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LATEX ALLERGY GLOVE CHART
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IRRITATION (IRRITANT CONTACT DERMATITIS)
SYMPTOMS (WILL OCCUR WITHIN MINUTES TO HOURS)
INITIAL
ACUTE
CHRONIC
- DRY THICKENED SKIN, CRUSTING, CRACKS,
SCABBING SORES, PUSTULES, PEELING
STATISTICS:
- COULD OCCUR IN 100% OF POPULATION,
(EXCESSIVE HAND WASHING AS WELL AS CHEMICAL IRRITANTS
GENERALLY ARE UNDERLYING CAUSE)
SOLUTIONS:
- USE GLOVE TESTED LOW IN PROTEIN,
LOW IN CHLORIDES OR CHLORIDE FREE (POLYMER COATED),
TESTED LOW OR FREE IN CHEMICAL IRRITANTS
- TRY DIFFERENT BATCH WITHIN GLOVE
LOT
- USE GLOVE LINERS OR EMMOLIENT FREE
HAND CREAMS
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TYPE IV HYPERSENSITIVITY
(DELAYED TYPE HYPERSENSITIVITY)
SYMPTOMS WILL OCCUR WITHIN 6 TO 48 HOURS)
INITIAL
- ITCHING, BURNING, LEADING TO PAIN
ACUTE
- RED SKIN, BLISTERS, ONLY MAY MOVE
UP THE ARM
CHRONIC
- SAME AS IRRITANT CONTACT DERMATITIS
ONLY MORE PRONOUNCED
STATISTICS:
- COULD OCCUR IN 7-18% OF POPULATION
(CAN BE CHEMICAL SENSITIVITY)
SOLUTIONS:
- SWITCH TO GLOVE TESTED AND CERTIFIED
TO BE LOW IN PROTEIN, LOW IN CHEMICAL IRRITANTS (DOUBLE
POLYMER COATED OR NON-CHLORINATED GLOVE PRODUCT, GLOVE
FREE OF KNOWN ACCELERANT AGGRAVATORS)
- SEE A DERMATOLOGIST FOR LATEX ALLERGY
TESTING
- EMMOLIENT FREE ANTI INFLAMATORY CREAMS
AND/OR GLOVE LINERS
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IMMEDIATE TYPE I HYPERSENSITIVITY
SYMPTOMS (WILL OCCUR WITHIN MINUTES TO 1 HOUR)
INITIAL
ACUTE
- URTICARIA AND SWELLING, MAY INVOLVE
RESPRIRATORY SYSTEM, RUNNY NOSE, WHEEZING, ASTHMA
OR SYSTEMIC INVOLVEMENT, HIVES, NAUSEA, DIARRHEA,
RAPID HEART RATE, ANAPHYLACTIC SHOCK
CHRONIC
- SEVERE URTICARIA, MAY AFFECT ANY
PART OF THE BODY
STATISTICS:
- GENERAL POPULATION 1% HOSPITAL POLULATION,
NON SURGICAL 3-5% HOSPITAL POPULATION, SURGICAL 7-12%
(STATISTICS CAN BE MISLEADING DUE TO GROUPING OF ALL
TYPES OF REACTIONS INCLUDING CHEMICAL SENSITIVITIES
AND IRRITANT CONTACT DERMATITIS
SOLUTIONS:
- SWITCH TO SYNTHETIC GLOVE PRODUCT
(RECOMMEND NITRILE FOR VIRAL PROTECTION, DO NOT RECOMMEND
VINYL)
- SEE AN ALLERGIST FOR TESTING AND
CONFIRMATION OF "PROTEIN ALLERGY" AS OPPOSED
TO CHEMICAL ALLERGY
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