Outcomes of a natural rubber latex control program in an Ontario teaching hospital

Tarlo, Susan M.; Easty, Anthony C.; Eubanks, Kathleen; Parsons, Craig; Min, Frank; Juvet, S.; Liss, Gary M.

doi:10.1067/mai.2001.118792

Cited by 114 publications

(60 citation statements)

References 15 publications

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“…Such substitution has been found to be an effective prevention strategy that reduces the incidence of suspected latex allergy and specifically latex-related occupational asthma (Allmers et al 2002;Tarlo et al 2001;Vanderplas et al 2002). After occupational exposure, the rates of sensitization and NRL-induced asthma rise dramatically in individuals using powdered NRL gloves but not in individuals using powder-free gloves (Charous et al 2002).…”

Section: Discussionmentioning

confidence: 99%

Latex allergy and occupational asthma in health care workers: adverse outcomes.

Amr

Bollinger²

2004

Environ Health Perspect

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The prevalence of natural rubber latex (NRL) allergy has been estimated to be 5-18% in health care workers, and latex exposure has been one of the leading causes of occupational asthma in the last several years. We present the cases of two nurses who developed sensitivity to NRL, both with dermatologic symptoms and respiratory symptoms that included asthma. They were referred to the University of Maryland for evaluation of their allergies, then for occupational and environmental consults. The patients' allergy to NRL was confirmed on the basis of clinical history, a positive skin test to latex, and the presence of latex-specific immunoglobulin E (IgE) serology by radioallergosorbent test (RAST). Both patients worked in the same community hospital for approximately 20 years; one was an endoscopy nurse and the other worked in the emergency department. Following the diagnosis of allergy to latex, both patients avoided direct skin contact with latex, but they continued to work in the same respective environments, where powdered latex gloves and other potentially sensitizing chemicals were used. Instead of improving, the clinical condition of the patients worsened and they remained symptomatic, even after they were removed from their workplace. Their airways reacted to low levels of a variety of sensitizers and irritants in the environment, and they became depressed. Both nurses were referred for vocational rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Latex allergy and occupational asthma in health care workers: adverse outcomes.

Amr

Bollinger²

2004

Environ Health Perspect

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“…During the same period, the number of new cases of occupational allergy to latex declined substantially at two large teaching hospitals in Toronto that have approximately 8000 employees [84]. The publication of guidelines to prevent latex allergy and the subsequent increased use of powder-free latex surgical and examination gloves in German acute care hospitals was associated with significant declines in the numbers of occupational allergy and asthma cases reported to the agency responsible for accident insurance and worker's compensation measures [85].…”

Section: Reduction or Prevention Of Latex Sensitizationmentioning

confidence: 94%

Occupational allergies caused by latex

Ahmed

Sobczak

Yunginger³

2003

Immunology and Allergy Clinics of North America

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“…However, in spite of this limitation, the evaluation of the prevalence of signs/symptoms suggestive of latex-related sensitization, instead of the sensitization itself, serves as an alert to a problem not properly regarded in Brazil. Similarly to what is being done in other countries, the introduction and implementation of preventive measures as regards LS and the disclosure of the latex-related allergy as a work disease should be highly fostered 19,[40][41][42]45 . …”

Section: Discussionmentioning

confidence: 99%