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Capsular Serotyping of Streptococcus pneumoniae by Latex Agglutination
Published on: September 25, 2014
Prevalence and risk factors of latex sensitization in an unselected pediatric population
R Bernardini1, E Novembre, A Ingargiola
1A. Meyer Hospital, Department of Pediatrics, University of Florence, Italy.
Insights
Latex sensitization is rare in children, with only 0.7% showing positive skin tests and no allergic reactions. Risk factors include allergies to other substances and older age.
Area of Science:
- Pediatric Allergy and Immunology
- Epidemiology of Allergic Diseases
Background:
- Systematic surveys of latex sensitization in the general population are lacking.
- Previous research focused on high-risk groups, leaving a gap in understanding prevalence in children.
Purpose of the Study:
- To determine the prevalence of latex sensitization in a general pediatric population.
- To identify risk factors associated with latex sensitization in children.
Main Methods:
- A study involving 1175 children aged 105 +/- 17.5 months from 11 elementary schools in Tuscany, Italy.
- Children underwent skin prick tests (SPTs) for latex, aeroallergens, food allergens, and insect venoms after parental questionnaires.
- Data analysis focused on identifying significant risk factors for latex sensitization.
Main Results:
- A low prevalence of latex sensitization was found, with 0.7% (8 subjects) having positive SPT responses to latex.
- No children exhibited clinical allergic reactions to latex.
- Significant risk factors for latex sensitization included positive SPT responses to aeroallergens, food allergens, insect venoms, and increased age.
Conclusions:
- Latex sensitization is very uncommon in the general pediatric population, with no associated clinical symptoms observed.
- A significant association exists between latex sensitization and positive SPT responses to other allergens (aeroallergens, food allergens, insect venoms) and older age.
- These findings highlight the importance of considering co-sensitization patterns in pediatric allergy evaluations.
Background:
The prevalence of latex sensitization has been investigated in population groups considered at high risk, but it has not been systematically surveyed among the general population.
Objective:
We sought to determine the prevalence of and the risk factors associated with latex sensitization in a general pediatric population.
Methods:
We investigated 1175 children (mean age +/- SD, 105 +/- 17.5 months) in 11 elementary schools in Tuscany (Italy). All parents answered a questionnaire, and children underwent skin prick tests (SPTs) with latex, six aeroallergens (Dermatophagoides pteronyssinus, D. farinae, cat, grass pollen, Alternaria tenuis, and Parietaria judaica), three food allergens (milk, egg white, and wheat), and three insect venoms (honeybee, wasp, and Polistes).
Results:
Eight subjects (0.7%; mean age +/- SD, 123 +/- 9.28 months) had positive SPT responses to latex. No children showed allergic reactions to latex. One or more positive SPT responses to aeroallergens were present in 340 children (28.9%); one or more positive SPT responses to food allergens were present in 26 (2.2%); one or more positive SPT responses to aeroallergens, food allergens, or both were present in 353 (30.0%); and one or more positive SPT responses to one or more insect venoms were present in 43 subjects (3.7%). Significant (p < 0.05) risk factors associated with latex sensitization included: positive SPT responses to aeroallergens, food allergens, or both; a positive response to one or more insect venoms; a positive response to mite, milk, egg white, wheat, honeybee venom, wasp venom, Polistes venom, or a combination thereof; and increased age.
Conclusion:
This report shows a very low prevalence of latex sensitization with an absence of clinical symptoms to latex. This study demonstrates a significant association between latex sensitization and the presence of one or more positive SPT responses to aeroallergens, food allergens, or both; one or more positive SPT responses to one or more insect venoms; and increased age.
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