Bubak M E, Reed C E, Fransway A F, Yunginger J W, Jones R T, Carlson C A, Hunt L W
Division of Allergic Diseases and Internal Medicine, Mayo Clinic, Rochester, MN 55905.
Mayo Clin Proc. 1992 Nov;67(11):1075-9. doi: 10.1016/s0025-6196(12)61122-7.
With the emergence of the acquired immunodeficiency syndrome (AIDS) epidemic and the practice of protecting health-care workers from all body fluids, the use of rubber gloves has increased, as has occupational allergy to latex among health-care workers. During 1991, 49 Mayo Medical Center employees sought assessment and treatment of rhinitis, conjunctivitis, contact urticaria, contact dermatitis, asthma, or eczema thought to be related to exposure to latex. Most of these persons had a history of atopy and worked in areas where rubber gloves were used and changed frequently. Of the 49 subjects, 34 had positive results of skin tests to latex products, and the sera from 19 of 35 persons tested contained increased latex-specific IgE antibodies. Employees with sensitivity to latex (and co-workers in the immediate areas) should use vinyl gloves and should notify their own health-care providers of their sensitization. Changes in job assignment may be necessary for some persons.
随着获得性免疫缺陷综合征(艾滋病)的流行以及保护医护人员免受所有体液接触的做法的实施,橡胶手套的使用增加了,医护人员中对乳胶的职业性过敏也增加了。1991年期间,49名梅奥医学中心的员工寻求对被认为与接触乳胶有关的鼻炎、结膜炎、接触性荨麻疹、接触性皮炎、哮喘或湿疹进行评估和治疗。这些人中大多数有特应性病史,并且在经常使用和更换橡胶手套的区域工作。在这49名受试者中,34人对乳胶产品的皮肤试验呈阳性,在35名接受检测的人中,有19人的血清中乳胶特异性IgE抗体增加。对乳胶敏感的员工(以及附近区域的同事)应使用乙烯基手套,并应将自己的致敏情况告知自己的医护人员。对一些人来说,可能需要改变工作安排。