Alergia ao Látex em Contexto Ocupacional

Pedro Vale, L. Rocha, M. Matos, J. Afonso, Roberto Ribas
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Abstract

Introduction/framework/objectives Latex allergy is recognized as a widespread health problem that assumed serious proportions in the 1990s. Although preventive measures have markedly decreased its incidence, recent studies have shown that it remains an important health problem in certain population groups, particularly in developing countries. This work aims to provide a comprehensive review of the current status of occupational latex allergies. We summarize various aspects of this condition, such as prevalence, risk groups, latex allergens, the diagnostic approach, prevention, and treatment. Methodology A bibliographic review was carried out in January 2023 in the following databases: PubMed/Medline, Cochrane Library, Evidence-based Medicine, Canadian Medical Association, Practice Guidelines and National Guideline Clearinghouse. Content Repeated exposure to latex in an occupational context can lead to worker sensitivity, with a significant clinical and socio-economic impact. We summarize various aspects of this condition, such as prevalence, risk groups, latex allergens, the diagnostic approach, prevention and treatment. Discussion and Conclusions The history of latex allergies has demonstrated that potent allergens such as Natural Rubber Latex proteins can cause rapid immunoglobulin-E-mediated sensitization and clinical allergies, reaching serious proportions in highly exposed individuals. Occupational exposure has a decisive influence on the allergen sensitivity profile, with important clinical and therapeutic consequences. The effectiveness of secondary prevention measures is limited. Thus, it is essential to implement early primary prevention measures in individuals belonging to risk groups, to avoid or minimize exposure to latex allergens. KEYWORDS: Healthcare Professionals, Latex allergy, Latex gloves, Latex hypersensitivity, Natural rubber latex, Occupational diseases, Occupational health, Occupational Medicine.
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职业性乳胶过敏
乳胶过敏被认为是一种普遍存在的健康问题,在20世纪90年代占据了严重的比例。虽然预防措施显著降低了其发病率,但最近的研究表明,在某些人群中,特别是在发展中国家,它仍然是一个重要的健康问题。这项工作的目的是提供一个全面的审查,目前的状况,职业性乳胶过敏。我们总结了这种情况的各个方面,如患病率,风险群体,乳胶过敏原,诊断方法,预防和治疗。方法于2023年1月对以下数据库进行文献综述:PubMed/Medline、Cochrane图书馆、循证医学、加拿大医学协会、实践指南和国家指南信息交换所。在职业环境中反复接触乳胶可导致工人敏感,具有显著的临床和社会经济影响。我们总结了这种情况的各个方面,如患病率,危险人群,乳胶过敏原,诊断方法,预防和治疗。讨论与结论乳胶过敏的历史表明,天然胶乳蛋白等强效变应原可引起免疫球蛋白e介导的快速致敏和临床过敏,在高度暴露的个体中达到严重的比例。职业性暴露对过敏原敏感性有决定性的影响,具有重要的临床和治疗后果。二级预防措施的效果有限。因此,必须在属于风险群体的个人中实施早期一级预防措施,以避免或尽量减少接触乳胶过敏原。关键词:医护人员,乳胶过敏,乳胶手套,乳胶超敏反应,天然胶乳,职业病,职业健康,职业医学。
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