From the Guidelines
If a latex glove is ingested, observation is typically the recommended approach as most cases resolve without intervention. The glove will likely pass through the digestive system naturally within 1-3 days. No specific medications are needed unless complications develop. The patient should monitor for symptoms such as severe abdominal pain, persistent vomiting, signs of intestinal obstruction (inability to pass gas or stool), or blood in stool. If these symptoms occur, immediate medical attention is necessary 1. While waiting for the glove to pass, maintain normal hydration and diet unless otherwise directed by a healthcare provider.
Key Considerations
- Medical evaluation is warranted if the patient is experiencing symptoms, if the glove contained powder or chemicals, or if the patient has pre-existing gastrointestinal conditions.
- Most latex gloves are made of materials that are not inherently toxic when ingested, though they cannot be digested by the body.
- The smooth, flexible nature of latex gloves typically allows them to pass through the digestive tract without causing obstruction in most adults, though the risk is higher in children or if large pieces were swallowed 1.
Prevention of Latex-Induced Anaphylaxis
It is essential to note that prevention of latex-induced anaphylaxis is crucial, especially in high-risk groups such as healthcare workers, children with spina bifida, and workers with occupational exposure to latex 1. Avoidance of latex devices and use of nonlatex gloves and medical articles can minimize exposure to latex allergen and reduce the risk of inadvertent reactions to latex in previously sensitized individuals 1.
Monitoring and Follow-Up
Regular monitoring for symptoms and follow-up with a healthcare provider are necessary to ensure the patient's safety and prevent potential complications. If any symptoms or concerns arise, immediate medical attention is necessary to prevent morbidity, mortality, and to maintain quality of life.
From the Research
Management of Accidental Ingestion of a Latex Glove
There are no specific studies that directly address the management of accidental ingestion of a latex glove. However, the following information can be gathered from the available studies:
- The studies primarily focus on latex allergy, its diagnosis, and management in healthcare settings 2, 3, 4, 5, 6.
- Latex allergy is an IgE-mediated immediate hypersensitivity response to natural rubber latex (NRL) protein, and its clinical signs can range from contact urticaria, angioedema, asthma, and anaphylaxis 3, 5.
- The management of latex allergy involves avoidance of latex products, use of latex-safe devices, and substitution with synthetic gloves 3, 5.
- In cases of accidental ingestion, it is essential to consider the potential for an allergic reaction, especially in individuals with a known latex allergy.
- Some key points to consider in managing latex allergy include:
- Prompt and correct diagnosis is essential 3.
- Avoidance of latex products is the primary treatment 2, 3, 5.
- Use of latex-safe devices, such as synthetic gloves, can help minimize exposure 3, 5.
- Accommodation in the workplace may include the use of powder-free, low-allergen NRL gloves or synthetic gloves 5.