Ranta Peter M, Ownby Dennis R
Department of Pediatrics, Medical College of Georgia, Augusta, Georgia 30912, USA.
Clin Infect Dis. 2004 Jan 15;38(2):252-6. doi: 10.1086/380789. Epub 2003 Dec 19.
This brief review of natural-rubber latex (NRL) allergy in health care workers (HCWs) includes the definition of NRL allergy and data on its epidemiology, pathogenesis, diagnostic algorithm, management, long-term outcomes, economic impact, cost-effectiveness of changing facilities to a latex-free environment, and prevention. The data presented suggest that an individual with type I or type IV hypersensitivity to NRL should be able to continue to work in the workplace with careful evaluation and reasonable accommodations. Reducing exposure to latex is a safe and more economical alternative to complete removal of the individual from the place of employment. The use of low-allergen, nonpowdered NRL gloves substantially reduces airborne exposure to latex in most health care settings.
这篇关于医护人员天然橡胶乳胶（NRL）过敏的简要综述涵盖了NRL过敏的定义、其流行病学、发病机制、诊断流程、管理、长期预后、经济影响、将设施更换为无乳胶环境的成本效益以及预防等方面的数据。所呈现的数据表明，对NRL有I型或IV型超敏反应的个体，经过仔细评估并给予合理便利条件后，应能够继续在工作场所工作。减少乳胶暴露是一种安全且更经济的替代方案，而非将个体完全调离工作岗位。在大多数医疗环境中，使用低过敏原、无粉的NRL手套可大幅减少空气中乳胶的暴露。
