Smoot E C, Baron M J
Adv Wound Care. 1995 Sep-Oct;8(5):33-4, 37-9.
At a Memphis, Tenn., children's hospital, latex-free surgery is mandated for patients with spina bifida or for those who have had multiple surgeries to correct congenital urinary anomalies. Even in the absence of a positive clinical history, both categories of patients are presumed to have a latex allergy or sensitivity. This case report illustrates the severe anaphylactic reaction that may occur with exposure to latex gloves or glove powder that transfers the antigen. The increasing incidence of latex rubber allergy for patients and health care workers is reviewed. Screening for patients at risk for allergy is outlined. These allergic patients can undergo safe operations if precautions are undertaken to avoid latex exposure. Precautions must also be initiated and enforced throughout the hospital for treatment of the patient in the pre- and post-operative period.
在田纳西州孟菲斯市的一家儿童医院，对于患有脊柱裂的患者或那些接受过多次手术以纠正先天性泌尿异常的患者，强制要求进行无乳胶手术。即使没有明确的临床过敏史，这两类患者也被假定存在乳胶过敏或敏感。本病例报告说明了接触乳胶手套或带有抗原的手套粉末可能引发的严重过敏反应。文中回顾了患者和医护人员中乳胶橡胶过敏发病率的上升情况。概述了对有过敏风险患者的筛查方法。如果采取预防措施避免接触乳胶，这些过敏患者可以安全地接受手术。在整个医院还必须在术前和术后阶段对患者的治疗启动并执行预防措施。
