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兽医的职业性呼吸道疾病

Occupational respiratory disease in veterinarians.

作者信息

Lutsky I, Baum G L, Teichtahl H, Mazar A, Aizer F, Bar-Sela S

出版信息

Ann Allergy. 1985 Aug;55(2):153-6.

PMID:4025958
Abstract

In order to determine the effect of occupational animal exposure on the occurrence of respiratory disease, we studied 257 active veterinarians and 100 control subjects who had not had occupational animal contact. All participants provided a detailed medical history and underwent spirometry, skin tests, and determination of total serum IgE levels. Asthma was significantly more prevalent in veterinarians (16.3%) than in controls (6%), (P less than .05), as was infectious/obstructive respiratory disease, 10.5% in veterinarians, 3% in controls (P less than .025). Only 13 of 257 veterinarians had respiratory symptoms related to animal contact; of these, seven experienced only allergic rhinitis while six reported both asthma and rhinitis. Animal-related allergic rhinitis was found more frequently in laboratory animal veterinarians than among veterinarians in farm, pet, or poultry practice. No symptoms typical of hypersensitivity pneumonitis were reported in veterinarians, nor were precipitins to animal antigens demonstrable.

摘要

为了确定职业性动物接触对呼吸系统疾病发生的影响,我们研究了257名在职兽医和100名无职业性动物接触的对照对象。所有参与者均提供了详细的病史,并接受了肺活量测定、皮肤试验以及血清总IgE水平测定。兽医中哮喘的患病率(16.3%)显著高于对照组(6%),(P<0.05),感染性/阻塞性呼吸道疾病也是如此,兽医中的患病率为10.5%,对照组为3%(P<0.025)。257名兽医中只有13人有与动物接触相关的呼吸道症状;其中,7人仅患有过敏性鼻炎,6人同时报告患有哮喘和鼻炎。与动物相关的过敏性鼻炎在实验动物兽医中比在农场、宠物或家禽行业的兽医中更常见。兽医中未报告有典型的过敏性肺炎症状,也未检测到针对动物抗原的沉淀素。

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