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Editor in Chief - John McMahon Ret. Deputy Chief
What You Should Know About Latex Allergy
By Rebecca Richardson , Staff Writer
WHY YOU SHOULD BE CONCERNED ABOUT LATEX ALLERGY:
Latex allergy should be a topic of concern for all medical professionals, whether or not they are afflicted. Some studies show that 10-18 percent of healthcare professionals suffers from degree of latex allergy. This sensitizes them to common, everyday products such as erasers, mouse pads, balloons, tub toys, carpeting and others to numerous to list. Once a person has become sensitized to latex protein, they may have a serious reaction when exposed to any latex product.
Healthcare workers are not the only people who should be concerned about this issue. It has been estimated that 6 percent of the general population is affected. Anyone who works with latex or uses latex gloves on a regular basis is at risk. People with Spina Bifida also have an incidence of latex allergy as high as fifty percent. Others who may be at increased risk are those who have had many medical or surgical procedures, resulting in exposure to latex gloves.
There are many myths about latex allergy. One of the most common is the belief that if you've worn gloves for years with no problems, you don't have to worry. Not true, It's a cumulative process. In reality, the longer you've worn latex gloves, the more likely it is that you may develop a problem.
Another misconception is that wearing synthetic gloves will protect you. This is not necessarily true. If others around you are using powdered latex gloves then latex proteins are being aerosolized and inhaled, which causes sensitization as well as allergic reactions. Latex particles can remain in the air you breath for up to 6 hours. DIAGNOSIS:The diagnosis of latex allergy is made through a thorough history & blood test (RAST) that will detect latex antibodies in the blood. Be aware that a negative blood (RAST) test does not mean that you are not allergic to latex; these tests have a 25 percent false negative rate. There is no FDA approved regent for skin testing at this time. (Some experienced doctors make their own but be sure the doctor is knowledgeable!). Patient history is the most reliable source of diagnosis.
TREATMENT:The only treatment for those allergic to latex is strict avoidance. All with latex allergies should have latex allergy clearly marked on their medical records. Patients should also have a Medical Alert bracelet and carry an Epinephrine Pen and antihistamines for inadvertent exposure. Patients with latex allergy who need surgery should request a latex-free operating room. Because of the risk of inadvertent exposure, the physician may elect to use prophylactic medication such as antihistamines and steroids preoperatively. Always talk with your doctor before any surgical procedures.
TREATING LATEX ALLERGIC PATIENTS IN THE FIELD:There are some good sample protocols and tutorials available on the Internet. Take the time to read through them. If your department does not have a latex allergy protocol in place you should bring it to the attention of your medical director or training officer.
For further latex allergy information visit the following websites:
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