos­pi­tal in Bal­ti­more, is cred­it­ed with pop­u­lar­iz­ing rub­ber gloves for surgery. In his reports, he men­tioned that his sur­gi­cal nurse and assis­tants used rub­ber gloves dur­ing oper­a­tions to pro­tect against aller­gic reac­tions to phe­nol, which was used as an anti­sep­tic. It is also known that Dr. Hunter Robb rec­om­mend­ed such pro­tec­tion in his text­book on asep­sis.

Over time, gloves became increas­ing­ly wide­ly used, but the his­to­ry of med­ical gloves does not end there. Even at the end of the 19th cen­tu­ry, sur­geons did not rou­tine­ly use them. It was only when Leipzig sur­geon Bernard Koen­ing declared in his med­ical work in 1894 that pre­op­er­a­tive hand­wash­ing alone was not suf­fi­cient for dis­in­fec­tion that the use of gloves began to increase. How­ev­er, this appeal was not uni­ver­sal­ly adopt­ed by the entire med­ical com­mu­ni­ty [2].

In Europe, Wern­er Zoege-Man­teuf­fel (1857–1926), a sur­geon from Dor­pat, is con­sid­ered a pro­mot­er of the use of such per­son­al pro­tec­tive equip­ment. The final wide­spread adop­tion of gloves in med­ical prac­tice occurred dur­ing World War I. Dur­ing World War II, the pro­duc­tion and ster­il­iza­tion of med­ical rub­ber gloves were improved. Unfor­tu­nate­ly, after the war, there was sig­nif­i­cant eco­nom­ic hard­ship world­wide, and pro­duc­tion issues led to a decrease in the avail­abil­i­ty of these prod­ucts. The short­age of gloves forced med­ical per­son­nel to reuse them mul­ti­ple times, reveal­ing many short­com­ings in the exist­ing solu­tions. This, in turn, led to changes in pro­duc­tion tech­nol­o­gy and improve­ments in gloves.

Gloves — History and Future

Cur­rent­ly, there is not any prob­lem with the avail­abil­i­ty of gloves, and they are a fun­da­men­tal part of pro­tec­tive cloth­ing in med­ical prac­tice. Researchers are increas­ing­ly focused on new areas of inter­est, includ­ing reduc­ing hos­pi­tal-acquired infec­tions in patients, staff safe­ty, glove qual­i­ty in terms of mate­ri­als used, and the micro­bi­o­log­i­cal clean­li­ness and con­tent of poten­tial­ly harm­ful sub­stances in mate­ri­als [1]. The his­to­ry of dis­pos­able med­ical gloves is still being writ­ten, with tech­nolo­gies being updat­ed and devel­oped, and med­ical gloves becom­ing increas­ing­ly durable and pro­vid­ing more com­fort and free­dom.

 

Bibliography:

1. Han­na Doleżych-Teis­ter, Gajne Mar­tirosian, Czy rękaw­ice są skuteczną bari­erą dla zakażeń związanych z opieką zdrowot­ną, Zakaże­nia XXI wieku 2019;2(3) s. 157–162;

2. Tadeusz Rej­manows­ki, Rękaw­icz­ki lekarskie w zarysie dziejowym. His­to­ria medy­cyny, Mer­i­tum 4/2007

3. Rafał Walas, His­to­ria rękaw­iczek lekars­kich, diabpolmed.pl (12.03.2018);