Medical Examination Gloves vs. Surgical Gloves

While both medical examination gloves and surgical gloves are vital components of personal protective equipment (PPE) used in healthcare settings, each is designed with distinct characteristics to meet the specific requirements of their intended use. Choosing the appropriate type of glove for the procedure and level of risk is essential to ensuring the safety of both healthcare providers and patients.

Quality for both types of gloves is described in terms of their “Acceptable Quality Level (AQL)”, a statistical measure of the number of pinholes and other defects in a batch of gloves.

AQL is measured using air and water leak tests and serves as a direct indicator of a manufacturer’s process quality and aspects such as glove length, width and thickness.

The lower the AQL, the better the glove quality.

Acceptable Quality Level Per Glove Type:

Glove Type

  • Examination
  • Surgical

AQL

  • 2.5 or less
  • 1.5 or less

Glove Type

AQL

Examination
2.5 or less
Surgical
1.5 or less

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ABOUT EXAM GLOVES

Medical examination gloves are disposable gloves, typically made from latex, nitrile, vinyl, or polychloroprene, designed for non-invasive medical procedures such as patient examinations, wound care and routine medical tasks, where there is minimal risk of exposure to bodily fluids and pathogens.

Medical examination gloves are generally thinner and more flexible than surgical gloves, allowing for greater tactile sensitivity and dexterity, which is essential for tasks that require fine motor skills.

Medical examination gloves should be selected based on the task to be performed:
Risk Criteria Example Glove Type
Low
  • No blood contact.
  • No body fluid contact.
  • Intact skin.
  • Low level of glove stress.
  • Food handling.
  • Dispensed meds.
  • Patient transport.
  • Non-invasive physical exams.
  • Non-sterile vinyl exam gloves.
  • Non-sterile latex exam gloves.
Medium
  • Blood contact.
  • Body fluid contact.
  • Procedures that stress the glove.
  • Invasive procedures.
  • Incontinent care.
  • Wound care.
  • Rectal exams.
  • Ostomy care.
  • Staple removal.
  • IV insertions, injections.
  • Isolation precautions.
  • Non-sterile latex, nitrile or neoprene exam gloves.
High
  • High risk of infection of HIV, HBV, HCV.
  • Chemotherapy administration.
  • High risk of blood & bone fragments.
  • Handling chemotherapy agents.
  • Emergency Depts.
  • Non-sterile latex, neoprene or nitrile exam gloves.
  • FDA approved for handling chemotherapy drugs.

ABOUT SURGICAL GLOVES

Surgical gloves are sterile gloves specifically designed for use during surgical procedures to maintain aseptic conditions in the operating room and prevent the transmission of pathogens between the surgical team and the patient.

Made from high-quality materials such as latex or synthetic polymers like polyisoprene, surgical gloves are thicker and more resistant to punctures and tears than examination gloves. They are manufactured to meet stringent quality standards to ensure optimal barrier protection and durability during invasive procedures where there is a higher risk of exposure to blood, bodily fluids and infectious agents.

Glove color

Surgical gloves are also distinguished by their color. Whereas natural rubber latex gloves are cream colored, colored gloves allow healthcare professionals to easily identify non-latex gloves. This can prove invaluable in an emergency when a patient’s latex-sensitivity/allergy status is unknown. In the event surgery is required, staff can quickly grab a green or white surgical glove, knowing that it is latex free.

As an added benefit, when over and under gloves are different colors, it is easy to detect tears or other defects.

Common surgical glove materials include latex, nitrile, polychloroprene, and polyisoprene, each offering unique properties suited for different surgical applications. The most important factors to consider when choosing surgical gloves include:

• Level of barrier protection
• Strength and durability
• Puncture resistance
• Elasticity
• Comfort and fit
• Allergy potential

* Individual glove performance may vary.
Glove Type Nitrile (Exam) Polychloroprene (Exam/Surgical) Polyisoprene (Surgical) Latex (Exam/Surgical) Vinyl (Exam)
Level of Barrier Protection Excellent Excellent Excellent Excellent Poor
Strength and Durability Excellent Excellent Very Good Excellent Poor
Puncture Resistance Excellent Good Good Very Good Poor
Elasticity Very Good Excellent Excellent Excellent Fair to Poor
Comfort and Fit Very Good Excellent Very Good Excellent Fair
Allergy Potential Low Low Low High Very Low
Surgical gloves are designed with more specific sizing to ensure:

  • Comfort and reduced hand strain during long surgical procedures

  • Dexterity for precision when performing delicate tasks

  • Tactile sensitivity to help detect tissue texture, sutures, and other subtle cues
Surgical gloves are generally referred to by category.
Surgical glove category Estimated % of use Applications
Standard 60% General surgery
Micro 20% All surgeries, especially delicate ophthalmology, microsurgery and cardiovascular procedures
Ortho 10% All surgeries, especially high-risk orthopedic, trauma and cardiac procedures
Specialty 10% Under-gloving, radiation protection (C-arm and X-rays)

Learn More

Most medical and surgical gloves are made from latex, vinyl and nitrile. Some newer gloves are made from chloroprene. The table below summarizes the characteristics and benefits of each glove material.
MATERIAL COMPOSITION BENEFIT
Latex Gloves Made of natural rubber Highest level of comfort, flexibility, fit and tactile sensitivity
Nitrile Gloves Made of synthetic material Stretchy, durable
Vinyl Gloves Made of synthetic material Cost-efficient synthetic option, comfortable
Chloroprene Gloves Made of synthetic material Fit and feel similar to latex; durability and strength similar to nitrile

Latex Gloves vs. Latex-free Gloves

Latex gloves are often preferred by healthcare providers since they provide the highest level of elasticity, comfort and fit. Surgeons often prefer latex gloves because they offer greater precision with high tactile sensitivity.

Despite latex’s advantages, latex allergies have become more common, so many healthcare providers are opting for latex-free glove options such as vinyl, nitrile or chloroprene.

Vinyl gloves, which are made from PVC (polyvinyl chloride), are usually the cheapest latex-free gloves. However, many prefer to use higher-end gloves such as nitrile gloves. Nitrile gloves are often preferred since these non-latex gloves best resemble the stretchy feel of latex gloves and are also highly durable and puncture resistant.

Another difference to consider when deciding between latex and latex-free gloves is the protection offered by each type of material. In general, latex gloves offer the best protection against bacteria and viruses, while synthetic gloves provide better chemical protection. Of the different types of latex-free gloves, nitrile gloves offer a higher degree of protection against viruses as well as protection against chemicals.

Powder-free gloves are available in chlorinated and non-chlorinated options.
Pros Cons
Chlorinated gloves Gloves treated with chlorine are easier to put on and particle free to prevent allergic reactions. Chlorine odor and shorter shelf life: chlorinated gloves become brittle after about a year and may last even less than a year if exposed to heat.
Non-chlorinated gloves Closer in color to regular exam gloves and no chlorine odor. Hard to put on and are not particle free, since a coating of tiny gel/silicone particles is applied to make them slightly easier to put on.

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