PMID- 9212120
OWN - NLM
STAT- MEDLINE
DCOM- 19970723
LR  - 20190704
IS  - 0003-2999 (Print)
IS  - 0003-2999 (Linking)
VI  - 85
IP  - 1
DP  - 1997 Jul
TI  - The incidence of latex sensitivity in ambulatory surgical patients: a correlation 
      of historical factors with positive serum immunoglobin E levels.
PG  - 44-9
AB  - Increasing reports of latex-induced anaphylaxis make preoperative identification 
      of latex-sensitive individuals an important concern. The incidence of latex 
      sensitivity and the efficacy of questionnaires in identifying this in ambulatory 
      surgical populations have not been determined. To clarify these issues, 996 
      ambulatory surgical patients were studied preoperatively. A questionnaire 
      addressing demographic information, previous surgeries, history of atopy, 
      previous exposure or reactions to latex, congenital abnormalities, and food 
      allergies was administered. These data were then compared with serum anti-latex 
      immunoglobin E (IgE) levels (AlaSTAT test), and risk factors, sensitivity, and 
      specificity were determined. Of this population, 6.7% had IgE antibodies against 
      latex (i.e., latex sensitivity). Male gender, non-Caucasian race, age, asthma, 
      spinal cord abnormalities, food allergies, stated latex allergy, and symptoms 
      when exposed to latex increased the risk of latex sensitivity. The specificity 
      and positive predictive value of history were low. No systemic allergic reactions 
      occurred, a finding that could be attributed to chance alone. The incidence of 
      latex sensitivity in this population suggests that latex allergy is a significant 
      potential problem in ambulatory surgical patients. History, however, does not 
      appear to be a reliable predictor of the presence of anti-latex antibodies.
FAU - Lebenbom-Mansour, M H
AU  - Lebenbom-Mansour MH
AD  - Department of Anesthesiology, Sinai Health System, Detroit, Michigan, USA.
FAU - Oesterle, J R
AU  - Oesterle JR
FAU - Ownby, D R
AU  - Ownby DR
FAU - Jennett, M K
AU  - Jennett MK
FAU - Post, S K
AU  - Post SK
FAU - Zaglaniczy, K
AU  - Zaglaniczy K
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Anesth Analg
JT  - Anesthesia and analgesia
JID - 1310650
RN  - 0 (Latex)
RN  - 37341-29-0 (Immunoglobulin E)
SB  - IM
CIN - Anesth Analg. 1998 Apr;86(4):919. PMID: 9539634
MH  - *Ambulatory Surgical Procedures
MH  - Enzyme-Linked Immunosorbent Assay
MH  - Female
MH  - Humans
MH  - Hypersensitivity, Immediate/*diagnosis/etiology
MH  - Immunoglobulin E/*blood
MH  - Latex/*adverse effects
MH  - Male
MH  - Medical History Taking
MH  - Odds Ratio
MH  - Predictive Value of Tests
MH  - Risk Factors
MH  - Sensitivity and Specificity
MH  - Surveys and Questionnaires
EDAT- 1997/07/01 00:00
MHDA- 1997/07/01 00:01
CRDT- 1997/07/01 00:00
PHST- 1997/07/01 00:00 [pubmed]
PHST- 1997/07/01 00:01 [medline]
PHST- 1997/07/01 00:00 [entrez]
AID - 10.1097/00000539-199707000-00008 [doi]
PST - ppublish
SO  - Anesth Analg. 1997 Jul;85(1):44-9. doi: 10.1097/00000539-199707000-00008.