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现代孵化场工人接触有机粉尘对健康的影响。

Health effects of exposure to organic dust in workers of a modern hatchery.

作者信息

Skórska Czesława, Mackiewicz Barbara, Golec Marcin, Cholewa Grazyna, Chmielowiec-Korzeniowska Anna, Dutkiewicz Jacek

机构信息

Department of Occupational Biohazards, Institute of Agricultural Medicine, Jaczewskiego 2, 20-090 Lublin, Poland.

出版信息

Ann Agric Environ Med. 2007;14(2):341-5.

Abstract

The aim of the presented study was to determine the health status of workers occupationally exposed to moderate amounts of organic dust, employed in a modern hatchery with an efficient ventilation system. A group of 32 hatchery workers was examined. As a reference group, 50 urban dwellers not exposed to any kind of organic dust were examined. All people were interviewed for the presence of work-related symptoms and subjected to physical and spirometric examinations. Blood sera were examined for the presence of precipitins against 13 antigens associated with organic dust, and for the presence of total and chicken-specific No significant differences were found between the spirometric values in the group of hatchery workers and the reference group. Positive precipitin reactions were noted mostly with the antigens of Gram-negative bacteria associated with organic dust. The frequencies of positive reactions to antigens of Escherichia coli and Acinetobacter baumannii in hatchery workers were significantly greater compared to the reference group (p<0.05). Precipitin reactions to Gram-positive non-branching bacteria, actinomycetes, fungi and birdactions to antigens of Escherichia coli and Acinetobacter baumannii in hatchery workers were significantly greater compared to the reference group (p<0.05). Precipitin reactions to Gram-positive non-branching bacteria, actinomycetes, fungi and bird protein, were rare or absent. The mean concentration of total IgE in sera of hatchery workers was nearly 3 times greater compared to the reference group, and the difference proved to be statistically significant (p<0.05). No specific IgE antibodies against chicken feathers were detected in the blood of hatchery workers and referents. In conclusion, the examined hatchery workers showed a moderate frequency of work-related symptoms, no decline in lung function and low reactivity to most microbial and bird protein allergens. These results suggest that the effects of exposure to organic dust in workers of modern hatcheries with an efficient ventilation system are less compared to the workers of poultry farms, such as broiler or egg laying houses.

摘要

本研究的目的是确定在配备高效通风系统的现代化孵化场工作、职业性接触适量有机粉尘的工人的健康状况。对32名孵化场工人进行了检查。作为对照组,对50名未接触任何有机粉尘的城市居民进行了检查。所有人员均接受了与工作相关症状的访谈,并进行了体格检查和肺功能检查。检测血清中针对13种与有机粉尘相关抗原的沉淀素,以及总免疫球蛋白E(IgE)和鸡特异性IgE的存在情况。孵化场工人组和对照组的肺功能检测值之间未发现显著差异。沉淀素阳性反应主要见于与有机粉尘相关的革兰氏阴性菌抗原。与对照组相比,孵化场工人对大肠杆菌和鲍曼不动杆菌抗原的阳性反应频率显著更高(p<0.05)。对革兰氏阳性非分支菌、放线菌、真菌和禽类蛋白抗原的沉淀素反应很少见或不存在。孵化场工人血清中总IgE的平均浓度比对照组高近3倍,且差异具有统计学意义(p<0.05)。在孵化场工人和对照人员的血液中均未检测到针对鸡毛的特异性IgE抗体。总之,接受检查的孵化场工人与工作相关症状的出现频率中等,肺功能无下降,对大多数微生物和禽类蛋白过敏原的反应性较低。这些结果表明,与肉鸡场或蛋鸡场等家禽养殖场的工人相比,配备高效通风系统的现代化孵化场工人接触有机粉尘的影响较小。

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