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Latex Allergy in the Prehospital Setting

Published online by Cambridge University Press:  28 June 2012

Franklin H.G. Bridgewater ,
Kathryn Zeitz ,
Constance Katelaris  and
John Field
Franklin H.G. Bridgewater*
Affiliation:
St. John Ambulance Australia, SA, Inc., Australia
Kathryn Zeitz
Affiliation:
St. John Ambulance Australia, SA, Inc., Australia
Constance Katelaris
Affiliation:
Department of Clinical Immunology and Allergy, Westmead Hospital, Sydney, NSW, Australia
John Field
Affiliation:
BiometricsSA, University of Adelaide, South Australia, Australia
*
St. John Ambulance Australia 79 Pennington Terrace North Adelaide, South Australia 5006, Australia E-mail: [email protected]
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Abstract

Introduction:

Latex allergy first was recognized early in the 20th Century, but was not a matter of concern until the last decade of that Century. The reported incidence of latex allergy in different occupations varies considerably. It has been documented in dental workers, operating theater staff, anesthetists, and laboratory technicians. However, little data specifically related to those involved in patient care in the emergency prehospital setting are available.

Methods:

A questionnaire was distributed to a sample of both volunteer and salaried first responders from St. John Ambulance Australia in South Australia and Western Australia, and the South Australian AmbulanceService. The first responders were surveyed to: (1) determine the incidence of latex allergy; (2) consider possible factors associated with its development; (3) compare characteristics of the surveyed groups; and (4) reinforce the development of an educational program.

The study tool had predetermined statistical qualities. Data were collated and processed using standard statistical procedures. Surveys were collected anonymously.

Results:

Of the 2,716 forms distributed, 1,099 were returned, resulting in an overall response rate of 40.5%. Atopy was identified in 14.9% of participants, hand dermatitis in 9.4%, and latex allergy in 6.4%. In the group of full-time ambulance officers, there was a significantly higher incidence of hand dermatitis and latex allergy. There also was a significant relationship between latex allergies and both dermatitis and glove usage (as measured by frequency and duration).

Conclusion:

In a group of first responders assessed by an anonymous, voluntary questionnaire, the subset of full-time, salaried ambulance officers was identified as having a higher incidence of hand dermatitis and latex allergy than their volunteer co-workers. These results require further assessment to substantiate the frequency of latex allergy and determine the predisposing factors. All personnel must learn about hand care. Non-powdered, natural rubber latex gloves should be supported for general use in this setting.

Keywords

ambulance officersatopydermatitisfirst respondersgloveslatex allergyquestionnairevolunteers
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 21 , Issue 5 , October 2006 , pp. 322 - 328
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2006

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References

1.Anonymous: South Australia at a glance: Australia Bureau of Statistics; 2000. Report No.: ABS Catalogue No. 1306.4.Google Scholar
2.Fiori, L: Annual Report of the Priory in Australia of the Order of St John. Canberra: Priory in Australia of the Order of St John; 2002–2003.Google Scholar
3.Stern, G: Ueberempfindlichkeit gegen kautschuk als ursache von urticaria und quinckeschem oedem. Klin Wochenschr 1927;6:1096–1099.CrossRefGoogle Scholar
4.Nutter, AF: Contact urticaria to rubber. Br J Dermatol 1979;101(5):597–598.CrossRefGoogle ScholarPubMed
5. US Centers for Disease Control and Prevention (CDC): Recommendations for prevention of HIV transmission in health-care settings. MMWR 1987;36(Supplement 2):1–18.Google Scholar
6.Garner, J, Hierholzer, W, McCormick, R et al. : Guideline for isolation precautions in hospitals: Part 1: Evolution of isolation practices (Special Communication). Am J Infect Control 1996;24(1):24–31.Google Scholar
7. Anonymous: Allergic reactions to latex-containing items. FDA Medical Bulletin 1991;21(7):1–2.Google Scholar
8.Berky, ZT, Luciano, WJ, James, WD: Latex glove allergy: A survey of the US Army Dental Corps. JAMA 1992;268(19):2695–2697.CrossRefGoogle ScholarPubMed
9.Katelaris, CH, Widmer, RP, Lazarus, RM: Prevalence of latex allergy in a dental school. Med J Aust 1996;164(12):711–714.CrossRefGoogle Scholar
10.Liss, GM, Sussman, GL, Deal, K et al. : Latex allergy: Epidemiological study of 1,351 hospital workers. Occup Environ Med 1997;54(5):335–342.Google Scholar
11.Sinha, A, Harrison, PV: Latex glove allergy among hospital employees: A study in the north-west of England. Occupational Medicine 1998;48(6):405–410.Google Scholar
12.Watts, DN, Jacobs, RR, Forrester, B, Bartolucci, A: An evaluationof the prevalence of latex sensitivity among atopic and non-atopic intensive care workers. Am J Ind Med 1998;34(4):359–363.Google Scholar
13.Warshaw, E: Latex allergy. J Am Acad Dermatol 1998;39(1):1–24.CrossRefGoogle ScholarPubMed
14.Safadi, GS, Corey, EC, Taylor, JS et al. : Latex hypersensitivity in emergency medical service providers. Ann Allergy Asthma Immunol 1996;77(1):39–42.CrossRefGoogle ScholarPubMed
15.Langdon-Orr, C, Neyle, D: Choice of Gloves for Use by Emergency Medical Service Personnel, in Particular, First Aiders of the Operations Branch of St. John Ambulance Australia: A Discussion Paper and Literature Review. Canberra, Australia: St. John Ambulance Australia, 1996.Google Scholar
16. R Development Core Team:R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing, 2004.Google Scholar
17.Brown, RH, Schauble, JF, Hamilton, RG: Prevalence of latex allergy among anesthesiologists: Identification of sensitized but asymptomatic individuals.[see comment]. Anesthesiology 1998;89(2):292–299.Google Scholar
18.Bollinger, ME, Mudd, K, Keible, LA et al. : A hospital-based screening program for natural rubber latex allergy. Ann Allergy Asthma Immunol 2002;88(6):560–567.Google Scholar
19.Verna, N, Di Giampaolo, L, Renzetti, A et al. : Prevalence and risk factors for latex-related diseases among healthcare workers in an Italian general hospital. Ann Clin Lab Sci 2003;33(2):184–191.Google Scholar
20.Warburton, J, Oppenheimer, M, (ed.): Volunteering: Noble Gesture or the Logic of Necessity? Volunteers and Volunteering. Sydney: The Federation Press; 2000.Google Scholar
21.Cohen, DE, Scheman, A, Stewart, L et al. : American Academy of Dermatology's position paper on latex allergy. J Am Acad Dermatol 1998;39(1):98–106.Google Scholar
22. New South Wales Health Department: Policy framework and guidelines for the prevention and management of latex allergy in NSW Public Health Services. NSW Health Department 2000;File 97/1580-2(Circular2000/99).Google Scholar
23.Swanson, MC, Bubak, ME, Hunt, LW et al. : Quantification of occupational latex aeroallergens in a medical center. J Allergy Clin Immunol 1994;94 (3 Pt 1):445–451.CrossRefGoogle ScholarPubMed
24.Allmers, H, Brehler, R, Chen, Z et al. : Reduction of latex aeroallergens and latex-specific IgE antibodies in sensitized workers after removal of powdered natural rubberlatex gloves in a hospital. J Allergy Clin Immunol 1998;102(5):841–846.Google Scholar
25.Hunt, LW, Fransway, AF, Reed, CE et al. : An epidemic of occupational allergy to latex involving health care workers. J Occup Environ Med 1995;37(10):1204–1209.Google Scholar
26.Saary, MJ, Kanani, A, Alghadeer, H et al. : Changes in rates of natural rubber latex sensitivity among dental school students and staff members after changes in latex gloves. J Allergy Clin Immunol 2002;109(1):131–135.Google Scholar
27.Vandenplas, O, Jamart, J, Delwiche, JP et al. : Occupational asthma caused by natural rubber latex: Outcome according to cessation or reduction of exposure. J Allergy Clin Immunol 2002;109(1):125–130.Google Scholar
28.Ponsonby, AL, Dwyer, T, Kemp, A et al. : The use of mutually exclusive categories for atopic sensitization: A contrasting effect for family size on house dust mite sensitization compared with ryegrass sensitization. Pediatr Allergy Immunol 2003;14(2):81–90.CrossRefGoogle ScholarPubMed
29.Bridgewater, F, Trudgen, K: The nature of latex allergy and its implications for the Australian Defence Force. ADF Health 2004;5:78–84.Google Scholar