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Allergic and latex-specific sensitization: route, frequency, and amount of exposure that are required to initiate IgE production.

Authors
Weissman-DN; Lewis-DM
Source
J Allergy Clin Immunol 2002 Aug; 110(2 Part 2):S57-S63
NIOSHTIC No.
20022910
Abstract
Quantitative data that documents human exposure-response relationships for IgE sensitization to allergens are limited. Although seemingly straightforward, documentation of exposure-response relationships can be difficult. Issues that are related to study design, allergen standardization, exposure assessment, and evaluation for sensitization can impact greatly on study results. Despite these issues, exposure-response relationships for sensitization to protein allergens have been documented in several occupational groups, which include enzyme-detergent workers, bakers, and laboratory animal workers. In general, atopy acts as an effect modifier in these settings, steepening the exposure-response relationship. Several studies suggest that the greatest risk for sensitization is within the first several years of exposure. For 1 allergen, the protease subtilisin, a short-term exposure limit of 60 ng/m3 has been recommended by the American Council of Governmental Industrial Hygienists. With regard to natural rubber latex, exposure-related factors such as number of operations have been shown to be risk factors for sensitization of children with spina bifida. By contrast, fewer studies show exposure-response relationships for IgE sensitization of health care workers to natural rubber latex, and the area remains controversial. However, a recent cohort study that evaluated incident sensitization in dental hygiene students suggests strongly that, with sufficient exposure, employment in health care can lead to an increased risk of IgE sensitization to natural rubber latex.
Keywords
Sensitization; Quantitative-analysis; Humans; Allergens; Exposure-levels; Laboratory-workers; Workers; Industrial-hygienists; Risk-factors; Health-care-personnel
Contact
David N. Weissman, MD, NIOSH/HELD/ASB, Mailstop L-4218, 1095 Willowdale Road, Morgantown, WV 26505
CODEN
JACIBY
Publication Date
20020801
Document Type
Journal Article
Email Address
dweissman@cdc.gov
Fiscal Year
2002
NTIS Accession No.
NTIS Price
ISSN
0091-6749
NIOSH Division
HELD
Priority Area
Disease and Injury: Asthma and Chronic Obstructive Pulmonary Disease
Source Name
Journal of Allergy and Clinical Immunology
State
WV
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