Michaels Barry S, Ayers Troy, Brooks-McLaughlin Jenna, McLaughlin Ryan J, Sandoval-Warren Katherine, Schlenker Casey, Ronaldson Lynda, Ardagh Steve
B. Michaels Group Inc., 487 West River Road, Palatka, FL 32177, USA.
Eurofins Microbiology Laboratories Inc., Des Moines, IA 50321, USA.
J Food Prot. 2024 Jul;87(7):100283. doi: 10.1016/j.jfp.2024.100283. Epub 2024 Apr 26.
This review focuses on the potential direct physical, chemical, and microbiological contamination from disposable gloves when utilized in food environments, inclusive of the risks posed to food products as well as worker safety. Unrecognized problems endemic to glove manufacturing were magnified during the COVID-19 pandemic due to high demand, increased focus on PPE performance, availability, supply chain instability, and labor shortages. Multiple evidence-based reports of contamination, toxicity, illness, deaths, and related regulatory action linked to contaminated gloves in food and healthcare have highlighted problems indicative of systemic glove industry shortcomings. The glove manufacturing process was diagramed with sources and pathways of contamination identified, indicating weak points with documented occurrences detailed. Numerous unsafe ingredients can introduce chemical contaminants, potentially posing risks to food and to glove users. Microbial hazards present significant challenges to overall glove safety as contaminants appear to be introduced via polluted water sources or flawed glove manufacturing processes, resulting in increased risks within food and healthcare environments. Frank and opportunistic pathogens along with food spoilage organisms can be introduced to foods and wearers. When the sources and pathways of glove-borne contamination were explored, it was found that physical failures play a pivotal role in the release of sweat build-up, liquefaction of chemical residues, and incubation of microbial contaminants from hands and gloves. Thus, with glove physical integrity issues, including punctures in new, unused gloves that can develop into significant rips and tears, not only can direct physical food contamination occur but also chemical and microbiological contamination can find their way into food. Enhanced regulatory requirements for Acceptable Quality Limits of food-grade gloves, and the establishment of appropriate bioburden standards would enhance safety in food applications. Based on the information provided, together with a false sense of security associated with glove use, the unconditional belief in glove chemical and microbiological purity may be unfounded.
本综述聚焦于一次性手套在食品环境中使用时可能产生的直接物理、化学和微生物污染,包括对食品和工人安全造成的风险。由于需求旺盛、对个人防护装备性能的关注度提高、供应不稳定以及劳动力短缺,手套制造中一些未被认识到的固有问题在新冠疫情期间被放大。多份基于证据的报告指出,食品和医疗保健领域中与受污染手套相关的污染、毒性、疾病、死亡及相关监管行动,凸显了手套行业系统性缺陷的问题。文中绘制了手套制造过程图,确定了污染来源和途径,并详细记录了出现问题的薄弱环节。许多不安全成分会引入化学污染物,可能对食品和手套使用者构成风险。微生物危害对整体手套安全构成重大挑战,因为污染物似乎是通过受污染的水源或有缺陷的手套制造过程引入的,这增加了食品和医疗保健环境中的风险。致病菌和机会致病菌以及食品腐败微生物都可能传播到食品和使用者身上。在探究手套传播污染的来源和途径时发现,物理故障在汗水积聚的释放、化学残留物的液化以及手部和手套上微生物污染物的滋生方面起着关键作用。因此,由于手套存在物理完整性问题,包括新的未使用手套出现的穿刺可能发展成严重的撕裂,不仅会直接造成食品的物理污染,化学和微生物污染也可能进入食品。提高食品级手套可接受质量限度的监管要求,以及制定适当的生物负荷标准,将提高食品应用中的安全性。根据所提供的信息,再加上使用手套时的一种虚假安全感,对手套化学和微生物纯度的无条件信任可能毫无根据。