title: Latex hypersensitivity in Department of Veterans Affairs health care workers: glove use, symptoms, and sensitization.
abstract: BACKGROUND
  This report of the prevalence of latex glove allergy in 3 Department of Veterans Affairs (VA) medical centers was a collaboration of the VA, the Centers for Disease Control and Prevention, and the National Institute for Occupational Safety and Health.
  
  
  OBJECTIVE
  To enroll and evaluate personnel from across the entire hospital workforce for latex hypersensitivity and to determine the type and extent of latex glove use.
  
  
  METHODS
  A questionnaire was administered that covered demographics, job category, latex glove use, and current latex glove allergic symptoms. Skin testing to aeroallergens was performed to evaluate the presence of atopy. Blood was drawn for analyses of serum antilatex IgE antibody by CAP assay.
  
  
  RESULTS
  Of 1,959 subjects, 158 (8.1%) had latex glove-allergic symptoms, a positive latex CAP assay result, or both. In 1,003 subjects who reported latex glove use, 915 (91.4%) used nonpowdered gloves. A total of 133 subjects reported latex glove allergic symptoms, and 36 subjects had positive CAP assay results. Latex sensitization was correlated with atopy, race, and latex glove exposure. Latex symptoms were correlated with atopy, a positive CAP assay result, and latex glove exposure. Of the 133 subjects with latex glove allergic symptoms, only 11 had positive CAP assay results, giving a prevalence of confirmed latex glove allergy of 0.6%.
  
  
  CONCLUSIONS
  Symptoms attributed to latex gloves and/or latex sensitization occurred in 8.1% of the employee population, with exposure, race, and atopy being the major risk factors. Few symptomatic individuals were sensitized to latex (0.6%). This low rate of confirmed latex glove allergy may have been related to nonpowdered glove use.
authors.affiliation: VA Chicago Health Care System/Lakeside Division, Chicago, Illinois 60611, USA. crz528@nwu.edu
authors.forename: C Raymond
authors.initials: CR
authors.lastname: Zeiss
authors.forename: Ahmed
authors.initials: A
authors.lastname: Gomaa
authors.forename: Frances M
authors.initials: FM
authors.lastname: Murphy
authors.forename: David N
authors.initials: DN
authors.lastname: Weissman
authors.forename: Michael
authors.initials: M
authors.lastname: Hodgson
authors.forename: Diane
authors.initials: D
authors.lastname: Foster
authors.forename: Sang
authors.initials: S
authors.lastname: Dejativongse
authors.forename: Kathleen
authors.initials: K
authors.lastname: Colella
authors.forename: Karen
authors.initials: K
authors.lastname: Kestenberg
authors.forename: Viswanath P
authors.initials: VP
authors.lastname: Kurup
authors.forename: Robert K
authors.initials: RK
authors.lastname: Bush
authors.forename: Asriani M
authors.initials: AM
authors.lastname: Chiu
authors.forename: Kevin J
authors.initials: KJ
authors.lastname: Kelly
authors.forename: Jordan N
authors.initials: JN
authors.lastname: Fink
mesh_terms: D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood; D002487:Centers for Disease Control and Prevention, U.S.; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005189:False Positive Reactions; D005260:Female; D017575:Gloves, Protective / Q000009:adverse effects; D006282:Health Personnel; D006801:Humans; D006969:Hypersensitivity, Immediate / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D007114:Immunization; D007073:Immunoglobulin E / Q000097:blood; D020315:Latex Hypersensitivity / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009314:National Institute for Occupational Safety and Health, U.S.; D009784:Occupational Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D016273:Occupational Exposure / Q000009:adverse effects; D011237:Predictive Value of Tests; D015995:Prevalence; D012680:Sensitivity and Specificity; D013223:Statistics as Topic; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology; D014493:United States Department of Veterans Affairs
chemical_list: D015415:Biomarkers; D007073:Immunoglobulin E