Susitaival P, Kirk J, Schenker M B
Finnish Institute of Occupational Health, Kuopio, Finland.
Am J Contact Dermat. 2001 Jun;12(2):103-8.
Veterinarians are exposed to allergens, dirt, and chemicals, but there are very few epidemiologic data on dermatoses veterinarians.
The aim of this study is to get information about skin diseases in veterinary work.
A sample of California veterinarians were sent a questionnaire, which was returned by 73% (n = 1,416).
History of skin atopy was reported by 11% and respiratory atopy by 63%. Dermatoses during their career were reported by 46%, and hand and/or forearm dermatitis was reported more than once and during the past year by 22% of women and 10% of men. Dermatitis with work-related exacerbating factors was reported by 28%. Almost 1 of 5 veterinarians reported animal-related skin symptoms. Other aggravators were medications (2%), gloves (4%), and other chemicals (7% of respondents). Of those with animal-related dermatitis, 65% reported only 1 animal (dog, 66%; cat, 29%; horse, 9%; and cattle, 8%), and 66% reported the symptoms appeared in minutes after the contact. In logistic analysis, the risk factors for the appearance of hand/forearm dermatitis during the past 12 months and more than once during their career, were: history of skin atopy (odds ratio, 3.5), childhood hand dermatitis (odds ratio, 3.4), history of respiratory atopy (odds ratio, 2.0), and female sex (odds ratio, 1.9).
Veterinarians' skin symptoms were common and often caused by immediate allergy to 1 or few animal species.
兽医会接触到过敏原、污垢和化学物质,但关于兽医皮肤病的流行病学数据非常少。
本研究的目的是获取兽医工作中皮肤疾病的相关信息。
向加利福尼亚州的一组兽医发放了调查问卷,73%(n = 1416)的问卷被收回。
11%的人报告有皮肤特应性病史,63%的人报告有呼吸道特应性病史。46%的人报告在其职业生涯中患过皮肤病,22%的女性和10%的男性报告在过去一年中手部和/或前臂皮炎发作不止一次。28%的人报告有与工作相关的加重因素导致的皮炎。近五分之一的兽医报告有与动物相关的皮肤症状。其他加重因素包括药物(2%)、手套(4%)和其他化学物质(7%的受访者)。在患有与动物相关皮炎的人中,65%的人报告只接触过1种动物(狗,66%;猫,29%;马,9%;牛,8%),66%的人报告接触后几分钟内就出现了症状。在逻辑分析中,过去12个月内手部/前臂皮炎发作不止一次且在其职业生涯中发作不止一次的危险因素为:皮肤特应性病史(比值比,3.5)、儿童手部皮炎(比值比,3.4)、呼吸道特应性病史(比值比,2.0)和女性(比值比,1.9)。
兽医的皮肤症状很常见,通常是由对1种或少数几种动物的速发型过敏引起的。