ABSTRACT
No disponible
Subject(s)
Adult , Female , Humans , Latex Hypersensitivity/complications , Latex Hypersensitivity/diagnosis , Latex Hypersensitivity/prevention & control , Histamine Antagonists/therapeutic use , Adrenal Cortex Hormones/therapeutic use , Latex Hypersensitivity/physiopathology , Latex Hypersensitivity/surgery , Carpal Tunnel Syndrome/drug therapy , Carpal Tunnel Syndrome/surgery , Equipment Safety/trends , Security Measures/organization & administration , Security Measures/standardsABSTRACT
Se presenta un protocolo de actuación de enfermería ante un paciente alérgico al látex en el área quirúrgica, ampliándolo al área de hospitalización para su cuidado integral. En esta segunda parte se analizan los fármacos normalmente utilizados y si contienen o no látex [1-12](AU)
The authors propose a nurses operational protocol to follow when dealing with a patient who has an allergy to latex in a surgical ward, amplifying this protocol to the entire patient care areas in a hospital to provide integral treatment for such allergy patients. In this second article, the authors analyze pharmaceutical products used to see whether or not they contain latex(AU)
Subject(s)
Humans , Male , Female , Latex Hypersensitivity/complications , Latex Hypersensitivity/nursing , Latex Hypersensitivity/surgery , Latex/adverse effects , Primary Nursing/methods , Primary Nursing/organization & administration , Primary Nursing , 35170/methods , Preventive Health Services/trendsABSTRACT
BACKGROUND: The high prevalence of latex sensitization in patients with spina bifida (SB) has been attributed to repeated and early exposure to latex products. Other diseases such as gastroschisis/omphalocoele and post-haemorrhagic/congenital hydrocephalus are also associated with repeated and early latex exposure. OBJECTIVE: The aim of the study was to evaluate whether the high prevalence of latex sensitization in patients with SB is rather related to the underlying disease itself than to disease-associated known risk factors. METHODS: We compared children with SB (n=35), children with gastroschisis/omphalocoele (G/O, n=20) and children with post-haemorrhagic/congenital hydrocephalus (PH, n=45). All children with SB and PH had a ventriculo-peritoneal shunt since a very young age. Patients who underwent three or less surgical procedures matched in terms of age, number of operations, atopy and gender distribution, and were analysed for IgE sensitization rates to latex. RESULTS: In the SB group, 16 of 35 patients (46%) showed elevated latex-specific IgE antibodies in contrast to one of 20 patients (5%) in the G/O group and four of 45 patients (8.9%) in the PH group (P<0.0005 and P<0.005, Fisher's exact test). Comparing matched control groups (Subject(s)
Latex Hypersensitivity/complications
, Spinal Dysraphism/complications
, Adolescent
, Adult
, Child
, Child, Preschool
, Disease Susceptibility
, Female
, Gastroschisis/complications
, Gastroschisis/surgery
, Hernia, Umbilical/complications
, Hernia, Umbilical/surgery
, Humans
, Hydrocephalus/complications
, Hydrocephalus/surgery
, Immunoglobulin E/blood
, Infant
, Latex Hypersensitivity/immunology
, Latex Hypersensitivity/surgery
, Male
, Risk
, Spinal Dysraphism/immunology
, Spinal Dysraphism/surgery
, Statistics, Nonparametric
, Ventriculoperitoneal Shunt
ABSTRACT
Assessment with questionnaire, skin tests, and immunoglobulin E measurements showed 6 (0.5%) of 1263 children having elective surgery had latex allergy; 50 (4%) others were latex-sensitized. Any previous operation increased the odds of latex sensitization by 13 times; multiple operations had a less marked effect. All children having surgery may need primary prophylaxis for latex.
