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患有脊髓脊膜膨出症的患者群体中乳胶过敏的患病率。

Prevalence of latex allergy in a population of patients diagnosed with myelomeningocele.

作者信息

Parisi Claudio A S, Petriz Natalia A, Busaniche Julio N, Cortines María C, Frangi Fernando A, Portillo Santiago A, de Badiola Francisco I

机构信息

Sección de Alergia Pediátrica, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, C1199ABD, Argentina.

Servicio de Clínica Pediátrica, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, C1199ABD, Argentina.

出版信息

Arch Argent Pediatr. 2016 Feb;114(1):30-5. doi: 10.5546/aap.2016.eng.30. Epub 2015 Dec 17.

Abstract

INTRODUCTION

Latex allergy is one of the main reasons of anaphylaxis in the operating room. The prevalence of this condition is higher among patients with myelomeningocele. Epidemiological data obtained from Argentine patients is scarce.

OBJECTIVE

To estimate the prevalence of latex sensitivity and latex allergy in a population of patients with myelomeningocele and to describe associated risk factors.

POPULATION AND METHODS

Descriptive, cross-sectional, observational study. Family and personal history of allergy, number of surgeries, history of symptoms caused by having been in contact with latex or cross-reactive foods, eosinophil count, measurement of total immunoglobulin E and specific immunoglobulin E levels by means of skin and serologic testing for latex, aeroallergens and cross-reactive fruit.

RESULTS

Eighty-two patients diagnosed with myelomeningocele were assessed: 41 were males and their average age was 15.3 ± 7.66 years old. Out of all patients, two did not complete skin and serologic testing. Among the remaining 80 patients, 16 (19.51%) had latex allergy, 46 (57.5%) were not allergic, and 18 (22%) showed sensitivity but not allergy. Having undergone more than five surgeries was a risk factor associated with latex allergy (p= 0.035). No significant association was observed with the remaining outcome measures.

CONCLUSION

According to this study, the prevalence of latex allergy in this population of patients is 19.51% and the most important risk factor for this condition is a history of having undergone more than five surgeries.

摘要

引言

乳胶过敏是手术室中过敏反应的主要原因之一。脊髓脊膜膨出患者中这种情况的患病率较高。从阿根廷患者获得的流行病学数据很少。

目的

评估脊髓脊膜膨出患者群体中乳胶敏感性和乳胶过敏的患病率,并描述相关危险因素。

研究对象与方法

描述性、横断面、观察性研究。收集过敏家族史和个人史、手术次数、接触乳胶或交叉反应性食物引起的症状史、嗜酸性粒细胞计数、通过对乳胶、气传变应原和交叉反应性水果进行皮肤和血清学检测来测量总免疫球蛋白E和特异性免疫球蛋白E水平。

结果

对82例诊断为脊髓脊膜膨出的患者进行了评估:41例为男性,平均年龄为15.3±7.66岁。所有患者中,2例未完成皮肤和血清学检测。在其余80例患者中,16例(19.51%)有乳胶过敏,46例(57.5%)无过敏,18例(22%)表现为敏感但无过敏。接受过超过五次手术是与乳胶过敏相关的危险因素(p=0.035)。其余观察指标未发现显著相关性。

结论

根据本研究,该患者群体中乳胶过敏的患病率为19.51%,这种情况最重要的危险因素是有超过五次手术的病史。

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