Turjanmaa K
Department of Dermatology, University Central Hospital, Tampere, Finland.
Contact Dermatitis. 1987 Nov;17(5):270-5. doi: 10.1111/j.1600-0536.1987.tb01476.x.
Latex surgical gloves may cause contact urticaria and serious allergic reactions in sensitized persons, but the frequency of this allergy is not known. In the present study, 512 hospital employees were screened with a latex-glove scratch-chamber test; 23 (4.5%) were suspected and 15 (2.9%) were proven allergic with latex prick and use tests. All of them were doctors and nurses, and 12 had had contact urticaria but no serious symptoms. They could continue their routine work using cotton or vinyl undergloves or special latex surgical gloves. Atopy, hand eczema and surgical work seemed to be predisposing factors. In operating units, 7.4% of the doctors and 5.6% of the nurses were allergic; the frequency was lower in non-operating units and among laboratory personnel. The high frequency of latex glove allergy, especially in operating units, focuses attention on the quality of surgical latex gloves.
乳胶手术手套可能会使敏感人群发生接触性荨麻疹和严重的过敏反应,但这种过敏的发生率尚不清楚。在本研究中,对512名医院工作人员进行了乳胶手套划痕试验筛查;23人(4.5%)疑似过敏,15人(2.9%)经乳胶点刺试验和使用试验确诊过敏。他们均为医生和护士,其中12人曾患接触性荨麻疹,但无严重症状。他们可以使用棉质或乙烯基内手套或特殊的乳胶手术手套继续日常工作。特应性、手部湿疹和外科工作似乎是诱发因素。在手术室,7.4%的医生和5.6%的护士过敏;在非手术室和实验室人员中,过敏发生率较低。乳胶手套过敏的高发生率,尤其是在手术室,引起了人们对外科乳胶手套质量的关注。