Mehlum I S
Direktoratet for arbeidstilsynet, Oslo.
Tidsskr Nor Laegeforen. 1998 Sep 10;118(21):3287-92.
Latex allergy has become a common work-related disease among health care workers. An increase in the use of latex gloves is the main reason for this. Measures to prevent sensitization and allergic reactions to latex can be implemented at various administrative levels: at national and international levels by regulations and recommendations, and by the implementation of various measures at the place of work. When to use gloves and what gloves to use are important issues, balancing barrier properties and the need to prevent infection with the need to prevent sensitization and allergic reactions to latex. There are great variations between allergen levels in different gloves, and this can be measured in different ways. Threshold levels are not specified, and latex gloves should not be considered devoid of allergenic potential. The Norwegian Labour Inspection Authority has carried out a survey on latex gloves, based on information from manufacturers and importers, and present this survey to guide glove users. We recommend powder-free gloves with low levels of latex allergens/leachable proteins, chemicals and endotoxins. There are several low-allergen gloves available on the Norwegian market, but for some gloves we lack important information.
乳胶过敏已成为医护人员中一种常见的职业相关疾病。乳胶手套使用量的增加是其主要原因。预防对乳胶致敏和过敏反应的措施可在各级行政层面实施:在国家和国际层面通过法规和建议,并在工作场所实施各种措施。何时使用手套以及使用何种手套是重要问题,需要在屏障性能、预防感染的需求与预防对乳胶致敏和过敏反应的需求之间取得平衡。不同手套中的过敏原水平存在很大差异,且可以用不同方式进行测量。未规定阈值水平,不应认为乳胶手套没有致敏潜力。挪威劳动监察局基于制造商和进口商提供的信息对乳胶手套进行了一项调查,并公布此项调查以指导手套使用者。我们推荐使用乳胶过敏原/可溶出蛋白、化学物质和内毒素含量低的无粉手套。挪威市场上有几种低过敏原手套,但对于一些手套我们缺乏重要信息。