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Source To Surgery - February 1995, Vol. 3 Issue I
Mayo Medical Center Leads the Way In Stopping Sensitization
A Report on Toronto Latex Conference, September 1994
Dr. John Yunginger, a highly respected allergy physician and researcher,
reported on steps taken at his institution to afford protection to
patients and the 15,000 - 16,000 staff exposed to latex antigens on a
daily basis. Currently over 150 employees have been identified as latex
sensitized which Yunginger describes as the "tip of the iceberg."
Yunginger and his colleagues set upon a plan to measure allergy levels
in all medical devices, especially exam and surgical gloves, in order to
reduce the personnel exposure to latex allergies.
Over 70 different pairs of gloves from a wide variety of manufacturers
were evaluated. The RAST Inhibition measures total allergenic activity
in terms of Au/ml (allergy units per milliliter) with a scoring system
which extends from 10 Au/ml (lower limit of the assay) to 100,000 being
raw non-ammoniated latex. In past reports he described a 3,000-fold difference in allergenicity
among different glove brands. He also reported that due to chlorination
to assist the donning process, powder-free exam and surgical gloves
contain significantly lower amounts of allergens than powdered
gloves.
As a result of this study, the Mayo Medical Center and associated
hospitals now purchase only gloves with the lowest amount of allergens.
The surprising benefit to the Clinic was that by consolidating their
inventories to only a few brands, they realized a savings of over
$200,000 on their purchase of 8.9 million pairs of gloves, thus
dispelling the myth that low allergen gloves are more expensive.
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