LATEX ALLERGY IN SPINA-BIFIDA PATIENTS - PREVALENCE AND SURGICAL IMPLICATIONS

被引:67
作者
TOSI, LL
SLATER, JE
SHAER, C
MOSTELLO, LA
机构
[1] Departments of Orthopaedics, Children's National Medical Center, Washington, DC
[2] Departments of Allergy and Immunology, Children's National Medical Center, Washington, DC
[3] Departments of Pediatrics, Children's National Medical Center, Washington, DC
[4] Departments of Anesthesia, Children's National Medical Center, Washington, DC
关键词
ANAPHYLAXIS; IMMEDIATE HYPERSENSITIVITY; LATEX; RUBBER; SPINA BIFIDA;
D O I
10.1097/01241398-199311000-00003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We interviewed 93 consecutive children with spina bifida who were scheduled for operation to document (a) the prevalence of latex sensitivity, (b) predictors of anaphylactic reaction, and (c) the risk of type I hypersensitivity reaction perioperatively. Of these patients, 9.7% were clinically allergic. Radioallergosorbent testing (RAST) was 89% sensitive. All patients with known latex allergy were premedicated, and rigorous efforts were made to avoid latex exposure. No intraoperative anaphylactic reactions were noted. One postoperative reaction occurred in a history-positive, RAST-negative patient. We conclude that operation can be performed safely in patients with latex allergy.
引用
收藏
页码:709 / 712
页数:4
相关论文
共 22 条
[1]  
Axelsson I., Eriksson M., Wrangsjo K., Anaphylaxis and angioedema due to rubber allergy in children, Acta Paediatr Scand, 77, pp. 314-316, (1988)
[2]  
Axelsson J., Johansson S., Wrangsjo K., IgE-mediated anaphylactoid reactions to rubber, Allergy, 42, pp. 46-50, (1987)
[3]  
Beuers U., Baur X., Schraudolph M., Richter W.O., Anaphylactic shock after game of squash in atopic woman with latex allergy, Lancet, 335, (1990)
[4]  
Bielory L., Kaliner M.A., Anaphylactoid reactions to radiocontrast materials, Int Anesthesiol Clin, 23, pp. 97-118, (1985)
[5]  
Frosch P.J., Wahl R., Bahmer F.A., Maasch H.J., Contact urticaria to rubber gloves is IgE-mediated, Contact Dermatitis, 14, pp. 241-245, (1986)
[6]  
Fuchs T., Wahl R., Geier J., Immediate-type reactions to rubber [Abstract], J Allergy Clin Immunol, 87, (1991)
[7]  
Gerber A.C., Jorg W., Zbinden S., Seger R.A., Dangel P.H., Severe intraoperative anaphylaxis to surgical gloves: Latex allergy, an unfamiliar condition, Anesthesiology, 71, pp. 800-802, (1989)
[8]  
Kelly K., Satlock M., Davis J.P., Anaphylactic reactions during general anesthesia among pediatric patients—United States, January 1990-January 1991, MMWR, 40, pp. 437-443, (1991)
[9]  
Leynadier F., Pacquet C., Dry J., Anaphylaxis to latex during surgery, Anaesthesia, 44, pp. 547-550, (1989)
[10]  
Meeropol E., Kelleher R., Bell S., Leger R., Allergic reactions to rubber in patients with myelodysplasia [Letter], N Englj Med, 323, (1990)