Latex the milky substance that is obtained from the sap of a tree diagram call Syringa ( Hevea brasiliensis ) .
presently , latex is present in more than 40,000 products , a figure that is probably high . The allergy due to exposure to latex can initiate sure clinical manifestations :
-Irritantcontact dermatitis , which is the most frequent manifestation and may consist of inflammation , prominence or show of cracks in the hide .
-Allergic contact or delayeddermatitis .
-Reactions of immediate hypersensitivity , which appear between a few minutes and a few hours after contact with latex . These reaction can be :
-Located : Urticaria .
-Systemic : Rhinitis , pinkeye , asthma , anaphylactic shock .
The symptoms will motley depending on unlike factors , either through the contact route , by the personal susceptibility , or by the amount of allergen .
The relative incidence in the general universe is not known , although it is judge at 1 % , although there are sector of the population , such as health professionals , in which the incidence is higher . It is believed that 2 - 17 % of people shape in wellness care are sensibilise .
Risk Groups
-Atopic People : They have a genetic predisposition to develop allergies . In these multitude allergy to fruit such as Actinidia deliciosa , banana tree or Persea Americana is relate .
-Catheterized patients , patients who have been operate several times , patient with spina bifida or inborn urovesical diseases .
-Workers of the latex industry .
-Health personnel department : Especially the operating room staff . In addition to gloves , latex can be part of probes , drains , masquerade party and nasal bone glands , sphygmomanometer , adhesive material , bandage , etc …
-Other professional groups that wear out rubber-base paint baseball glove for long periods of metre , cleansing , mental synthesis , food handler , science laboratory personnel office .
Exhibition Routes
-By direct contact lens : normally with the skin , but it can also be with internal mucose tissue layer or tissue .
-By air : due to the bearing of rubber-base paint subatomic particle in the environment . It can occur in operating rooms , rubber factory …
Diagnosis
The diagnosis must be made by an allergist , being very important the clinical history in relation to the exposure to products containing latex , being able to also perform tests :
“ In vivo”:the most important are the skin test that detect the existence of type I hypersensitivity .
“ In vitro”:the most used is the purpose of specific antibody .
Treatment
The main thing when an allergy appears is the symptomatic discourse . Then your specialist can assess immunotherapy ( specific vaccinum ) .
How can Latex Allergies be Prevented?
It can be signalize between chief bar ( in the great unwashed at risk who are not sensitize ) and secondary prevention ( in patients already diagnosed with rubber-base paint allergic reaction ) .
Primary Prevention
-The incidence of the disease increases with the arcdegree of exposure , so if you may reduce it , a very important measure is taken .
-In the wellness field there is a tendency to the rational use of latex paint mitt , and there are recommendation for not using this type of gloves in task in which there is no peril of contact with hematological derivatives .
-Improvements in the manufacture of latex , reducing the allergenic content .
-Use latex gloves with low protein depicted object , no dust or other material if possible .
Secondary Prevention
-Avoid contact with the allergen .
-Allergic people should wear a bangle , badge , or aesculapian report that identifies them .
-They must always warn the allergy before any aesculapian examination , dental operation or nursing remedy .
-Check the labeling of the product , and if in sheath of dubiety confer with the manufacturer .
-Use gloves of another material if potential : neoprene , vinyl radical .
-In the casing of being supersensitised to sure fruits associated with rubber-base paint allergy , always avoid them .
-Have the medicament dictate by the allergist usable and follow their advice .
-In companies , periodic aesculapian surveillance of workers , necessary to assess the strength of the preventive amount utilise .
Conclusion
Prevention is the key . It is perhaps the best conclusion a person can take if they have one or more risk factors . The most important advice is to nullify as much as possible contact with any eccentric of product made of latex , and even celluloid latex . presently there are several choice available .
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