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Abstract
Allergenicity of Latex Gloves with Reference to Latex Protein
Sensitive Individuals in a Canadian Population
Allergenicity of latex gloves with varying levels of
total extractable proteins was studied, by evaluating their allergic responses
elicited, if any, in latex sensitive individuals of Canadian origin. Total
extractable protein (EP) content of 30 latex medical gloves (powdered and
powder-free) was determined by the modified Lowry method, according to both the
Rubber Research Institute of Malaysia (RRIM) and the American Society of
Testing and Materials (ASTM) protocols. While EP RRIM values ranged
from 865 µg/g to <10 µg/g, EP ASTM values varied from 870 µg/g to
<30 µg/g. A total of 30 latex allergic volunteers were skin-prick tested
with the glove extracts.
Results showed that gloves with high extractable
protein contents always tend to elicit positive allergic reactions. On the
other hand, much reduced or no allergic responses were associated with gloves
having low extractable proteins, regardless of whether the gloves were powdered
or powder-free. More than 60% of negative allergic responses were consistently
observed at EP RRIM of about 100 µg/g and lower, and at EP ASTM
of less than 50 µg/g.
The total extractable protein content of latex gloves
was found to be significantly correlated to their allergenicity, notwithstanding
that the protein measurements were not fully allergen specific. Correlation
coefficients 'r' of 0.94 for EP RRIM and 0.88 for EP ASTM,
were obtained. This finding confirms an earlier report that showed close
correlation between allergenicity and EP RRIM in a study based on a Finnish
population of different genetic make-up.

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