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乳胶过敏医护人员的生活质量。

Quality of life in health care workers with latex allergy.

机构信息

Occupational Health Department, Cork University Hospital, Cork, Ireland.

出版信息

Occup Med (Lond). 2010 Jan;60(1):62-5. doi: 10.1093/occmed/kqp156. Epub 2009 Nov 9.

Abstract

BACKGROUND

Exposure to latex gloves and glove powder makes health care workers (HCWs) particularly susceptible to developing an allergy to latex.

AIMS

To assess the impact on the quality of life (QOL) of HCWs who are allergic to latex products before removal from latex exposure and after removal from exposure.

METHODS

We studied 39 latex allergic HCWs from the Health & Safety Executive south area. Twenty-nine attended for an assessment with the occupational physician and were asked to fill out a questionnaire. Spirometry, immunoglobulin E levels and latex radioallergosorbent test levels were measured.

RESULTS

In total, 29/39 (74%) of patients responded. All of the participants had a type 1 allergy to latex. All individuals reported a significant improvement of symptoms once latex was removed from their working environment. Of those that reported skin complaints, 83% reported that their skin no longer had an impact on their QOL once latex was removed. Over 90% (n = 26) of all participants stated that their eye/nose symptoms had no longer an impact on their QOL and 86% (n = 25) of all participants stated that their respiratory symptoms had no impact on their QOL following the removal of latex from their working environment. Overall, 45% of the respondents had changed jobs: 61% of this group changed to a completely nonclinical post.

CONCLUSIONS

On average, 86% of latex allergic HCWs reported that their QOL had improved significantly since their removal from latex. In employees who are latex allergic/sensitized, taking latex avoidance measures results in cessation or diminution of symptoms.

摘要

背景

乳胶手套和手套粉会使医护人员(HCWs)特别容易对乳胶产生过敏。

目的

评估乳胶过敏的 HCWs 在脱离乳胶暴露前和暴露后对生活质量(QOL)的影响。

方法

我们研究了来自健康与安全执行局南区的 39 名乳胶过敏的 HCWs。29 名接受了职业医生的评估,并被要求填写一份问卷。进行了肺功能检查、免疫球蛋白 E 水平和乳胶放射过敏原吸附试验水平的测量。

结果

总共 29/39(74%)的患者做出了回应。所有参与者均对乳胶发生 1 型过敏。所有个体报告说,一旦乳胶从工作环境中去除,症状就会显著改善。在报告有皮肤问题的人群中,83%的人报告说,一旦乳胶被去除,他们的皮肤就不再对他们的 QOL 产生影响。超过 90%(n=26)的所有参与者表示,他们的眼/鼻症状不再对他们的 QOL 产生影响,86%(n=25)的所有参与者表示,他们的呼吸道症状在从工作环境中去除乳胶后不再对他们的 QOL 产生影响。总体而言,45%的受访者已经换了工作:该组中有 61%的人换了完全非临床的职位。

结论

平均而言,86%的乳胶过敏的 HCWs 报告说,自从他们脱离乳胶后,他们的 QOL 已经显著改善。在乳胶过敏/致敏的员工中,采取乳胶回避措施可导致症状的停止或减轻。

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