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医院工作人员中乳胶特异性IgE抗体的患病率。

Prevalence of latex-specific IgE antibodies in hospital personnel.

作者信息

Kaczmarek R G, Silverman B G, Gross T P, Hamilton R G, Kessler E, Arrowsmith-Lowe J T, Moore R M

机构信息

Center for Devices and Radiological Health, Rockville, Maryland, USA.

出版信息

Ann Allergy Asthma Immunol. 1996 Jan;76(1):51-6. doi: 10.1016/S1081-1206(10)63406-0.

Abstract

BACKGROUND

Rubber latex hypersensitivity is an important concern for health care workers.

PURPOSE

The Center for Devices and Radiological Health, in collaboration with the Consumer Product Safety Commission, conducted a multicenter study of the prevalence of latex-specific IgE antibodies among United States hospital personnel.

MATERIALS AND METHODS

Nine hospitals participated in the cross-sectional study. A total of 504 hospital personnel completed questionnaires that provided an array of demographic, occupational, and clinical information, including a history, if any, of allergies and the use of latex and nonlatex gloves. More than three-quarters (76.5%) of the participants were tested for total IgE and latex specific IgE.

RESULTS

A total of 21 (5.5%, 95% CI = 3%-7%) of the tested participants were positive for the presence of latex specific IgE antibodies, defined as a latex IgE level of > or = 0.6 ng/mL. Latex specific IgE antibodies were more prevalent in participants who reported tachycardia, palpitations, flushing, or wheezing associated with latex gloves (Odds Ratio = 10.2, 95% CI = 3.7-28.6).

CONCLUSION

The study's results suggest that the prevalence of latex-specific IgE antibodies among hospital personnel is appreciable and these personnel and their health care providers should be aware of this entity.

摘要

背景

橡胶乳胶过敏是医护人员关注的一个重要问题。

目的

设备与放射健康中心与消费品安全委员会合作,对美国医院工作人员中乳胶特异性IgE抗体的患病率进行了一项多中心研究。

材料与方法

九家医院参与了这项横断面研究。共有504名医院工作人员完成了问卷调查,问卷提供了一系列人口统计学、职业和临床信息,包括过敏史(如有)以及乳胶手套和非乳胶手套的使用情况。超过四分之三(76.5%)的参与者接受了总IgE和乳胶特异性IgE检测。

结果

共有21名(5.5%,95%可信区间=3%-7%)接受检测的参与者乳胶特异性IgE抗体呈阳性,定义为乳胶IgE水平≥0.6 ng/mL。乳胶特异性IgE抗体在报告与乳胶手套相关的心动过速、心悸、脸红或喘息的参与者中更为普遍(优势比=10.2,95%可信区间=3.7-28.6)。

结论

该研究结果表明,医院工作人员中乳胶特异性IgE抗体的患病率相当可观,这些工作人员及其医疗服务提供者应了解这一情况。

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