Dumas Orianne, Wiley Aleta S, Henneberger Paul K, Speizer Frank E, Zock Jan-Paul, Varraso Raphaëlle, Le Moual Nicole, Boggs Krislyn M, Camargo Carlos A
INSERM, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches, Villejuif, France.
Univ Versailles St-Quentin-en-Yvelines, Montigny le Bretonneux, France.
Am J Ind Med. 2017 Jan;60(1):131-140. doi: 10.1002/ajim.22671. Epub 2016 Nov 15.
Disinfectant use among healthcare workers has been associated with respiratory disorders, especially asthma. We aimed to describe disinfectants used by U.S. nurses, and to investigate qualitative and quantitative differences according to workplace characteristics and region.
Disinfectant use was assessed by questionnaire in 8,851 nurses. Hospital characteristics were obtained from the American Hospital Association database.
Working in a hospital was associated with higher disinfectant use (OR: 2.06 [95%CI: 1.89-2.24]), but lower spray use (0.74 [0.66-0.82]). Nurses working in smaller hospitals (<50 beds vs. ≥200 beds) were more likely to use disinfectants (1.69 [1.23-2.32]) and sprays (1.69 [1.20-2.38]). Spray use was lower in the West than in the Northeast (0.75 [0.58-0.97]).
Disinfectant use was more common among nurses working in smaller hospitals, possibly because they perform more diverse tasks. Variations in spray use by hospital size and region suggest additional targets for future efforts to prevent occupational asthma. Am. J. Ind. Med. 60:131-140, 2017. © 2016 Wiley Periodicals, Inc.
医护人员使用消毒剂与呼吸系统疾病尤其是哮喘有关。我们旨在描述美国护士使用的消毒剂，并根据工作场所特征和地区调查其质和量的差异。
通过问卷调查评估了8851名护士的消毒剂使用情况。医院特征从美国医院协会数据库中获取。
在医院工作与更高的消毒剂使用相关（比值比：2.06 [95%置信区间：1.89 - 2.24]），但喷雾使用较低（0.74 [0.66 - 0.82]）。在较小医院（床位<50张与≥200张相比）工作的护士更有可能使用消毒剂（1.69 [1.23 - 2.32]）和喷雾（1.69 [1.20 - 2.38]）。西部地区的喷雾使用低于东北部地区（0.75 [0.58 - 0.97]）。
在较小医院工作的护士中消毒剂使用更为普遍，可能是因为他们执行的任务更多样化。医院规模和地区在喷雾使用上的差异为未来预防职业性哮喘的努力提供了额外的目标。《美国工业医学杂志》60:131 - 140，2017年。©2016威利期刊公司。
