Latex hypersensitivity in Department of Veterans Affairs health care workers: glove use, symptoms, and sensitization
| Autor: | Diane Foster, Frances M. Murphy, Robert K. Bush, Karen Kestenberg, David N. Weissman, Jordan N. Fink, Kevin J. Kelly, Kathleen Colella, C.Raymond Zeiss, Michael J. Hodgson, Viswanath P. Kurup, Asriani Chiu, Ahmed Gomaa, Sang Dejativongse |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Hypersensitivity
Immediate Male Allergy Time Factors Latex Hypersensitivity Statistics as Topic medicine.disease_cause Atopy Allergen Surveys and Questionnaires Prevalence Immunology and Allergy Medicine Sensitization education.field_of_study Middle Aged Occupational Diseases United States Department of Veterans Affairs Treatment Outcome medicine.anatomical_structure Dermatitis Allergic Contact Female National Institute for Occupational Safety and Health U.S Adult Pulmonary and Respiratory Medicine medicine.medical_specialty Health Personnel Immunology Population Sensitivity and Specificity Occupational medicine Predictive Value of Tests Occupational Exposure Humans False Positive Reactions education Veterans Affairs Aged business.industry technology industry and agriculture Immunoglobulin E equipment and supplies medicine.disease Dermatology United States body regions Immunization Centers for Disease Control and Prevention U.S Gloves Protective business Biomarkers |
| Zdroj: | Annals of Allergy, Asthma & Immunology. 91:539-545 |
| ISSN: | 1081-1206 |
| Popis: | Background This report of the prevalence of latex glove allergy in 3 Department of Veterans Affairs (VA) medical centers was a collaboration of the VA, the Centers for Disease Control and Prevention, and the National Institute for Occupational Safety and Health. Objectives To enroll and evaluate personnel from across the entire hospital workforce for latex hypersensitivity and to determine the type and extent of latex glove use. Methods A questionnaire was administered that covered demographics, job category, latex glove use, and current latex glove allergic symptoms. Skin testing to aeroallergens was performed to evaluate the presence of atopy. Blood was drawn for analyses of serum antilatex IgE antibody by CAP assay. Results Of 1,959 subjects, 158 (8.1%) had latex glove-allergic symptoms, a positive latex CAP assay result, or both. In 1,003 subjects who reported latex glove use, 915 (91.4%) used nonpowdered gloves. A total of 133 subjects reported latex glove allergic symptoms, and 36 subjects had positive CAP assay results. Latex sensitization was correlated with atopy, race, and latex glove exposure. Latex symptoms were correlated with atopy, a positive CAP assay result, and latex glove exposure. Of the 133 subjects with latex glove allergic symptoms, only 11 had positive CAP assay results, giving a prevalence of confirmed latex glove allergy of 0.6%. Conclusions Symptoms attributed to latex gloves and/or latex sensitization occurred in 8.1% of the employee population, with exposure, race, and atopy being the major risk factors. Few symptomatic individuals were sensitized to latex (0.6%). This low rate of confirmed latex glove allergy may have been related to nonpowdered glove use. |
| Databáze: | OpenAIRE |
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