More on Latex and Nitrile Glove Allergies
Filed in archive Latex/Rubber Allergies , Skin Allergies by ruth on August 31, 2008
Until now.
I would like to lift a comment left by Colette Perches, President/CEO of First Line Gloves from that old blog entry as I feel these are useful information for people who think they might be having allergic reactions to nitrile. (Emphasis are mine).
Unfortunately, the conversion to nitrile was falsely promoted as a "fix all" for allergies. The bottom line, it is absolutely possible to be allergic to acrylonitrilabutadeine, the raw material used in the manufacturing of nitrile gloves. In fact, a person can be allergic to AIR. The sensitization process and potential ultimate development of anaphylaxis in extreme cases cannot be predicted by either doses or time exposed to a glove. This is the same for latex as well as nitrile. Gloves are manufactured using accelerators, the most common are carbamates and thiruams. Both can cause Type IV alleric reactions. There are accelerator free gloves and these can be tried to determine if accelerators are the culprit.
With the option to purchase Powder Free Latex, the incidence of latex allergy has dramatically declined. The powder was in fact the primary vehicle that the protein found in latex attached to, became airborne and ultimately sensitized so many individuals by providing a direct inhalation process to mucous membranes. The Adenna polyurethane gloves were discontinued due to cost and low demand. They were developed by an engineer who initially intended them to be used in clean rooms due to their "cleanliness" levels and anti staticproperties. This base material can be utilized still however the hospital industry remains unwilling to procure products that are quality driven as opposed to price driven.
Users should try different brands of gloves, as the leaching process in the manufacturing cycle is critical to removal of all residual chemicals. Users may find that a different brand of nitrile will not cause a reaction, and the same applies with latex. I hear of nitrile allergies daily to many manufacturer's gloves. I believe that in time hospitals and many other markets will offer both latex and nitrile as effective hand PPE, dealing with the potential reaction to anyphyaxis in both. Users should seek a qualified allergist for testing using a western blot or rast assay to determine if they are allergic to either proteins, other raw materials or chemical acclerators. Vinyl gloves typically have more pinholes and the material is not recommended as a barrier to pathogen penetration. OSHA recommends these gloves be used only when exposure is not prevalent.
In addition, the skins own natural oils are critical to the skins integrity and ability to withstand entry of any substance. The increased use of anti bacterial and anti microbial hand soaps, as well as quick dry hand soaps laden with alcohol have stripped the hands of these oils. Many soaps also contain chemical ingredients that cause allergies, however, users are conditioned to look at the glove as the culprit. Using colloidal oatmeal based soaps and lotions to promote the hands healing is critical to the users ability to wear gloves. I hope this has been helpful.
Well, I'm not convinced with that bit about being allergic to air, but I believe Ms. Perches raised several very important issues.
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