{"created":"2023-07-25T09:04:41.544947+00:00","id":2565,"links":{},"metadata":{"_buckets":{"deposit":"59403a42-2b5b-4f00-97a7-c5155a70384f"},"_deposit":{"created_by":3,"id":"2565","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2565"},"status":"published"},"_oai":{"id":"oai:toyama.repo.nii.ac.jp:00002565","sets":["439:440:443:444:449"]},"author_link":["156394","156390","156389","156387","8496","156392","156391","156393"],"item_3_alternative_title_19":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Study on the actual state of latex allergy control in healthcare personnel in Toyama Prefecture, Japan"}]},"item_3_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2002-04","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"126","bibliographicPageStart":"115","bibliographicVolumeNumber":"4","bibliographic_titles":[{"bibliographic_title":"富山医科薬科大学看護学会誌"}]}]},"item_3_description_15":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"医療従事者の感染予防策としてラテックス手袋の使用は益々増加しているが, アレルギーがあることも報告されている.しかしながら, 欧米諸国に比べ本邦の医療従事者における本アレルギーの認識度は低い.そこでその実態も知る目的で富山県内3施設の医療従事者を対象として質問票による調査を実施し, 641名から有効回答を得た.何らかの即時型アレルギー既往者は3施設平均で149名(24%)であり, 特にゴム製品の直接・間接的接触が誘因となった人は19%達した.アレルギーに対する対処法として, 医師との相談や手袋使用回避より, むしろリスクの高いローションや湿潤クリームが最も頻度が高かった.使用手袋資材をみると, 1施設ではニトリル製とパウダーフリーラテックスへと変更が認められたが, 2施設では依然としてパウダー付ラテックスが主流であった.さらにリスク因子とされている, 手袋接触による遅延型アレルギー(25%)と手荒れ(61%)があげられた.89名のうち2名に高レベルのラテックス特異的IgEが検出されたが, このうち1名が無症状であった.このことから, 本検査は本アレルギーを指標とした医療従事者の管理・評価に有用であることが示唆された.これらの結果から, 元来ハイリスク群である医療従事者が二重・三重のリスクに暴露されている憂慮すべき実態が抽出され, 今後も本アレルギーの病態や予防に関する啓蒙活動の継続が必要であると考えられた.","subitem_description_type":"Abstract"},{"subitem_description":"We studied the actual state of latex allergy and its control through the analyses of answers on the questionnaire obtained from healthcare personnel (641 responders) in Tyyama Prefecture. There were as much as 149 responders (23%) with either symptom of the immediate type allergy (ITA), which showed a workplace-related tendency (operation room) in relatively younger nurses. ITA was induced by either direct or indirect contact of latex products (glove-wearing, contact of balloon or intervention of dentists) at the highest risk ( 19%). The most popular measure for the ITA control was the use of the lotion or humidified creams (79%) rather than consulting with doctors (44%) or avoiding the glove use (35%). One of 3 facilities has already carried out facility-wide substitution of powder-free latex or nitryl gloves, whereas the remaining two facilities have not yet. In addition to inappropriate glove use, personnel with ITA also complained with the dishpan hands (60%) and delayed type allergy (23%), indicating that they work routinely with various risks for latex allergy. Serologic tests of 89 responders showed that one of 2 persons with a high level of latex-specific IgE is asymtomatic, suggesting that serologic test is useful for the evaluation and control of healthcare personnel on the basis of latex allergy. In light of these findings, educational materials and activities should be provided to inform personnel about appropriate glove use, and the manifestations and potential risks of latex allergy.","subitem_description_type":"Abstract"}]},"item_3_description_40":{"attribute_name":"資源タイプ(DSpace)","attribute_value_mlt":[{"subitem_description":"Article","subitem_description_type":"Other"}]},"item_3_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15099/00002559","subitem_identifier_reg_type":"JaLC"}]},"item_3_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"富山医科薬科大学看護学会"}]},"item_3_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11340152","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_8":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1344-1434","subitem_source_identifier_type":"ISSN"}]},"item_3_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"鴻巣, 聡子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"八塚, 美樹"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"今西, 信子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"丸橋, 美友紀"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"片田, 裕子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉井, 美穂"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"寺西, 豊秀"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"落合, 宏"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-02-15"}],"displaytype":"detail","filename":"jns040212.pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jns040212.pdf","url":"https://toyama.repo.nii.ac.jp/record/2565/files/jns040212.pdf"},"version_id":"72862cf1-98ee-4bf6-ab78-7893cb66efcb"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"latex allergy","subitem_subject_scheme":"Other"},{"subitem_subject":"healthcare personnel","subitem_subject_scheme":"Other"},{"subitem_subject":"risk factors","subitem_subject_scheme":"Other"},{"subitem_subject":"IgE","subitem_subject_scheme":"Other"},{"subitem_subject":"ラテックスアレルギー","subitem_subject_scheme":"Other"},{"subitem_subject":"医療従事者","subitem_subject_scheme":"Other"},{"subitem_subject":"リスク因子","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"富山県内医療従事者のラテックスアレルギーに関する調査研究","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"富山県内医療従事者のラテックスアレルギーに関する調査研究"}]},"item_type_id":"3","owner":"3","path":["449"],"pubdate":{"attribute_name":"公開日","attribute_value":"2007-12-21"},"publish_date":"2007-12-21","publish_status":"0","recid":"2565","relation_version_is_last":true,"title":["富山県内医療従事者のラテックスアレルギーに関する調査研究"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-07-25T13:04:08.216254+00:00"}