Golińska-Zach Aleksandra, Wiszniewska Marta, Walusiak-Skorupa Jolanta
Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland (Klinika Chorób Zawodowych i Zdrowia Środowiskowego / Department of Occupational Diseases and Environmental Health).
Med Pr. 2017 Jul 26;68(5):677-687. doi: 10.13075/mp.5893.00530. Epub 2017 Jun 28.
Hairdressing is one of the most developing branch of the service industry in Poland. Providing representatives of this occupational group with preventive health care services it should be remembered that they are at risk of skin and respiratory diseases, which occur due to a quite frequent exposure to harmful agents in the work environment of hairdressers and hairdressing apprentices. Interestingly, a much lower number of researches concentrate on respiratory symptoms than on skin disorders in hairdressers. The authors of this article have carried out the first Polish follow-up study focused not only on skin disorders but also on respiratory tract symptoms in hairdressing apprentices. The results of the study have been reported in other publications while this paper presents a literature review based on EBSCO and PubMed databases, Elsevier and contained articles (on the subject discussed in this paper). On the basis of information obtained from the authors' own research evidence and from the literature review, the guidelines for the preventive health care of hairdressing apprentices were developed. It was confirmed that neither determination of allergen-specific immunoglobulin E (IgE) nor performance of skin prick tests (SPTs) and patch tests for hairdressing factors are necessary. They should be performed as a part of preventive medical examination only in those apprentice candidates and trainees in this profession who report work-related symptoms and it is suspected that they result from exposure to particular factor in the work environment. Med Pr 2017;68(5):677-687.
美发行业是波兰服务业中发展最为迅速的分支之一。在为这个职业群体的从业者提供预防性医疗服务时,应该记住他们面临皮肤和呼吸道疾病的风险,这些疾病是由于美发师和美发学徒在工作环境中频繁接触有害制剂而引发的。有趣的是,相较于美发师的皮肤疾病,针对呼吸道症状的研究数量要少得多。本文作者开展了波兰首个后续研究,不仅关注皮肤疾病,还关注美发学徒的呼吸道症状。该研究结果已在其他出版物中报道,而本文则基于EBSCO和PubMed数据库、爱思唯尔以及所含文章(关于本文所讨论主题)进行文献综述。基于从作者自身研究证据以及文献综述中获得的信息,制定了美发学徒预防性医疗保健指南。已证实,对于美发因素,既无需测定过敏原特异性免疫球蛋白E(IgE),也无需进行皮肤点刺试验(SPT)和斑贴试验。只有在那些报告有与工作相关症状且怀疑这些症状是由工作环境中特定因素暴露所致的该职业学徒候选人和受训人员中,才应将这些检查作为预防性体检的一部分进行。《医学实践》2017年;68(5):677 - 687。