An allergy to latex is a serious (but generally not fatal) condition, with symptoms including hives, itching, a stuffy or runny nose, wheezing, chest tightness and breathing difficulties.
In most cases symptoms begin within minutes after exposure to latex containing products, such as disposable gloves. In addition, due to the nature of sweat build up, the skin under the gloves can be red and scaly, leading to eczema. These symptoms are caused by an allergy to the protein found in natural rubber, so naturally avoidance is the best way to prevent any reactions.
The number of people showing these latex allergy-related symptoms has significantly increased over the last decade, so much so that many companies who require disposable gloves are opting for alternatives to latex just to be on the safe side. If you have employees who are allergic to latex, here are the best alternative disposable gloves you can buy.
Another naturally latex-free solution are vinyl disposable gloves, which are made using synthetic materials to avoid any allergic reactions. These gloves are very common in the healthcare and catering sectors and due to vinyl having a less elastic nature than nitrile they tend to have a looser fit and smooth, comfortable feel. They’re also a great cost-effective alternative to latex and nitrile options.
Primary care physicians are in a pivotal position within the healthcare system to improve the standard of care for patients with PAD. This improvement can be achieved if physicians follow guidelines and measure ABI on all patients in the cardiovascular risk group, regardless of presenting symptoms.
According to new 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS), “it is theoutmostimportance that every cardiologist should be sensitive to the diagnosis and management of patients with PADs,…”
Measurements of the Ankle-Brachial Index may improve the accuracy of cardiovascular risk prediction beyond the Framingham Risk Score. Furthermore, ABI is valuable for assessing the ability of rehabilitation after cardiac procedures or treatment.
Dermatology, Compression therapy and wound care management
Ankle-Brachial Index should be the first measurement in wound care, to predict the heal-ability of lower leg wounds. It rules out arterial condition and therefore determines the safe level of compression.
Kidney disease is an independent risk factor for the development of PAD. According to KDOQI guidelines, all patients should be evaluated for PAD at the time of dialysis. The disease in those patients progresses faster than in patients without kidney disease.
Ankle-Brachial Index (ABI) is used as a screening tool to determine the possible presence of Peripheral Arterial Disease (PAD)and therefore indicate further management. It is especially useful in the post-operative care of revascularized patients.
A screening Ankle-Brachial Index (ABI) should be considered in diabetic patients above 50 years of age who have other PAD risk factors (e.g., smoking, hypertension, hyperlipidemia, or duration of diabetes for 10 years). If ABI is normal, the measurement has to be repeated every five years.
Measurements of the Ankle-Brachial Index are essential in the differential diagnosis of lower extremity pain. In addition, a recurrent ischemia associated with PAD may cause muscle denervation, which may be one of the mechanisms responsible for decreased exercise performance in these patients.