Materiały źródłowe

• #1 Latex Allergy (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568757/

  Latex allergy is among the most common causes of anaphylaxis in the operating room and has increased in prevalence with the increased use of latex gloves to prevent transmittable infections starting in the 1980s. […] Latex allergy affects 1 to 2 percent of the population, and one study showed that latex sensitization is more likely in healthcare workers exposed to latex compared to the general population. […] Nursing Diagnosis: Skin irritation, redness, and urticaria; Swelling/itching of tongue and lips; Hoarseness; Wheezing; Dyspnea; Respiratory distress. […] The most crucial step in managing patients who are susceptible to latex allergy is to determine individuals at high risk through history and physical. […] Nursing Management: Ask for the presence of any food allergies. Many people with food allergies have cross-sensitivity to latex; Determine the type of allergic reaction; Recommend immunological testing for latex sensitivity; Always have epinephrine at the bedside in case of anaphylaxis; Set up a latex-free environment; Have resuscitation equipment in the room if the patient has a history of anaphylaxis; Educate patient about latex allergy; Encourage patients to read labels before buying products; Teach patient how to recognize symptoms of latex allergy and when to seek medical assistance; Encourage patient to carry injectable epinephrine. […] Education is crucial in the prevention of allergic reactions. Patients need to be educated on foods likely to cause cross-reactions with latex sensitivity and any products that contain latex.

• #2 Latex Allergy – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK545164/

  Latex allergy is among the most common causes of anaphylaxis in the operating room and has increased in prevalence with the increased use of latex gloves to prevent transmittable infections starting in the 1980s. […] All members of the healthcare team have a role to play in preventing the exacerbation or triggering of a latex allergy in patients. […] The most crucial step in managing patients who are susceptible to latex allergy is to determine individuals at high risk through history and physical. […] Education is crucial for the prevention of allergic reactions. […] Prevention is crucial in good outcomes for patients with latex allergy. […] Nurses are often the first to see patients and should be taught to determine the presence of latex allergy in the patient’s history, which enables healthcare workers to provide a latex-free environment. […] If there are persistent symptoms, a dermatologist could be consulted to aid in the treatment. […] Proper patient education with information on products containing latex and alternatives to those products will be necessary for avoidance.

• #3 Health care workers and latex allergies | RN.com

  https://www.rn.com/blog/clinical-insights/latex-allergies/

  Approximately 8% to 17% of health care workers have some form of allergy to latex (American Latex Allergy Association [ALAA], 2018a). Latex allergy is an allergic reaction to substances in natural rubber latex (NRL) (Asthma and Allergy Foundation of America [AFAA], 2015 American College of Allergy, Asthma Immunology [ACAAI], 2014). The exact cause of latex allergies is unknown, but it is the thought that repeated exposure to latex and rubber products may induce latex sensitivity (ALAA, 2018b). […] Preventing ICD is one of the most important steps that non-allergic healthcare professionals can take to minimize their risk of developing latex sensitivity (AAFA, 2015). […] Latex gloves are the main source of allergic reactions in healthcare workers, although latex is also used in other products such as medical devices, including catheters, syringes, and stethoscopes (ALAA, 2018c). It is important to be aware of all objects containing latex because once sensitivity is developed; it can become more severe with continued exposure (ALAA, 2018c).

• #4 Latex – management of a patient at risk of or with a known latex allergy

  https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/latex_management_of_a_patient_at_risk_of_or_with_a_known_latex_allergy/

  RCH Nursing Guidelines Latex – management of a patient at risk of or with a known latex allergy […] Latex allergy is an immune mediated reaction to either the latex protein or chemicals used in the processing. Frequent exposure to latex may lead to the development of a latex allergy. A person is considered to have a latex allergy if there is a history of adverse reactions following contact with latex or latex containing products. Common reactions include swelling of the lips and tongue after blowing up a balloon, or rash and swelling after contact with latex gloves etc. The diagnosis may be made in absence of formal allergy testing. […] At The Royal Children’s Hospital all efforts are made to eliminate latex containing equipment, consumables and products. […] The aim of this guideline is to provide all staff at The Royal Children’s Hospital with appropriate knowledge and skills to identify and manage patients who have a known latex allergy or those at risk of developing latex allergy.

• #5 24.6 Allergy to Latex – Medical-Surgical Nursing | OpenStax

  https://openstax.org/books/medical-surgical-nursing/pages/24-6-allergy-to-latex

  Latex allergy is a type I IgE-mediated immediate hypersensitivity due to the natural rubber proteins or other chemicals used in manufacturing. After sensitization, IgE antibodies stimulate mast cells and basophils to release histamine, prostaglandins, leukotrienes, and kinins that result in an immune response. Individuals at risk for latex allergies include patients with atopic allergies, patients with multiple surgeries, latex manufacturer workers, some health care workers, spina bifida patients, food handlers, automobile mechanics, hairdressers, and any individual in a profession that wears latex gloves. Those with latex allergies are at risk for developing an anaphylactic reaction. There have also been cross-reactions reported: some individuals with latex allergies are also allergic to bananas, avocados, kiwis, pineapples, mangoes, passionfruit, and chestnuts.

• #6 Latex Allergy | Anaphylaxis UK

  https://www.anaphylaxis.org.uk/fact-sheet/latex-allergy/

  There are two different types of latex allergy: Type 1 (immediate) which can lead to anaphylaxis and Type 4 (delayed) which causes skin reactions. […] If you have mild allergic symptoms, you may be prescribed antihistamine medicine that you take by mouth. If you are at higher risk of anaphylaxis, you may be prescribed adrenaline to use in an emergency. […] Once you have been diagnosed with latex allergy, you will need to avoid latex. Whenever you are having a medical procedure, tell your healthcare providers about your allergy, including doctors, nursing staff, anaesthetists and dentists. […] Type 4 latex allergy is treated with emollients (moisturising treatments which you apply to the skin to soothe and hydrate it) and topical steroid creams. Where practical, you can take steps to avoid contact with latex to lower the risk of a reaction. […] If you have asthma, and it is not well controlled, this could make an allergic reaction worse. Make sure you discuss this with your GP or allergy specialist and take any prescribed medicines.

• #7 Latex Allergy: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/8623-latex-allergy

  If you or someone you know have severe swelling or cant breathe, call 911 or go to the emergency room. […] Types of reactions to latex include: IgE-mediated latex allergy (type I hypersensitivity): If you have a type I latex allergy, youre allergic to a protein from the natural rubber tree. […] Contact dermatitis is a red, itchy rash you can get after using latex products. […] Contact dermatitis from latex can make your skin red, swollen and itchy. […] Latex allergy symptoms include: Itching. Redness. Swelling under your skin (angioedema). Rash or hives. Runny nose. Sneezing. Itchy, watery eyes. Wheezing. Difficulty breathing or swallowing. […] Allergic reactions can start within a few minutes of exposure to latex or show up a few hours later. […] A healthcare provider can diagnose you with a latex allergy, but you might suspect you have one if you have a reaction after youve been in contact with latex.

• #7 Latex Allergy: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/8623-latex-allergy

  Latex allergies happen when your immune system thinks latex proteins are harmful and then tries to get rid of them. […] Once your body makes IgE antibodies, they attach to immune cells and look for harmful substances. […] An allergic reaction to latex can happen when you touch or come into contact with latex products. […] Anyone can develop a latex allergy, but some people are at higher risk. […] Frequent contact with latex can cause your body to become sensitized to it. […] Severe allergic reactions to latex can lead to anaphylaxis, a severe swelling that can close off your airways and drop your blood pressure to dangerously low levels (shock). […] To treat or prevent an allergic reaction to latex, your provider may prescribe: Antihistamines: If your reaction to latex is mild, antihistamines may help minimize your symptoms if you have to come in contact with latex.

• #8 Latex Allergy Information

  https://www.health.ny.gov/environmental/indoors/food_safety/latex/

  Latex is found in a variety of products, from everyday household items to many articles used in routine medical and dental care. An allergic reaction to natural rubber latex is actually a reaction to a protein contained in the sap of the Brazilian rubber tree (Hevea brasiliensis). This sap is used in manufacturing latex products. If someone who is sensitive to this protein comes in contact with it by touching or breathing it, an allergic reaction can occur. This allergic reaction can range from a simple skin rash to shock (which is rare). The amount of latex exposure needed to produce sensitization or an allergic reaction is unknown, but frequent exposure to latex proteins increases the risk. […] People who experience allergic symptoms should avoid contact until medically evaluated. Some other chemicals used in the manufacture of gloves may also cause sensitization and serious reactions, particularly skin reactions.

• #9 Newly Updated! Latex Allergy Diagnosis and Management – Katelaris C (Updated 2022)

  https://www.worldallergy.org/component/content/article/newly-updated-latex-allergy-diagnosis-and-management-katelaris-c-updated-2022?catid=16&Itemid=101

  Latex allergy nursing care involves understanding the various clinical conditions associated with latex exposure. The most common condition seen in association with latex glove use is an irritant contact dermatitis caused by a combination of sweating, friction, and frequent hand washing. An allergic contact dermatitis can occur as a reaction to one of the chemical additives. Type 1 hypersensitivity reactions to natural rubber latex proteins may present with various clinical manifestations. […] Allergic contact urticaria is reported by 60-80% of healthcare workers who are allergic to latex. Symptoms of pruritus and typical urticarial lesions develop within 10-15 minutes after gloves are donned. Rhinitis, conjunctivitis, and asthma can occur in latex-sensitive individuals on exposure to aerosolized latex protein. Symptoms such as ocular tearing, nasal congestion, and shortness of breath may frequently be confused with seasonal pollen allergies.

• #10 Latex Allergy | AAFA.org

  https://aafa.org/allergies/types-of-allergies/latex-allergy/

  If you have a latex allergy, you may have an allergic reaction if you come in contact with latex. […] If you have any type of allergic reaction to latex, you should avoid it. […] An IgE-mediated latex allergy is an allergy to natural rubber latex proteins. […] An allergic reaction can occur when latex: Touches your skin, Comes in contact with a mucous membrane, such as your mouth, Gets into your lungs when you breathe in latex particles. […] Many people who develop an IgE-mediated latex allergy will have contact dermatitis first. […] If you have contact dermatitis to latex, it may be a warning that you could develop a latex allergy later. […] Do not ignore symptoms that suggest you may be allergic to latex. Ongoing contact with latex products can lead to more severe reactions. […] If you have a latex allergy, work with your doctor to learn how to recognize symptoms of an allergic reaction and how to treat it. […] The only treatment for a latex allergy is to prevent any contact with latex products. […] If you have a latex allergy, you may have reactions to some foods. This is called latex-fruit syndrome or latex-food allergy syndrome.

• #11 Latex Allergy – Baptist Health

  https://www.baptisthealth.com/care-services/conditions-treatments/latex-allergy

  A latex allergy is when your immune system reacts adversely to proteins in natural rubber latex, commonly found in products like medical gloves and balloons. This allergic reaction to latex can be triggered either by inhaling airborne latex particles or through direct physical contact with latex items. Common reactions include skin redness, itchy eyes, sneezing, wheezing, and facial swelling. The severity of these reactions can vary. Some individuals experience only mild symptoms, while others may face life-threatening reactions like anaphylaxis. […] This type of latex allergy can also result in more severe reactions such as anaphylaxis, a condition that could be fatal and requires urgent medical care. […] Severe symptoms of an allergic reaction to latex include large rash, blisters, intense itching, intense burning sensation, extreme redness, extreme inflammation, wheezing, and shortness of breath.

• #12 Latex allergies – for hospital patients: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000499.htm

  Latex allergy is diagnosed by how you have reacted to latex in the past. If you developed a rash or other symptoms after contact with latex, you may be allergic to latex. […] You can have a reaction to latex if your skin, mucous membranes (eyes, mouth, or other moist areas), or bloodstream (during surgery) come into contact with latex. Breathing in the powder on latex gloves can also cause reactions. […] If you have a latex allergy, avoid items that contain latex. Ask for equipment that is made with vinyl or silicone instead of latex. Other ways to avoid latex while you are in the hospital include asking for: Equipment, such as stethoscopes and blood pressure cuffs, to be covered, so that they do not touch your skin, A sign to be posted on your door and notes in your medical chart about your allergy to latex, Any latex gloves or other items that contain latex to be removed from your room, The pharmacy and dietary staff to be told about your latex allergy so they do not use latex gloves when they prepare your medicines and food.

• #12 Latex allergies – for hospital patients: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000499.htm

  If you have a latex allergy, your skin or mucous membranes (eyes, mouth, nose, or other moist areas) react when latex touches them. A severe latex allergy can affect breathing and cause other serious problems. […] Common hospital items that may contain latex include: Surgical and exam gloves, Catheters and other tubing, Sticky tape or electrode pads that can be attached to your skin during an ECG or medical procedure, Blood pressure cuffs, Tourniquets (bands used to stop or slow blood flow), Stethoscopes (used to listen to your heart beat and breathing), Grips on crutches and crutch tips, Bed sheet protectors, Elastic bandages and wraps, Wheelchair tires and cushions, Medicine vials. […] Over time, frequent contact with latex increases the risk of a latex allergy. People in this group include: Hospital workers, People who have had many surgeries, People with conditions like spina bifida and urinary tract defects (who often have frequent surgeries or need urinary catheters).

• #13 Latex allergy – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/latex-allergy/diagnosis-treatment/drc-20374291

  Diagnosis is sometime a challenge. A healthcare professional typically examines the skin and asks questions about symptoms, medical history and if there have been reactions to latex in the past. […] A skin test can help find out if someone’s skin reacts to the latex protein. A medical professional uses a tiny needle to place a small amount of latex below the surface of the skin on the forearm or back. If someone is allergic to latex, a raised bump will form. Only an allergist or other healthcare professional experienced in skin testing should perform this test. […] Blood tests also may be done to check for latex sensitivity. […] Although medicines are available to ease the symptoms of latex allergy, there is no cure. The only way to prevent a latex allergic reaction is to avoid products that contain latex.

• #14 Latex allergies – for hospital patients – UF Health

  https://ufhealth.org/care-sheets/latex-allergies-for-hospital-patients

  If you have a latex allergy, your skin or mucous membranes (eyes, mouth, nose, or other moist areas) react when latex touches them. A severe latex allergy can affect breathing and cause other serious problems. […] Latex allergy is diagnosed by how you have reacted to latex in the past. If you developed a rash or other symptoms after contact with latex, you are allergic to latex. Allergy skin testing can help diagnose a latex allergy. […] If you have a latex allergy, avoid items that contain latex. Ask for equipment that is made with vinyl or silicone instead of latex. Other ways to avoid latex while you are in the hospital include asking for: […] A severe allergic reaction is an emergency. You must be treated right away.

• #15 Latex Allergy | Causes, Symptoms & Treatment | ACAAI Public Website

  https://acaai.org/allergies/allergic-conditions/latex-allergy/

  Allergic reactions to latex may be serious and can very rarely be fatal. If you have latex allergy you should limit or avoid future exposure to latex products. […] Health care workers with a history of latex sensitivity who must wear gloves should stop wearing latex gloves. Their co-workers should also not use latex gloves, but rather switch to synthetic gloves. […] The best treatment for latex allergy is avoidance. If you have severe latex allergy reaction you should wear medical alert identification and carry an epinephrine (adrenaline) auto-injector for emergency treatment. […] Patients with latex allergy are at risk of asthma on exposure to latex-containing aerosols. They should try to avoid areas where powdered latex gloves or other latex products are used. […] Latex allergy is diagnosed by an allergy blood test.

• #16 Latex Allergy | University Hospitals

  https://www.uhhospitals.org/health-information/health-and-wellness-library/article/adult-diseases-and-conditions-v0/latex-allergy

  People who have frequent exposure to latex from medical procedures are at greater risk for developing latex allergy. They include: Children with spina bifida, Children born with defects of the urinary system, Children or adults who have had many surgeries, Healthcare providers. […] Many items are made from latex. These include: Balloons, Balls, Pacifiers, bottle nipples, Condoms, diaphragms, Rubber bands, Raincoats, rain boots, Surgical and exam gloves, IV tubing injection sites, Catheters, Bandages, Adhesive tape, Electrode pads, Blood pressure cuffs, Tourniquets, Stethoscopes, Wheelchair tires. […] Tips to coping with your latex allergy include the following: Try to avoid all latex products. Use items that do not have latex in them. If you need surgery or a procedure, talk to your healthcare provider about what you can do to prevent exposure and reactions to latex. Wear a Medic-Alert bracelet or necklace with information about your allergy. Carry a pair of nonlatex gloves with you, information about latex allergies, and/or a note from your healthcare provider. Be sure medical and school records have a latex allergy alert. For a child with a latex allergy, teach him or her to know and avoid latex products. Ask your healthcare provider about self-injecting epinephrine (or Epi-pens). Have them at home, in the car, at school, day care, and work. Know what to do in case of an emergency. Discuss this with your child’s provider and school nurse (for a child with a latex allergy). Avoiding latex may decrease the chance of children developing this allergy.

• #17 Latex Allergy | American Dental Association

  https://www.ada.org/resources/ada-library/oral-health-topics/latex-allergy

  This repeated exposure can increase the risk of developing a latex allergy. […] Oil-based hand lotions can cause gloves to deteriorate and solubilize latex proteins, increasing the risk of allergic skin response, such as itching, redness or rash. […] The U.S. Food and Drug Administration (FDA) banned powdered latex gloves because the natural rubber latex protein combined with the powder and could became airborne when the gloves were removed. […] Allergic contact dermatitis may arise, though, from exposure to other non-latex contact allergens in dentistry, such as glutaraldehyde, methacrylates, and the rubber-processing chemicals found in gloves. […] People who are allergic to certain foods, including apples, avocados, bananas, carrots, celery, chestnuts, kiwi, melons, papaya, raw potato and/or tomatoes are at an increased risk of latex allergy.

• #18 24.6: Allergy to Latex – Medicine LibreTexts

  https://med.libretexts.org/Bookshelves/Nursing/Medical-Surgical_Nursing_(OpenStax)/24%3A_Management_of_Patients_with_Allergic_Disorders/24.06%3A_Allergy_to_Latex

  The nurse should educate the patient on signs and symptoms that warrant a medical emergency, instructions for using an EpiPen, and the need to report this allergy to other health care providers. […] The nurse should also advise the patient to be careful around foods that have been reported to be cross-linked with latex allergies, such as bananas, avocados, pineapples, and chestnuts. The nurse should identify items in the patients home that may include latex and help identify alternatives. […] Evaluation is an essential part of the nursing process. The nurse should compare observed outcomes against expected outcomes. […] The nurse would then use their judgment to assess whether the interventions were effective or if other interventions are needed. […] The nurse will want to evaluate expected outcomes for patients with latex allergies. […] The patient should also be able to demonstrate how to properly administer their medications and be able to describe signs and symptoms to report like those of anaphylaxis, difficulty swallowing, wheezing, difficulty breathing, peripheral tingling, and urticaria. […] The primary management for latex allergies includes eliminating exposure. Patients with latex allergies should have a kit containing an EpiPen and antihistamines, and they should wear a medical alert bracelet. […] The patient should also be encouraged to carry latex-free gloves with them.

• #19 Nursing Care Plan and Diagnosis for Latex Allergy Related to | Nanda Nursing Interventions and Diagnosis

  https://www.registerednursern.com/nursing-care-plan-and-diagnosis-for-latex-allergy-related-to-nanda-nursing-interventions-and-diagnosis/

  This nursing care plan is for patients who have a latex allergy. Latex allergies are now seen more commonly in the hospital setting. Signs and symptoms that a patient has a latex allergy are: positive skin test to natural rubber latex (NRL), itching, skin redness, hives, sneezing, coughing, wheezing or even as severe as anaphylactic shock symptoms when a patient is exposed to latex. […] Nurses taking care of patients with a latex allergy must take special care to make sure the patient is not exposed to latex. […] Nursing Diagnosis: Latex allergy related to hypersensitivity response to the protein component of NRL as evidenced by positive skin test reaction to natural rubber latex. […] The patient will report no exposure to latex. -The patient will verbalize 4 signs and symptoms of latex allergy. […] -The nurse will always protect the patient from exposure to latex. -The nurse will use nonlatex alternative supplies when necessary. […] -The nurse will provide the patient with information on how to obtain a medical alert bracelet for latex allergy.

• #20 Latex – management of a patient at risk of or with a known latex allergy

  https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/latex_management_of_a_patient_at_risk_of_or_with_a_known_latex_allergy/

  Patients with a known latex allergy or a latex alert (high risk) should have this documented in the Allergies section of the EMR. […] Patients with a known latex allergy must have a Red identification (ID) band on admission, as per the RCH Policies and Procedure: Patient Identification Procedure. […] Patients who are known latex allergic where possible should be cared for in a single room that is latex free, if this is not possible every effort should be made to reduce latex in the room creating a safe environment. […] When a patient with a known latex allergy is admitted to RCH relevant staff must be alerted to the patients latex allergy status. […] Allergy list is visible to menu monitors and supervisors who are responsible for ensuring safe and appropriate meals are provided to patients.

• #21 Latex – management of a patient at risk of or with a known latex allergy

  https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/latex_management_of_a_patient_at_risk_of_or_with_a_known_latex_allergy/

  Ensure all relevant staff are aware of patients with a known latex allergy prior to transferring or transporting them to another clinical department (i.e. theatre, medical imaging). […] The most effective prevention strategy is to avoid exposure to latex. Patients with a known history of reactions to latex products will be placed on latex allergy precautions and should be managed in a latex safe environment as outlined below. […] Immediate latex allergy precautions include: Ensure latex gloves are not stocked in the area. […] Staff should be prepared to manage an acute allergic reaction, more information can be found on the RCH Clinical Practice Guideline: Anaphylaxis. […] Latex allergic/latex alert patients who attend outpatient areas (e.g. clinics, pathology and medical imaging) should be managed in an area that has been prepared according to the immediate latex prevention/management precautions.

• #22 Latex – management of a patient at risk of or with a known latex allergy

  https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/latex_management_of_a_patient_at_risk_of_or_with_a_known_latex_allergy/

  Not all patients will be identifiable. If anaphylaxis occurs and the cause is not readily identified, the possibility of latex induced anaphylaxis must be considered, especially in patients from high risk groups. […] A patient’s latex allergy status should be clearly identified and documented on the patient banner in the EMR.

• #23 Latex allergy – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/latex-allergy/diagnosis-treatment/drc-20374291

  Despite your best efforts to avoid latex, you may come into contact with it. If you’ve had a severe allergic reaction to latex, you may need to always carry injectable epinephrine with you. If you have an anaphylactic reaction, you will need to go to the emergency room for an immediate injection of adrenaline, also known as epinephrine. […] For less severe reactions, a care professional may prescribe antihistamines or corticosteroids. These may be taken after exposure to latex to control the reaction and help relieve discomfort. […] If you suspect you have a latex allergy, try to avoid contact with anything that contains latex.

• #24 Operating Suite – Australasian Society of Clinical Immunology and Allergy (ASCIA)

  https://www.allergy.org.au/hp/papers/management-of-latex-allergic-patients/operating-suite

  The nurse in charge of the operating room is to ensure the guidelines are followed. […] Synthetic gloves must be used. […] Ideally latex sensitive patients should be scheduled first on the morning operating list. […] Patients must only be operated on in a clean operating room ie free of powdered latex gloves for at least 3 hours. […] Furniture and equipment in the operating room must be washed down by staff wearing synthetic gloves to remove latex powder. […] From the time of the preparation of the operating room staff traffic should be limited and all staff entering the operating room should change into clean clothes and thoroughly wash their hands to remove latex powder. […] The operating room must have signs attached to all entrances to ensure latex safe area. […] Operating room table mattress and arm boards must be completely covered with linen.

• #25 Operating Suite – Australasian Society of Clinical Immunology and Allergy (ASCIA)

  https://www.allergy.org.au/hp/papers/management-of-latex-allergic-patients/operating-suite

  The patient’s limb must be covered prior to applying a tourniquet. […] Synthetic gloves must be used. […] The sterile trolleys must be set up in the operating room rather than in the core to prevent latex powder contamination. […] The latex free product list must be consulted to ensure all equipment used is latex free. […] Synthetic gloves must be used. […] The patient must wear a balaclava with ties not elastic, and no other disposable clothing with elastic. […] Patients must be brought straight from their room to the anaesthetic room and not placed in a holding area which may be contaminated with latex powder. […] Synthetic gloves must be used. […] During the patient’s stay in the operating suite all the staff entering the operating room should change into clean clothes and thoroughly wash their hands.

• #26 Operating Suite – Australasian Society of Clinical Immunology and Allergy (ASCIA)

  https://www.allergy.org.au/hp/papers/management-of-latex-allergic-patients/operating-suite

  Recovery staff entering the operating room, or anaesthetic room, should change into clean clothes and thoroughly wash their hands to remove latex powder. […] When the patient is returned to the ward, the recovery staff must ensure the ward staff are aware of the patient’s latex allergy and that the patient is returning to an environment which has been prepared. […] These areas are high risk areas to latex allergic patients, particularly in institutions where powdered latex gloves are used. […] Follow preceding guidelines for general ward.

• #27 Latex Allergy | Causes, Symptoms & Treatment | ACAAI Public Website

  https://acaai.org/allergies/allergic-conditions/latex-allergy/

  If you have latex allergy you should avoid direct contact with all products and devices that contain latex. Also avoid food that causes an allergic reaction. Latex allergy problems during dental, medical or surgical procedures can be prevented by warning health care providers about latex allergy before any test or treatment.

• #28 Latex Allergy: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/8623-latex-allergy

  The best way to prevent latex allergy is to avoid latex. […] If tests show you have a latex allergy, ask your provider for a complete list of potential sources. […] You should also: Tell providers, caregivers, teachers and friends that youre allergic. […] If your provider diagnoses you with an IgE-mediated latex allergy, you should carry injectable epinephrine with you. […] Most people manage a latex allergy with the help of an allergist. […] If you have a latex allergy, you need to be vigilant about avoiding anything that you know may cause an allergic reaction. […] See a healthcare provider if you think you have a latex allergy. […] Call 911 or go to the nearest emergency room if you have any signs of a severe allergic reaction, including: Face swelling. Tongue swelling. Trouble breathing or swallowing. […] Having a latex allergy can feel daunting. […] But with the help of an allergy specialist, you can lower your risk of exposure and know what to do if you have a reaction.

• #29 Latex Allergy | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/24111

  The most crucial step in managing patients who are susceptible to latex allergy is to determine individuals at high risk through history and physical. […] After the determination of patients at risk for latex allergy, prevention of exposure is essential. […] Management should begin with screening for high-risk individuals and the prevention of exposure. […] There are alternatives to latex such as neoprene, polyvinyl chloride, silicone, and vinyl and the introduction of powder and latex-free gloves have significantly reduced the prevalence of latex allergies. […] Education is crucial for the prevention of allergic reactions. […] Patients must receive alternatives to latex products, and proper compliance will result in decreased risk of reactions. […] Prevention is crucial in good outcomes for patients with latex allergy. […] Nurses are often the first to see patients and should be taught to determine the presence of latex allergy in the patient’s history, which enables healthcare workers to provide a latex-free environment.

• #30

  https://policies.unc.edu/TDClient/2833/Portal/KB/ArticleDet?ID=131979

  Latex allergy occurs when the bodys immune system reacts to proteins found in natural rubber latex (NRL). […] The implementation of Universal Precautions resulted in the increased use of latex gloves, and an increase was also being seen in latex sensitivity in health care workers. […] This policy is designed to assist in the management of latex sensitization among UNC-CH Clinical Facilities and UNC Health Care employees and to protect them from undue latex exposure. […] Latex allergy prevention will consist of appropriate glove usage, identification and verification of latex sensitive employees and education. […] Nitrile gloves do not sensitize employees to natural rubber products. […] The use of latex gloves will be limited at clinical settings as much as possible. […] Following the removal of latex gloves, hands should be washed immediately to remove any latex proteins, which if not washed away could cause irritation and sensitization.

• #31 Health care workers and latex allergies | RN.com

  https://www.rn.com/blog/clinical-insights/latex-allergies/

  The Occupational Safety and Health Administration (OSHA) (2008) recommend that all healthcare workers reduce the risk of developing latex allergies by „reducing unnecessary exposure to NRL products. In the 1980s and 1990s, there was an increase in cases, however with hospitals implementing the use of latex-free gloves, latex-free environments, and protocols to address patients and employees with latex allergies the incidence has decreased (AAFA, 2015). […] Practicing recommended hand hygiene, in addition to using the various medical devices that contain latex, places healthcare workers at risk of developing a latex allergy. There are ways to protect yourself.

• #32 Latex Allergy A Prevention Guide (98-113) | NIOSH | CDC

  https://www.cdc.gov/niosh/docs/98-113/default.html

  If you develop symptoms of latex allergy, avoid direct contact with latex gloves and other latex-containing products until you can see a physician experienced in treating latex allergy. […] If you have latex allergy, consult your physician regarding the following precautions: Avoid contact with latex gloves and products. Avoid areas where you might inhale the powder from latex gloves worn by other workers. Tell your employer and health care providers (physicians, nurses, dentists, etc.) that you have latex allergy. Wear a medical alert bracelet.

• #33 Latex Allergy

  https://askjan.org/disabilities/Latex-Allergy.cfm

  If the individual cannot be accommodated in the original position because of the need to eliminate exposure to latex, investigate reassignment as an accommodation. When possible, place the individual in a position that continues to take advantage of the employees clinical or technical skills. For example, if a nurse can no longer perform duties involving direct patient care, consider positions that still require nursing skills. […] A registered nurse with latex allergies was having difficulty wearing latex gloves. The employer provided her with non-latex gloves and started using non-powdered latex gloves for other staff to reduce the amount of latex in the environment. […] An emergency room nurse with a latex allergy needed reassigned. She was reassigned to a nurse-consultant job that did not involve direct patient care or direct contact with latex products.

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