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 Prevention
of allergic risk in the health environment includes primary prevention
precautions undertaken on the working environment and secondary
prevention measures undertaken on man.
In relation to contact dermatitis, primary prevention measures consist in
the adoption of a correct behaviour to minimize the factors favouring
sensitization and also in the employment of hypoallergic gloves. As far
as the behaviour is concerned, the employment of detergents-antiseptics
with non-physiological pH and an irritating action must be avoided, as
skin irritation favours sensitization phenomena. Furthermore, excessive
washing and rubbing of the hands and forearms should be avoided, as such
manoeuvres harm the cutaneous hydrolipidic layer that is an essential
barrier against the passing of allergens to deeper layers.
The employment of hypoallergic gloves is difficult because none of the
existing gloves is completely free of allergic risk.
In relation to allergic respiratory pathologies, primary prevention
measures are a recent problem and measures are still being discussed.
As far as secondary prevention is concerned, measures are essentially
devoted to the identification of the subjects at highest risk of
sensitization, such as the atopic subjects and those affected by allergic
dermatitis of a different nature.
Finally, it is necessary to adopt appropriate programs addressed to the
personnel in relation to the risk of latex sensitization. In fact, in the
case of latex sensitization not only it is necessary that the allergen be
removed from the working place, but also that extra-working measures be
adopted by the worker to avoid contact with the allergen. It is important
that this allergy be pointed out to the health personnel in the case of a
surgical operation and of simple diagnostic procedures (gynaecological
examinations and odontological operations). Furthemore, these subjects
must avoid food with cross reactivity with latex, such as bananas, chestnuts,
hazelnuts, avocados and kiwi.
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