Liljelind I, Norberg C, Egelrud L, Westberg H, Eriksson K, Nylander-French L A
Department of Public Health and Clinical Medicine, Umeå University, SE-901 87 Umeå, Sweden.
Ann Occup Hyg. 2010 Jan;54(1):31-40. doi: 10.1093/annhyg/mep067. Epub 2009 Sep 26.
Diisocyanates are a group of chemically reactive agents, which are used in the production of coatings, adhesives, polyurethane foams, and parts for the automotive industry and as curing agents for cores in the foundry industry. Dermal and inhalation exposure to methylene bisphenyl isocyanate (MDI) is associated with respiratory sensitization and occupational asthma. However, limited research has been performed on the quantitative evaluation of dermal and inhalation exposure to MDI in occupationally exposed workers. The objective of this research was to quantify dermal and inhalation exposure levels in iron foundry workers. Workers involved in mechanized moulding and mechanized production of cores were monitored: 12 core makers, 2 core-sand preparers, and 5 core installers. Personal breathing-zone levels of MDI were measured using impregnated filter sampling. Dermal exposure to MDI was measured using a tape-strip technique. Three or five consecutive tape-strip samples were collected from five exposed skin areas (right and left forefingers, left and right wrists, and forehead). The average personal air concentration was 0.55 microg m(-3), 50-fold lower than the Swedish occupational exposure limit of 30 microg m(-3). The core makers had an average exposure of 0.77 microg m(-3), which was not significantly different from core installers' and core-sand preparers' average exposure of 0.16 microg m(-3) (P = 0.059). Three core makers had a 10-fold higher inhalation exposure than the other core makers. The core makers' mean dermal exposure at different skin sites varied from 0.13 to 0.34 microg while the two other groups' exposure ranged from 0.006 to 0.062 microg. No significant difference was observed in the MDI levels between the skin sites in a pairwise comparison, except for left forefinger compared to left and right wrist (P < 0.05). In addition, quantifiable but decreasing levels of MDI were observed in the consecutive tape strip per site indicating MDI penetration into the skin. This study indicates that exposure to MDI can be quantified on workers' skin even if air levels are close to unquantifiable. Thus, the potential for uncured MDI to deposit on and penetrate into the skin is demonstrated. Therefore, dermal exposure along with inhalation exposure to MDI should be measured in the occupational settings where MDI is present in order to shed light on their roles in the development of occupational isocyanate asthma.
二异氰酸酯是一类化学反应性试剂,用于涂料、粘合剂、聚氨酯泡沫的生产,以及汽车工业零部件的制造,还用作铸造业型芯的固化剂。皮肤接触和吸入亚甲基双苯基异氰酸酯(MDI)与呼吸道致敏和职业性哮喘有关。然而,关于职业暴露工人皮肤接触和吸入MDI的定量评估研究有限。本研究的目的是量化铸铁工人的皮肤接触和吸入暴露水平。对参与机械化造型和型芯机械化生产的工人进行了监测:12名型芯制作工、2名型芯砂制备工和5名型芯安装工。使用浸渍滤膜采样法测量MDI在个人呼吸带中的水平。使用胶带条技术测量皮肤对MDI的接触情况。从五个暴露的皮肤部位(右手和左手食指、左手和右手腕以及额头)采集连续三或五个胶带条样本。个人空气平均浓度为0.55微克/立方米,比瑞典职业接触限值30微克/立方米低50倍。型芯制作工的平均暴露量为0.77微克/立方米,与型芯安装工和型芯砂制备工0.16微克/立方米的平均暴露量无显著差异(P = 0.059)。三名型芯制作工的吸入暴露量比其他型芯制作工高10倍。型芯制作工在不同皮肤部位的平均皮肤接触量在0.13至0.34微克之间,而其他两组的接触量在0.006至0.062微克之间。在两两比较中,除左手食指与左手和右手腕相比外(P < 0.05),各皮肤部位之间的MDI水平未观察到显著差异。此外,在每个部位的连续胶带条中观察到可量化但逐渐降低的MDI水平,表明MDI渗透到皮肤中。本研究表明,即使空气中的MDI水平接近无法量化,也可以对工人皮肤接触MDI的情况进行量化。因此,证明了未固化的MDI有沉积在皮肤表面并渗透到皮肤中的可能性。因此,在存在MDI的职业环境中,应同时测量皮肤接触和吸入MDI的情况,以便了解它们在职业性异氰酸酯哮喘发病中的作用。