The Open Access Journal of Science and Technology
vol. 5 (2017), Article ID 101281, 8 pages
doi:10.11131/2017/101281
AgiAl
Publishing House
http://www.agialpress.com/
Research Article
Questionnaire’s and Diagnostic Tests’
Reliability on Natural Rubber Latex Allergy
among Albanian Dental Students
Alketa Bakiri
1,2,3
, Skender Skenderaj
4
, Dhimiter Kraja
5
, Elizana Petrela
6
,
Doris Mingomataj
2
, and Ervin Ç. Mingomataj
7,8
1
Logos University, Faculty of Applied Sciences, Department of Advanced Techniques in Medical
Laboratory, Tirana, Albania
2
Albanian University, Faculty of Medical Sciences, Department of Stomatology, Tirana, Albania
3
Hygeia Hospital Tirana, Department of Outpatients Service, Tirana, Albania
4
Medicine University of Tirana, Faculty of General Medicine, Department of Environmental and
Work Medicine, Tirana, Albania
5
Medicine University of Tirana, Faculty of General Medicine, Department of Infective and Dermato-
Venerologic Diseases, Tirana, Albania
6
Medicine University of Tirana, Faculty of General Medicine, Department of Statistics and
Epidemiology, Tirana, Albania
7
Medicine University of Tirana, Faculty of Technical-Medical Sciences, Department of Paraclinical
Disciplines, Tirana, Albania
8
“Mother Theresa” School of Medicine, Department of Allergology and Clinical Immunology,
Tirana, Albania
Abstract. Latex allergy is a common occupational disease among healthcare workers. Self-
administrated questionnaires, physical examination and allergic tests are largely used to assess
data about natural history, risk factors, clinical phenotype, etc. The aim of the present study was
to determine the prevalence of allergy to latex gloves among dental students and the association
between questionnaire items and diagnostic tests.
In this prospective study, a total of 240 students completed a self-administrated questionnaire
that comprised of a total of different items and gave information about the participants and their
glove use, working habits and glove use, signs and symptoms related to glove use, precautions
taken to minimize it, etc. Patch test is performed through latex gloves, while skin prick test with
a commercial extract.
Questionnaire items and diagnostic tests revealed that one-fourth of subjects were suspicious for
latex gloves hypersensitivity. Their mean value for skin reactions like contact urticaria, irritant
or allergic dermatitis was between 10% and 14%, while for other symptoms the mean value was
under 5%. Logistic regression analysis revealed an association between different questionnaire
items and positive allergy tests among suspected cases and diagnosed cases of latex allergy, but
not with control tests (including between the positive patch test and presence of non-cutaneous
symptoms).
These findings suggest that respiratory exposure plays an important role on the interaction
between different mechanisms during sensitization processes, and that questionnaire statements
about latex allergy in combination with positive diagnostic tests can be reliable on the
identification of allergic subjects.
Keywords: latex allergy, clinical phenotypes, questionnaire, diagnostic tests.
How to cite this article: Alketa Bakiri, Skender Skenderaj, Dhimiter Kraja, Elizana Petrela, Doris Mingomataj, and Ervin Ç.
Mingomataj, “Questionnaire’s and Diagnostic Tests’ Reliability on Natural Rubber Latex Allergy among Albanian Dental Students”
The Open Access Journal of Science and Technology, vol. 5, Article ID 101281, 8 pages, 2017. doi:10.11131/2017/101281
Page 1
Corresponding Author
Ervin Ç. Mingomataj
allergology@gmx.de
Editor
Kazuhito Asano
Dates
Received 13 February 2017
Accepted 28 February 2017
Copyright © 2017 Alketa
Bakiri et al. This is an open
access article distributed
under the Creative Commons
Attribution License, which
permits unrestricted use,
distribution, and reproduction
in any medium, provided the
original work is properly
cited.