Pechter Elise, Davis Letitia K, Tumpowsky Catharine, Flattery Jennifer, Harrison Robert, Reinisch Florence, Reilly Mary Jo, Rosenman Kenneth D, Schill Donald P, Valiante David, Filios Margaret
Occupational Health Surveillance Program, Massachusetts Department of Public Health, Boston, Massachusetts 02108, USA.
Am J Ind Med. 2005 Mar;47(3):265-75. doi: 10.1002/ajim.20138.
Asthma morbidity has increased, posing a public health burden. Work-related asthma (WRA) accounts for a significant proportion of adult asthma that causes serious personal and economic consequences.
Cases were identified using physician reports and hospital discharge data, as part of four state-based surveillance systems. We used structured interviews to confirm cases and identify occupations and exposures associated with WRA.
Health care workers (HCWs) accounted for 16% (n = 305) of the 1,879 confirmed WRA cases, but only 8% of the states' workforce. Cases primarily were employed in hospitals and were nurses. The most commonly reported exposures were cleaning products, latex, and poor air quality.
Health care workers are at risk for work-related asthma. Health care providers need to recognize this risk of WRA, as early diagnosis will decrease the morbidity associated with WRA. Careful product purchasing and facility maintenance by health care institutions will decrease the risk.
哮喘发病率上升,构成公共卫生负担。职业性哮喘(WRA)在导致严重个人和经济后果的成人哮喘中占很大比例。
作为四个基于州的监测系统的一部分,通过医生报告和医院出院数据确定病例。我们使用结构化访谈来确认病例,并确定与职业性哮喘相关的职业和暴露因素。
在1879例确诊的职业性哮喘病例中,医护人员占16%(n = 305),但仅占该州劳动力的8%。病例主要受雇于医院,且多为护士。最常报告的暴露因素是清洁产品、乳胶和空气质量差。
医护人员有患职业性哮喘的风险。医疗保健提供者需要认识到职业性哮喘的这种风险,因为早期诊断将降低与职业性哮喘相关的发病率。医疗机构仔细采购产品和维护设施将降低风险。