Comparing the Enzyme Allergosorbens and Coated Allergen Particle Tests for Latex Allergy

Konrad, C.; Fieber, Tanja; Schüpfer, G.; Gerber, Helmut; Müllner, G.

doi:10.1097/00000539-199812000-00034

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Unfortunately, there is no universally accepted standardized serum test to assess Type I latex allergy. Nevertheless, a recent report has indicated some advantages of the test used in the present study, in anaesthesia personnel 30 .…”

Section: Latex Allergy Diagnosismentioning

confidence: 77%

Latex Hypersensitivity in Spinal Cord Injured Adult Patients

Mertès

Mouton

Frémont

et al. 2001

Anaesth Intensive Care

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Latex hypersensitivity is a major cause of anaphylaxis during anaesthesia. Patients with spina bifida, health care or rubber industry workers have been considered at risk for latex sensitization. By analogy, the existence of other at-risk subsets of patients with latex exposure due to frequent surgical procedures has been suggested. The aim of this study was to evaluate the prevalence of latex sensitization in a cohort of adult patients with spinal cord injury and repeated latex exposure. Forty-two adult patients with spinal cord injury were studied and retrospectively compared to a group of 30 children with spina bifida evaluated using a similar protocol. Patients were administered a questionnaire concerning history of latex hypersensitivity, atopy, and surgical procedures. Latex sensitivity was investigated by skin prick-tests and latex-specific IgE assay. The search for atopy was based on in vivo and in vitro tests against a panel of environmental allergens. No chronic spinal cord injured patient had a history of latex allergy. When compared with spina bifida, the number of surgical procedures was not statistically different. Although not significantly different, the prevalence of atopy was higher in spina bifida patients. The high level of latex sensitization in spina bifida patients contrasted sharply with the absence of sensitization observed on both skin and in vitro tests in patients with spinal cord injury (P<0.0001). This study confirms that adult patients with chronic neurologic defects resulting from spinal cord injury exhibit a low risk of latex sensitization. These results suggest that considering adult patients with repeated surgical procedures as a group at risk for latex sensitization because of a high degree of latex exposure should be reexamined .

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Section: Latex Allergy Diagnosismentioning

confidence: 77%

Latex Hypersensitivity in Spinal Cord Injured Adult Patients

Mertès

Mouton

Frémont

et al. 2001

Anaesth Intensive Care

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“…Die zellvermittelte Typ-IV-Allergie wird auch als Spättyp-Allergie bezeichnet, da die klinischen Symptome meist6-48 h nach Allergenkontakt auftreten.Als zellvermittelter immunologischer Prozess (T-Lymphozyten) erscheint das Kontaktekzem, bestehend aus Knötchen, Rötung, Bläschen in Kombination mit Nässen und Juckreiz. Dieser könnte eine Screeningmethode im Rahmen der schnellen präoperativen Abklärung einer fraglichen Latexsensibilierung sein (Ergebnis innerhalb von 2 h)[14]. Die nächst sensitivere Stufe zum Nachweis einer Sensibilisie-rung ist dann der Provokationstest durch Tragen eines latexhaltigen Handschuhs.…”

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Latexallergie

et al. 2001

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The frequency of perioperative allergic responses to latex has markedly increased over the last 10 years. High risk groups to develop sensitivity to latex include healthcare workers, workers in the latex industry, children suffering from congenital malformations such as spina bifida or urogenital deformities and patients who have undergone multiple surgical procedures. During surgery, patients have contact to a variety of products containing latex. To prevent anaphylactic reactions, all hospitals have to develop strategies to identify and manage patients sensitised to latex or belonging to high risk groups. The aim of this paper is to describe safe perioperative management in a latex-free environment.

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