Paris Poison Centre, Assistance Publique - Hôpitaux de Paris, Lariboisière Hospital, Paris, France.
Paris XIII University, Sorbonne Paris Cité, Paris, France.
Ann Work Expo Health. 2017 Oct 1;61(8):986-993. doi: 10.1093/annweh/wxx063.
Acute carbon monoxide poisoning is common and often severe. Domestic causes have been extensively documented, while occupational exposures have been reported less frequently. We analyse occupational carbon monoxide poisonings from the available data of the carbon monoxide poisoning surveillance network for Paris and its region, and identify predictive factors of severity for occupational poisoning in order to identify priority prevention actions.
We retrospectively reviewed all events of acute accidental carbon monoxide exposures which occurred in the Paris region, at the work place, and notified to the surveillance network from 1 January 2005 to 31 December 2011.
Over the 7-year study period, 362 exposed workers were identified, representing 8.15% of all cases of carbon monoxide exposures. The largest number of events occurred in the building sector and most commonly affected occupations were craft and related trades workers. The most common sources of exposure were internal combustion engine equipment that was involved in almost half of cases. Minor severity was observed in 86% of cases, and 13% were moderate or more. We identify that the use of internal combustion engine equipment was significantly associated with increased severity.
Occupational carbon monoxide poisoning is reported less frequently than domestic poisoning and has different and more numerous causes. It can be potentially severe, especially when it is caused by internal combustion engine equipment. Information about risks, compliance with instructions and cleaning rules, and establishment of collective and individual protective equipment would significantly reduce the frequency and severity of carbon monoxide poisoning.
急性一氧化碳中毒较为常见且通常较为严重。家庭暴露的情况已被广泛记录，而职业暴露的情况则报道较少。我们分析了巴黎及其地区一氧化碳中毒监测网络中职业性一氧化碳中毒的现有数据，并确定了职业性中毒严重程度的预测因素，以便确定优先预防措施。
我们回顾性分析了 2005 年 1 月 1 日至 2011 年 12 月 31 日期间，在巴黎地区工作场所发生的、并向监测网络报告的所有急性意外一氧化碳暴露事件。
在 7 年的研究期间，共确定了 362 名暴露工人，占所有一氧化碳暴露病例的 8.15%。事件数量最多的是建筑行业，受影响的最常见职业是手工艺和相关行业工人。最常见的暴露源是内燃机设备，几乎占所有病例的一半。86%的病例为轻度，13%为中度或更严重。我们发现，使用内燃机设备与严重程度增加显著相关。
职业性一氧化碳中毒的报告频率低于家庭性中毒，且原因不同且更多。它可能是潜在严重的，特别是当它是由内燃机设备引起的。关于风险的信息、遵守说明和清洁规则，以及建立集体和个人防护设备，将显著降低一氧化碳中毒的频率和严重程度。
