Latex allergy in medical workers
Abstract
Extended clinical and allergological study was performed in 95 medical workers of various specialities using latex gloves in their work. A high frequency of latex hypersensitivity (41%) among the persons working 6–8 hours in a shift in latex gloves, atopic persons and medical workers with the longest work as well. Local (nettle-rash, contact dermatitis, eczema on the hand skin) and systemic (generalized nettle-rash, anaphylaxis) allergic diseases associated to latex were diagnosed in 29.5% of the persons.
An analysis of the diagnostic tests values used was conducted. The receipt of the latex allergen into the airways and occurrence of dermatorespiratory syndrome were proved.
About the Authors
A. G. Chuchalin
НИИ пульмонологии М3; ГНЦ РФ — Институт иммунологии
Russian Federation
Russian Federation
O. S. Vasilieva
НИИ пульмонологии М3; ГНЦ РФ — Институт иммунологии
Russian Federation
Russian Federation
G. A. Kazakova
НИИ пульмонологии М3; ГНЦ РФ — Институт иммунологии
Russian Federation
Russian Federation
G. L. Osipova
НИИ пульмонологии М3; ГНЦ РФ — Институт иммунологии
Russian Federation
Russian Federation
A. A. Babakhin
НИИ пульмонологии М3; ГНЦ РФ — Институт иммунологии
Russian Federation
Russian Federation
References
1. Сидоренко Е.И., Козинцева П.В. Сенсибилизация к химическим веществам у рабочих резиновой промышленности. Врач, дело 1986; 6: 109—111.
2. Рукавишникова В. М., Стоянов Б.Г. Гиперкератические и опухолевидные изменения кожи у рабочих резиновой промышленности. В кн.: Пролиферативные изменения кожи. 1988. Минск; 45—50.
3. Стандартизация легочных функциональных тестов Европейского сообщества стали и угля. Пульмонология 1993; Прил: 6—86.
4. Cantani A. Latex allergy in children. Invest. Allergol. Clin. Immunol. 1999; 9 (1): 14—20.
5. Chen Z. et al. Identification of hevein (Hevb 6. 02) in Hevea latex as a major crossreacting allergen with avocado fruit in patients with latex allergy. J. Allergy Clin. Immunol. 1998; 92: 476—481.
6. DuBuske L.M., N olte N. Stude protokol Brighman Womens Hospital (Boston, USA) 1997. Study on the Prevalence of Latex Sensitisation in Health Care Workers. Boston; 1997.
7. EBO D.IgE — mediated allergy from natural rubber latex. In: The USB institute of allergy. Brussels; 2000. 110.
8. Kim Т.К. Diagnostic evaluation of type I latex allergy. Ann. Allergy Asthma Immunol. 1998; 80 (1): 1—5.
9. Lebowits M.S. The use of peak expiratory flow rate measurements in respiratory disease. Pediatr. Pulmonol. 1991; 19: 166—174.
10. Lagier F. Latex as aero- allergen. Lancet 1990; 336: 516—517.
11. Levy D.A. Allergy to latex. Allergy 1992; 47: 579—587.
12. Nolte H., Storm K. Diagnostik value of a glass fiber based histamine analysis for allergy testing in children. Ibid. 1990; 45: 213—223.
13. Poley G.E., Slater J.E. Latex allergy. J. Allergy Clin. Immunol. 2000; 105: 1054—1062.
14. Siegal J.E. Latex allergy and anaphylaxis. Int. Anesthesiol. Clin. 1993; 31 (1): 141—45.
15. Slater J.E. Latex allergy. J. Allergy Clin. Immunol. 1994; 94: 139—149.
16. Sussman G.L. Latex allergy: An overview. Can. J . Allergy Clin. Immunol. 2000; 5 (8): 317—323.
17. Turjanmaa K. Allergens in latex surgical gloves and glove powder. Lancet 1990; 336: 1588.
18. Turjanmaa K. Comparison of diagnostic methods in latex surgical glove contact urticaria. Contact Dermatit. 1998; 19: 241—247.
19. Vandenplas O. Occupational asthma caused by natural rubber latex. Eur. Respir. J. 1995; 8: 1957—1965.
Review
For citations:
Chuchalin A.G., Vasilieva O.S., Kazakova G.A., Osipova G.L., Babakhin A.A. Latex allergy in medical workers. PULMONOLOGIYA. 2001;(4):14-19. (In Russ.)
Views:
190
Email this article 