Nafees Asaad Ahmed, Fatmi Zafar
Department of Community Health Sciences, The Aga Khan University,Karachi.
J Coll Physicians Surg Pak. 2016 Aug;26(8):685-91.
The authors reviewed literature on interventions for cotton dust-associated lung diseases among textile workers. Internet sources (PubMed, Cochrane Library, Google and Google Scholar) were accessed and interventions were categorized into: Engineering or administrative controls, or personal protective equipment (PPE). Ten relevant articles were shortlisted, five related to engineering controls (pre-processing, bactericidal treatment of cotton, improved workplace design, machinery and dust control measures). Administrative controls may involve setting standards, environmental surveillance, periodic medical examinations, and workers training. Although specific guidelines are available regarding the use of PPEs, but there was little literature on their effectiveness. It was concluded that there is a dearth of literature regarding field-based assessment of interventions for control of cotton dust associated respiratory diseases and the available studies primarily focus on pre-processing of cotton. This review highlights the uncertainties that remain; and recommends several areas for future research on respiratory health of textile workers.
作者回顾了关于纺织工人棉尘相关肺部疾病干预措施的文献。通过互联网资源（PubMed、考克兰图书馆、谷歌和谷歌学术）进行检索，并将干预措施分为：工程或管理控制措施，或个人防护装备（PPE）。筛选出10篇相关文章，其中5篇与工程控制措施有关（预处理、棉花杀菌处理、改进工作场所设计、机械和粉尘控制措施）。管理控制措施可能包括制定标准、环境监测、定期医学检查和工人培训。虽然有关于个人防护装备使用的具体指南，但关于其有效性的文献很少。得出的结论是，关于控制棉尘相关呼吸道疾病干预措施的现场评估的文献匮乏，现有研究主要集中在棉花的预处理方面。本综述突出了仍然存在的不确定性；并推荐了几个关于纺织工人呼吸健康未来研究的领域。
