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Latex Glove Allergy: Title and subTitle BreakA Survey of the US Army Dental Corps FREE

MAJ Zoltan T. Berky, DDSLTC ; W. John Luciano, DMDCOL ; William D. James, MD, MC
[+] Author Affiliations

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JAMA. 1992;268(19):2695-2697. doi:10.1001/jama.1992.03490190095037
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Objective.  —To assess the prevalence of latex glove allergy in a population of health care providers (dentists) with a high occupational exposure to latex gloves.

Design.  —A survey instrument was distributed to all active-duty dental officers in the US Army (n=1628). The survey was designed to identify those individuals who had symptoms of allergy to latex gloves.

Setting.  —US Army dental facilities worldwide.

Results.  —The response rate to the survey was 64% (n=1043). There were 143 (13.7%) responses indicating latex glove allergy. If nonrespondents were assumed to be allergy-free, the prevalence rate would be 8.8%.

Conclusion.  —Latex allergy, as ascertained by self-report in this survey, appears to have a substantial prevalence in this health care provider population.(JAMA. 1992;268:2695-2697)

REFERENCES

Gonzalez E, Naleway C.  Assessment of the effectiveness of glove use as a barrier technique in the dental operatory. J Am Dent Assoc . 1988;;117:467-479.
Shaw F, Barrett C, Hamm R, et al.  Lethal outbreak of hepatitis B in a dental practice. JAMA . 1986;; 255:3260-3264.
Palmer C.  Are your gloves defective? ADA News . 1989;;20:1-2.
American Dental Association's Council on Dental Therapeutics. Facts About AIDS for Dental Team . 2nd ed. Chicago, Ill: American Dental Association; 1988;.
 Update: universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health-care setting. MMWR . 1988;;379:377-388.
Warpinski JR, Folgert J, Cohen M, Bush RK.  Allergic reaction to latex. Allergy Proc . 1991;;12:95-102.
Fisher AA.  Management of allergic contact dermatitis due to rubber gloves in health and hospital personnel. Cutis . 1991;;47:301-302.
Taylor JS, Fisher A. Contact Dermatitis . 3rd ed. Philadelphia, Pa: Lea & Febiger; 1986;:604-630.
Maso MJ, Goldberg DJ.  Contact dermatoses from disposable gloves. J Am Acad Dermatol . 1990;;23: 733-737.
Dooms-Goossens A.  Contact urticaria caused by rubber gloves. J Am Acad Dermatol . 1988;;18: 1360-1361.
Turjanmaa K, Reunala T.  Contact urticaria from rubber gloves. Dermatol Clin . 1988;;6:47-51.
Nutter A.  Contact urticaria to rubber. Br J Dermatol . 1979;;101:597-598.
March PJ.  An allergic reaction to latex rubber gloves. J Am Dent Assoc . 1988;;117:590-591.
Turjanmaa K, Reunala T.  Condoms as a source of latex allergen and cause of contact urticaria. Contact Dermatitis . 1989;;20:360-364.
Spaner D, Dolovich J, Tarlo S, Sussman G, Buttoo K.  Hypersensitivity to natural latex. J Allergy Clin Immunol . 1989;;83:1135-1137.
 Severe adverse reactions to barium enema procedures. FDA Drug Bull . 1990;;20:2.
Bauer X, Jager D.  Airborne antigens from latex gloves. Lancet . 1990;;1:912.
Conde-Salazar L.  Rubber dermatitis: clinical forms. Dermatol Clin . 1990;;8:49-55.
Rudzki E, Renbandel P, Grzwa Z.  Patch tests with occupational contactants in nurses, doctors, and dentists. Contact Dermatitis . 1989;;20:247-250.
Belsito D.  Contact urticaria caused by rubber: analysis of seven cases. Dermatol Clin . 1990;;8:61-66.
Tarlo S, Wong L, Roos J, Booth N.  Occupational asthma caused by latex in a surgical glove manufacturing plant. J Allergy Clin Immunol . 1990;; 85:626-631.
Morales C, Basomba A, Carreira J, Sastre A.  Anaphylaxis produced by rubber glove contact: case reports and immunological identification of the antigens involved. Clin Exp Allergy . 1989;;19:425-430.
Wrangsjo K, Wahlberg J, Axelsson I.  IgE-mediated allergy to natural rubber in 30 patients with contact urticaria. Contact Dermatitis . 1988;;19:264-271.
Healey M.  Anaphylactic response. J Am Dent Assoc . 1990;;121:672.
Turjanmaa K, Reunala T, Tuimala R, Karkkainen T.  Severe IgE-mediated allergy to surgical gloves. Allergy . 1984;;40( (suppl 2) ):s35.
Army Defense Material Bulletin. Subject: DMSB has lifted the suspension on all Miller air retention cuff catheters 31 sold by the E-Z-EM company. 1990.
Turjanmaa K, Laurila K, Makinen-Kiljunen S, Reunala T.  Rubber contact urticaria. Contact Dermatitis . 1988;;19:362-367.
Turjanmaa K, Reunala T, Rasanen L.  Comparison of diagnostic methods in latex surgical glove contact urticaria. Contact Dermatitis . 1988;;19:241-247.
Turjanmaa K.  Incidence of immediate allergy to latex gloves in hospital personnel. Contact Dermatitis . 1987;;17:270-275.
Wrangsjo K, Mellstrom G, Axelsson G.  Discomfort from rubber gloves indicating contact urticaria. Contact Dermatitis . 1986;;15:79-84.
Mayer R, Bigby M.  Dermatitis and the risk of HIV infection. JAMA . 1988;;259:3184-3185.
Turjanmaa K, Reunala T, Tuimala R, Karkkainen T.  Allergy to latex gloves: unusual complication during delivery. BMJ . 1988;;297:1029.
Sussman GL, Tarlo S, Dolovich J.  The spectrum of IgE-mediated response to latex. JAMA . 1991;;265: 2844-2847.
Rich P, Belozer ML, Norris P, Storrs FJ. Allergic contact dermatitis to two antioxidants in latex gloves. J Am Acad Dermatol . 1991;;24:37-43.
Korniewicz D, Laughon B, Cry W, Lytle D, Larson E.  Leakage of virus through used vinyl and latex examinationgloves. J Clin Microbiol .1990;;28:787-788.
Kotilainen HR, Brinker JP, Avato JL, Gantz NM.  Latex and vinyl examination gloves. Arch Intern Med . 1989;;149:2749-2753.
Gold MG, Sovartz JS, Braude BM, Dolovich J, Shandling B, Gilmore RF.  Intraoperative anaphylaxis. J Allergy Clin Immunol . 1991;;87:662-666.
Lawlor K, Taylor JS.  Contact allergy in cutaneous surgery.  In: Wheeland R, ed. Cutaneous Surgery . Philadelphia, Pa: WB Saunders Co. In press.
Sockin SM, Young MC.  Preoperative prophylaxis of latex anaphylaxis. J Allergy Clin Immunol . 1991;;87:269.

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Gonzalez E, Naleway C.  Assessment of the effectiveness of glove use as a barrier technique in the dental operatory. J Am Dent Assoc . 1988;;117:467-479.
Shaw F, Barrett C, Hamm R, et al.  Lethal outbreak of hepatitis B in a dental practice. JAMA . 1986;; 255:3260-3264.
Palmer C.  Are your gloves defective? ADA News . 1989;;20:1-2.
American Dental Association's Council on Dental Therapeutics. Facts About AIDS for Dental Team . 2nd ed. Chicago, Ill: American Dental Association; 1988;.
 Update: universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health-care setting. MMWR . 1988;;379:377-388.
Warpinski JR, Folgert J, Cohen M, Bush RK.  Allergic reaction to latex. Allergy Proc . 1991;;12:95-102.
Fisher AA.  Management of allergic contact dermatitis due to rubber gloves in health and hospital personnel. Cutis . 1991;;47:301-302.
Taylor JS, Fisher A. Contact Dermatitis . 3rd ed. Philadelphia, Pa: Lea & Febiger; 1986;:604-630.
Maso MJ, Goldberg DJ.  Contact dermatoses from disposable gloves. J Am Acad Dermatol . 1990;;23: 733-737.
Dooms-Goossens A.  Contact urticaria caused by rubber gloves. J Am Acad Dermatol . 1988;;18: 1360-1361.
Turjanmaa K, Reunala T.  Contact urticaria from rubber gloves. Dermatol Clin . 1988;;6:47-51.
Nutter A.  Contact urticaria to rubber. Br J Dermatol . 1979;;101:597-598.
March PJ.  An allergic reaction to latex rubber gloves. J Am Dent Assoc . 1988;;117:590-591.
Turjanmaa K, Reunala T.  Condoms as a source of latex allergen and cause of contact urticaria. Contact Dermatitis . 1989;;20:360-364.
Spaner D, Dolovich J, Tarlo S, Sussman G, Buttoo K.  Hypersensitivity to natural latex. J Allergy Clin Immunol . 1989;;83:1135-1137.
 Severe adverse reactions to barium enema procedures. FDA Drug Bull . 1990;;20:2.
Bauer X, Jager D.  Airborne antigens from latex gloves. Lancet . 1990;;1:912.
Conde-Salazar L.  Rubber dermatitis: clinical forms. Dermatol Clin . 1990;;8:49-55.
Rudzki E, Renbandel P, Grzwa Z.  Patch tests with occupational contactants in nurses, doctors, and dentists. Contact Dermatitis . 1989;;20:247-250.
Belsito D.  Contact urticaria caused by rubber: analysis of seven cases. Dermatol Clin . 1990;;8:61-66.
Tarlo S, Wong L, Roos J, Booth N.  Occupational asthma caused by latex in a surgical glove manufacturing plant. J Allergy Clin Immunol . 1990;; 85:626-631.
Morales C, Basomba A, Carreira J, Sastre A.  Anaphylaxis produced by rubber glove contact: case reports and immunological identification of the antigens involved. Clin Exp Allergy . 1989;;19:425-430.
Wrangsjo K, Wahlberg J, Axelsson I.  IgE-mediated allergy to natural rubber in 30 patients with contact urticaria. Contact Dermatitis . 1988;;19:264-271.
Healey M.  Anaphylactic response. J Am Dent Assoc . 1990;;121:672.
Turjanmaa K, Reunala T, Tuimala R, Karkkainen T.  Severe IgE-mediated allergy to surgical gloves. Allergy . 1984;;40( (suppl 2) ):s35.
Army Defense Material Bulletin. Subject: DMSB has lifted the suspension on all Miller air retention cuff catheters 31 sold by the E-Z-EM company. 1990.
Turjanmaa K, Laurila K, Makinen-Kiljunen S, Reunala T.  Rubber contact urticaria. Contact Dermatitis . 1988;;19:362-367.
Turjanmaa K, Reunala T, Rasanen L.  Comparison of diagnostic methods in latex surgical glove contact urticaria. Contact Dermatitis . 1988;;19:241-247.
Turjanmaa K.  Incidence of immediate allergy to latex gloves in hospital personnel. Contact Dermatitis . 1987;;17:270-275.
Wrangsjo K, Mellstrom G, Axelsson G.  Discomfort from rubber gloves indicating contact urticaria. Contact Dermatitis . 1986;;15:79-84.
Mayer R, Bigby M.  Dermatitis and the risk of HIV infection. JAMA . 1988;;259:3184-3185.
Turjanmaa K, Reunala T, Tuimala R, Karkkainen T.  Allergy to latex gloves: unusual complication during delivery. BMJ . 1988;;297:1029.
Sussman GL, Tarlo S, Dolovich J.  The spectrum of IgE-mediated response to latex. JAMA . 1991;;265: 2844-2847.
Rich P, Belozer ML, Norris P, Storrs FJ. Allergic contact dermatitis to two antioxidants in latex gloves. J Am Acad Dermatol . 1991;;24:37-43.
Korniewicz D, Laughon B, Cry W, Lytle D, Larson E.  Leakage of virus through used vinyl and latex examinationgloves. J Clin Microbiol .1990;;28:787-788.
Kotilainen HR, Brinker JP, Avato JL, Gantz NM.  Latex and vinyl examination gloves. Arch Intern Med . 1989;;149:2749-2753.
Gold MG, Sovartz JS, Braude BM, Dolovich J, Shandling B, Gilmore RF.  Intraoperative anaphylaxis. J Allergy Clin Immunol . 1991;;87:662-666.
Lawlor K, Taylor JS.  Contact allergy in cutaneous surgery.  In: Wheeland R, ed. Cutaneous Surgery . Philadelphia, Pa: WB Saunders Co. In press.
Sockin SM, Young MC.  Preoperative prophylaxis of latex anaphylaxis. J Allergy Clin Immunol . 1991;;87:269.
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