Reduction of latex aeroallergens and latex-specific IgE antibodies in sensitized workers after removal of powdered natural rubber latex gloves in a hospital☆☆☆★★★

1998 ◽  
Vol 102 (5) ◽  
pp. 841-846 ◽  
Author(s):  
Henning Allmers ◽  
Randolph Brehler ◽  
Zhipping Chen ◽  
Monika Raulf-Heimsoth ◽  
Hubert Fels ◽  
...  
Author(s):  
Raymond E. Biagini ◽  
Barbara A. Mackenzie ◽  
Toni A. Bledsoe ◽  
Daniel M. Lewis ◽  
Lynne M. Pinkerton

2002 ◽  
Vol 7 (5) ◽  
pp. 1-3
Author(s):  
Jon Musmand ◽  
Christopher R. Brigham

Abstract Natural rubber latex (NRL) allergy is discussed in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, in Section 8.5, Natural Rubber Latex Allergy, and refers to an IgE-mediated immediate hypersensitivity reaction to one or more protein allergens in latex devices, especially gloves. Among health care workers, NRL allergy is the most common cause of occupationally induced rhinoconjunctivitis and asthma, and clinical manifestations range from dermatitis and contact urticaria, allergic rhinoconjunctivitis, and asthma, to anaphylaxis. Evaluating physicians must be cognizant that a suggestive clinical history is necessary but not sufficient to diagnose NRL allergy, and FDA-approved NRL-specific IgE serum tests may have sensitivity as low as 75% and up to 27% false-positive results. No FDA-approved skin test reagent is available for testing. In evaluating impairment due to NRL allergy, evaluators should determine if the individual's problem can be resolved by avoidance of wearing latex gloves. Most patients who have asthma or air passage disruption impairment due to NRL have problems with bronchospasm only when they are exposed, and these patients may not necessarily have any ratable impairment due to NRL (but individuals who have atopic dermatitis may have ongoing symptoms due to pre-existing allergic rhinitis). Efforts to decrease the incidence of NRL allergy have been encouraging, and some patients diagnosed with NRL allergy may return to work in a latex-safe environment.


Allergy ◽  
1998 ◽  
Vol 53 (1) ◽  
pp. 59-67 ◽  
Author(s):  
T. Palosuo ◽  
S. Mäkinen-Kiljunen ◽  
H. Alenius ◽  
T. Reunala ◽  
E. Yip ◽  
...  

2014 ◽  
Vol 109 ◽  
pp. 1-6 ◽  
Author(s):  
Thanida Arpornwichanop ◽  
Duangporn Polpanich ◽  
Raweewan Thiramanas ◽  
Teeraporn Suteewong ◽  
Pramuan Tangboriboonrat

2020 ◽  
Vol 29 (20) ◽  
pp. 1172-1176
Author(s):  
Steven Jeffery

While it is difficult to imagine that before the late 1800s, surgeons in the theatre environment operated on patients without gloves, gloves are now a clinical necessity. Their use has risen exponentially over the last 30 years, along with concerns over staff and patient allergy and sensitivity to the natural rubber latex proteins used in their manufacture. Having used latex gloves for the better part of 35 years, the author recently evaluated a latex-free alternative. In this article, which presents a rationale for the introduction of a latex-free glove policy across NHS departments and trusts, particularly in theatre settings, the author presents his experience, together with cases from four other surgeons, as well as evidence from the literature regarding potential clinical outcomes, quality of life and cost-effectiveness associated with latex-free gloves.


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