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Natural rubber latex is a kind of rubber obtained from the sap of rubber tree plants. Because it is very elastic, it can be easily made into a variety of medical products and everyday items. Anyone who uses these products may develop an allergy to proteins originating from the rubber tree or to chemicals used when the product is made. Recently, latex allergy has become more common. Fortunately, now it is more easily identified and understood.

Latex allergy is often characterized by itching, flushing, watery eyes or a rash. Hives or swelling may occur in the area touched by latex. More seriously, severely low blood pressure and/or swelling of the airway may result, causing problems with breathing. This is called an anaphylactic reaction and can cause death if not treated.

An allergic reaction can happen suddenly even if you have been exposed to latex products previously and not had any problems. A reaction is more likely to occur when latex comes in contact with mucous membranes such as those in the mouth, urinary tract or rectal area.

People with spina bifida seem to have a high risk of developing latex allergy. Although the reason is unclear, this may be due to frequent contact with latex products such as urinary catheters and surgical gloves. Other patients with a high risk of developing latex allergy include those who:

  • Have been diagnosed with a spinal cord injury
  • Have had six or more surgeries
  • Have had long-term catheter use
  • Have food allergies to avocado, banana, kiwi, papaya, passion fruit, chestnuts, peaches or tomatoes
  • Have been exposed to frequent use of latex gloves/products
  • Have exstrophy of the bladder

Gillette Children’s has reduced its use of latex and uses non-latex gloves, catheters and other medical equipment for all latex-allergic and high-risk patients. We recommend that non-latex products routinely be used at home, work, etc., if possible, for people in the high-risk group even if they have not had a reaction to latex.

Familiarize all of your health professionals, dentists, therapists, home nurses and care providers with latex precautions and latex allergy. A latex allergy wallet identification card is available from Gillette clinic nurses. If you have experienced a latex reaction, your doctor may want you to consider an Epi-pen® (bee sting kit) and a medical alert bracelet.

Latex is commonly found in the hospital, doctor’s office, dentist’s office, home and community. The following lists of latex/latex-free products are taken from a Spina Bifida Association of America publication. This is a sample listing of common products containing latex. You can find more complete listings from the Spina Bifida Association at www.sbaa.org. If there is any question about whether a product contains latex, contact the product manufacturer.

Latex in the Home and Community

Might Contain Latex
Safe Alternatives
Art supplies: paints, glue, erasers, fabric paints
Look for latex-free brands - Elmers (school glue, Glue-All, GluColors, carpenters wood glue, Sno-Drift paste), FaberCastel art erasers, Crayola products (except for rubber stamps,
erasers). Liquitex paints.
Rubber balloons
Mylar balloons
Balls: Koosh, tennis, bowling
Plastic or vinyl
Carpet backing, gym floor, basement sealant
Provide barrier - cloth or mat
Clothes: appliqué on T-shirts; elastic on socks, underwear; soles on sneakers, sandals
Cloth-covered elastic, neoprene (Decent Exposures, NOLATEX Industries)
Elastic - on clothing, diapers
Cloth, Velcro
Feeding nipples
Selected Gerber, Evenflo, MAM, Ross Mead Johnson nipples
Handles on racquets, tools
Use vinyl, leather, or cover with cloth/tape
Pacifiers
Soothies (Children’s Med Ventures), selected Binky, Gerber, Infa, Kip, MAM
Latex paint
Avoid skin contact and inhalation
Rubber bands, bungee cords
Plastic bands, string
Toys - Stretch Armstrong, old Barbies
Jurassic Park figures (Kenner), 1993 Barbie, Disney dolls (Mattel), many toys by Fisher Price, Little Tikes, Playschool, Discovery, Trolls (Norfin)
Water toys/equipment: masks, bathing suits, caps, scuba gear, goggles
PVC, plastic, nylon
Zippered plastic storage bags
Waxed paper, plain plastic bags
Band-Aids
Gauze with plastic tape, 3M Active strips (latex in pkg)
Bed protectors (washable rubber)
Disposable underpads
Blood pressure cuff
Use over clothing
Catheters (rubber - Baxter, Bard)
Silicone (Kendall, Argyle), Plastic (Mentor, Bard)
Crutches: tips, axillary pads, handgrips
Cover with cloth, nonlatex tape
Dental dams, cups, bands, root canal material,
orthodontic rubber bands
PURO/M27 intraoral elastics (Midwest Ortho), wire springs, dental sealant (Delton), dams (Meer Dental), John O. Buttler Co.
Dressings: Dyna-flex (J&J), BDF Elastoplast
ActionWrap, Coban (3M), Butterfly closures
Duoderm (Squibb), Opsite
NOTE: Steri-strips, Tegaderm, Tegasorb (3MO, have latex in package.
Elastic bandage (Ace Wrap)
Elastic bandage by TENS or Baster, or cloth
Electrode bulbs, pads, grounding
Selected Baxter, Dantec EMG, Conmed, ValleyLab, Vermont Med
Endotracheal tubes, airways
Selected Berman, Mallenckrodt, Polamedco, Portex, Rusch, Sheridan, Shiley
Enemas, Ready-to-use (Fleet-latex valve)
Glycerin, BabyLax (Fleet), Theravac, Bowel Management Tube (MIC) cone irrigation set (Convatec)
G-tubes, buttons
Silicone (Bard, MIC, Stomate)
Gloves, sterile, clean, surgical, latex
Vinyl, neoprene, polymer gloves
Moleskin
Adhesive felt (Acme)
Oxygen masks, cannulas
Remove elastic bands; check valve content
Reflex hammers
Cover with plastic bag
Stethoscope tubing
Do not let tubing touch child
Suction tubing
Davel, Mallenckrodt, Yankau suction catheters
Syringes
Some BD syringes Abbott PCA Abboject, Norm-Ject (Air-Tite), EpiPen
Tapes: pink, Waterproof (3M), zonas, Moleskin,
Waterproof (J&J), adhesive felt (Acme)
Dermaclear, Dermicel, Waterproof (J&J), Durapore, Microfoam, Micropore, Transpore (3M), Mastisol liquid adhesive
Tourniquet (for blood drawing)
Place over clothing or Children’s Med Ventures, Grafco, VelcroPedic, X-Tourn straps (Avcor)
Wheelchair cushions (ROHO)
Cover with cloth

This information is for educational purposes only. It is not intended to replace the advice of your health care providers. If you have any questions, talk with your doctor or others on your health care team.

If you are a Gillette patient with urgent questions or concerns, please contact Telehealth Nursing at 651-229-3890.

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