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Many of the positive tests may be due to laboratory cross-reactivity, but a clinical response of allergy will not be provoked. When are diagnostic studies being done, and is there unified consensus on the diagnostic process or timing? Guidelines Educate school-age children about their avoidance of latex products such as latex-containing urinary catheters and inform them about safe, latex-free alternatives. When are diagnostic studies being done; any unified consensus on the process or timing?
Guidelines Educate teens directly about avoidance of latex products including latex-containing urinary catheters and educate them to know about safe latex-free alternatives. If a positive test is found, then a food challenge would be indicated in the case where there is no history of food related clinical reaction. Appendix 2 Many of the positive tests may be due to laboratory cross-reactivity, but a clinical response of allergy will not be provoked. Given that there is potential for cross-reactivity in numerous foods, how should families and adults prepare for cross-reactivity in numerous foods?
Guidelines Urge adults with Spina Bifida to continue following latex precautions, even if they have not experienced an adverse response to latex products for example, latex-free condoms , until better scientific explanations are available to specifically drive prevention and intervention. Determine if there is an impact of antenatal repair on latex allergy. For cohorts of people with Spina Bifida who become positive to latex clinically or based on screening labs , in-depth epidemiology studies need to be constructed and implemented.
Are health care providers becoming complacent about latex risks in hospital and office settings? How do we recognize infants, children, teens, or adults who are most at risk or those that may turn positive? Is there consensus on how to conduct preventive screening, or should investigation begin when a patient has a reaction and needs specific testing?
Among individuals with latex sensitivity, there is potential for cross-reactivity in numerous foods; what precautions might be shared with families in these instances? Prevalence of latex allergy in spina bifida: genetic and environmental risk factors. European Review for Medical and Pharmacological Sciences, ; Risk factors for latex allergy in patients with spina bifida and latex sensitization. Clinical and Experimental Allergy, ; Profile of latex sensitization and allergies in children and adolescents with myelomeningocele in Sao Paulo, Brazil.
J Investig Allergol Clin Immunol, ; 23 1 : Effects of latex avoidance on latex sensitization, atopy and allergic disease in patients with spina bifida. Allergy, ; Quantitative analysis of immunoglobulin E reactivity profiles in patients allergic or sensitized to natural rubber latex Hevea brasiliensis.
Woodhouse CRJ. Myelomeningocele: neglected aspects. Pediatr Nephrol, ; Specific IgE response to purified and recombinant allergens in latex allergy. Latex-induced anaphylactic reaction in a child with spina bifida. Pediatric Emergency Care, ; 22 6 : Latex allergy: An update. Anesth Analg ; Kelly KJ, Sussman G. Latex allergy: where are we now and how did we get there?
J Allergy Clin Immunol Pract. Latex sensitization and allergy in children with spina bifida in Turkey. Childs Nerv Syst, ; Ventriculra shunts and the prevalence of sensitization and clinically relevant allergy to latex in patients with spina bifida. After several cases of severe reactions to latex in the s, healthcare professionals made fundamental and systematic changes in the use of latex products.
Most shifted to using non-latex surgical gloves and nitrile procedure gloves. Manufacturers stopped using rubber in their products e.
Since most believed that children with spina bifida were become sensitized to latex because of the many medical procedures they have to endure, the concept that removing latex from healthcare would solve the problem. Limited exposure to latex is essential, but it is more difficult to accomplish than it seems. Many products have small amounts of latex in them from medical tapes and adhesives, blood pressure cuffs, NG tubes and many others.
Simply being in a hospital environment is sometimes enough to sensitize children with spina bifida and to cause reactions. In fact, kids with spina bifida may be genetically susceptible to latex allergy. Latex allergy is a hypersensitivity reaction to Hevea brasiliensis , or more specifically, proteins found in the rubber tree by that name. Many scientists believe that certain fruits and nuts have similar proteins to the ones in natural latex.
In other words, if a person with latex allergy comes into contact with one of these fruits and nuts, the immune system reacts as if it has been exposed to latex itself. The opposite is true, as well. A certain portion of people with food allergy may have a latex allergy. Avoiding latex is a must. People with spina bifida should not touching anything with latex protein inhalation any powder that contains latex. Fortunately, most healthcare settings have dramatically reduced the number of products that contain natural rubber.
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