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Natural Rubber Latex: Glove Use, Sensitization and Airborne
and Latent Dust Concentrations at a Denver Hospital*
by Elena H. Page, MD, MPH; Eric J. Esswein, MSPH; Martin
R. Petersen, PhD; Daniel M. Lewis, PhD and Toni A. Bledsoe, MS
A study was conducted at a Denver hospital to reveal possible
relationships between occupational latex exposure and latex sensitization.
Although other studies have found connections between latex sensitization
and factors such as occupational exposure, multiple surgeries and
food allergies, this particular sample did not reveal any such
relationships.
The study population consisted of regular users of latex gloves
and nonusers, with a total of 532 participants. Information on
personal and job characteristics, glove use and symptoms was gathered
through self-administered questionnaires. Serum was tested for
latex-specific immunoglobulin E. Air, surface and air-filter dust
samples were collected and tested for amounts of natural rubber
latex.
Of the total participants, 6.1% of latex glove users and 6.3%
of nonusers were found to have latex sensitization. The findings
did not show a significant connection between the use of latex
gloves on a regular basis and latex allergy. There was also a lack
of statistical evidence linking latex sensitization with food allergies
or multiple surgeries. Because the number of people in the study
with latex sensitization was relatively small, only 32 individuals,
there may have been insufficient statistical power to detect a
significant association between sensitization and certain health
effects.
While occupational use of latex gloves was not found to be a risk
factor for sensitization, there was a statistical connection found
between latex glove use and hand urticaria, hand dermatitis and
rhino-conjunctivitis. The study also showed a correlation between
latex sensitization and employees who were atopic. 81.3% of sensitized
workers were atopic, compared with 59.5% of nonsensitized workers.
*Article published in JOEM, June 2000, Vol. 42, No. 6
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