Oldenburg Marcus, Bittner Cordula, Baur Xaver
Institute for Occupational and Maritime Medicine, University of Hamburg, Hamburg, Germany; Hamburg State Department for Social Affairs, Family, Health and Consumer Protection, Hamburg, Germany.
Institute for Occupational and Maritime Medicine, University of Hamburg, Hamburg, Germany; Hamburg State Department for Social Affairs, Family, Health and Consumer Protection, Hamburg, Germany.
Chest. 2009 Aug;136(2):536-544. doi: 10.1378/chest.08-1965. Epub 2009 Apr 6.
This study assessed current health risks due to occupational exposure to coffee dust.
We performed a cross-sectional study in a coffee haulage company (n = 24), a coffee silo (n = 19), and a decaffeinating company (n = 17). Cross-shift and cross-week case histories of these employees as well as lung function values were recorded. During the handling of green coffee, measurements of airborne dust were conducted.
The employees in these workplaces were mainly affected by erythematous and rhinoconjunctival symptoms. They occurred especially in subjects exposed to a high dust load (> 10 mg of inhalable dust per cubic meter of air; n = 28) [Pearson chi(2) test, p = 0.020 and p = 0.023]. IgE antibodies to green coffee and castor beans were detected in 3 workers and 10 workers, respectively. The majority of them (two employees and six employees, respectively) had shown respiratory symptoms during the past 12 months. The preshift lung function values were below average but were not dependent on the level of the inhalable coffee dust exposure. Employees with a coffee dust load > 10 mg/m(3) of air showed higher unspecific bronchial responsiveness more frequently than those with lower exposures.
During the transshipment (especially during unloading) of green coffee, a high and clinically relevant exposure to irritative and sensitizing dust occurs. Therefore, efforts to reduce these dust exposures are generally recommended.
本研究评估了职业性接触咖啡粉尘所致的当前健康风险。
我们在一家咖啡运输公司(n = 24)、一个咖啡筒仓(n = 19)和一家脱咖啡因公司(n = 17)开展了一项横断面研究。记录了这些员工的跨班次和跨周病史以及肺功能值。在处理生咖啡期间,对空气中的粉尘进行了测量。
这些工作场所的员工主要受到红斑和鼻结膜炎症状的影响。这些症状尤其出现在暴露于高粉尘负荷(每立方米空气中可吸入粉尘> 10毫克;n = 28)的受试者中[Pearson卡方检验,p = 0.020和p = 0.023]。分别在3名工人和10名工人中检测到了针对生咖啡和蓖麻子的IgE抗体。其中大多数人(分别为2名员工和6名员工)在过去12个月中出现了呼吸道症状。班前肺功能值低于平均水平,但不依赖于可吸入咖啡粉尘暴露水平。空气中咖啡粉尘负荷> 10 mg/m³的员工比暴露水平较低的员工更频繁地表现出更高的非特异性支气管反应性。
在生咖啡转运期间(尤其是在卸载过程中),会发生对刺激性和致敏性粉尘的高且具有临床相关性的暴露。因此,一般建议努力减少这些粉尘暴露。