Latex Allergy - The Australian experience - LatexGlove.Info

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Comparison of Westmead, Hobart andPerth Questionnaire DataWestmeadn=177Hobartn=494Perthn=510Gloverelatedsymptoms52(29%)151(31.5%)166(32.7%)QBLH 16 (9%)40 (8%) 60 (11.8%)QBGD 39 (22%)79 (16%) 9 8 (19.2%)
1997Douglas R. Morton J. Czarny D. O'Hehir RE.Alfred Hospital, PO Box 815, Prahran, Vic. 3181; Australia.Prevalence of IgE-mediated allergy to latex in hospital nursing staff.Australian & New Zealand Journal of Medicine. Vol. 27(2)(pp 165-169), 1997.AbstractBackground: IgE-mediated hypersensitivity to latex proteins has become a significant clinicalproblem over the last decade. Nursing and medical staff are at risk because of their occupationalexposure to latex. Aims: To determine the prevalence of type I hypersensitivity to latex allergensin the nursing staff of an Australian hospital. Methods: A questionnaire which asked aboutsymptoms associated with the use of latex gloves was completed by 140 nurses working in theAlfred Hospital (72 in general medical wards, 68 in intensive care units). Skin prick tests witheluates of five different types of latex glove as well as common aeroallergens (rye pollen andhouse dust mite) and banana extract were performed. Results: Thirty-one nurses (22%) wereskin prick test positive to at least one of the five latex glove eluates. All of these nurses wereatopic, having positive skin prick tests to rye pollen or house dust mite. Symptoms of localdryness, itch and erythema associated with glove use were reported by more than half the studygroup, but not more frequently by those who were skin prick test positive to latex. Urticariaassociated with glove use was reported more frequently by those with positive latex skin pricktests (13% vs 4%, p=0.05). Eighty-seven per cent of the nurses who were latex skin test positivewere also positive to banana extract. Conclusions: IgE-mediated hypersensitivity to latex iscommon in nurses working in an Australian hospital. Glove associated symptoms werefrequently reported, but in most cases the symptoms were more typical of irritant or contactdermatitis rather than type I hypersensitivity reactions. However, the extent of subclinicalsensitisation to latex found in this study suggests that symptomatic latex allergy is likely toemerge as an increasing problem for nursing staff in this country.
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