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克罗地亚两家锯木厂工人的空气传播真菌职业暴露与特应性

Occupational exposure to airborne fungi in two Croatian sawmills and atopy in exposed workers.

作者信息

Klarić Maja Šegvić, Varnai Veda Marija, Calušić Anita Ljubičić, Macan Jelena

机构信息

Department of Microbiology, Faculty of Pharmacy and Biochemistry, University of Zagreb, Croatia.

出版信息

Ann Agric Environ Med. 2012;19(2):213-9.

Abstract

Airborne fungi were collected over a one year period at 2-month intervals at 2 sawmills in Croatia (SM 1 and SM 2) processing mainly beech wood and oak wood. A questionnaire concerning respiratory symptoms and skin prick test (SPT) with common inhalatory allergens and moulds Cladosporium herbarum, Alternaria alternata, Aspergillus niger, Penicillium notatum, and Rhizopus nigricans were performed in 96 workers from the same sawmills. Average concentrations of airborne fungi were 1,696-7,316 cfu/m(3) in SM 1 and 1,706-4,819 cfu/m(3) in SM 2, respectively. Health hazardous levels of airborne fungi (above 10 4 /m(3)) were present only in SM 1. These levels were related to saw working sites and were season-dependent, i.e. present only during the summer. Penicillium (50-100%), Paecilomyces (43-100%) and Chrysonilia (33-100%) dominated among 17 fungal genera identified in both sawmills. Symptoms of rhinitis, asthma, and dry cough were most frequently recorded among analysed workers. SPT to moulds was negative in all tested workers, except one positive to R. nigricans, indicating that moderate airborne fungi levels found in the analysed sawmills were not related to IgE-mediated sensitization to moulds in exposed workers, even in atopics. Atopy was present among woodworkers in similar proportions to the general population of Croatia, suggesting that the wood-processing industry is not selective for atopic workers.

摘要

在克罗地亚的两家锯木厂(SM 1和SM 2),主要加工山毛榉木和橡木,在一年时间里每隔两个月收集一次空气中的真菌。对来自同一锯木厂的96名工人进行了关于呼吸道症状的问卷调查以及对常见吸入性过敏原和霉菌(如草本枝孢菌、链格孢、黑曲霉、青霉和黑根霉)的皮肤点刺试验(SPT)。SM 1中空气传播真菌的平均浓度分别为1,696 - 7,316 cfu/m³,SM 2中为1,706 - 4,819 cfu/m³。空气中真菌的健康危害水平(高于10⁴/m³)仅在SM 1中出现。这些水平与锯木工作场所有关,并且具有季节依赖性,即仅在夏季出现。在两家锯木厂鉴定出的17个真菌属中,青霉属(50 - 100%)、拟青霉属(43 - 100%)和金黄霉菌属(33 - 100%)占主导地位。在接受分析的工人中,鼻炎、哮喘和干咳症状最为常见。除一名对黑根霉呈阳性反应外,所有接受测试的工人对霉菌的皮肤点刺试验均为阴性,这表明在所分析的锯木厂中发现的中等水平的空气传播真菌与暴露工人对霉菌的IgE介导的致敏无关,即使是特应性个体也是如此。木工中特应性的比例与克罗地亚普通人群相似,这表明木材加工业对特应性工人没有选择性。

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