Cullinan P, Lowson D, Nieuwenhuijsen M J, Gordon S, Tee R D, Venables K M, McDonald J C, Newman Taylor A J
Department of Occupational and Environmental Medicine, National Heart and Lung Institute, London.
Occup Environ Med. 1994 Sep;51(9):589-92. doi: 10.1136/oem.51.9.589.
Findings are presented from the initial cross sectional phase of a cohort study of employees exposed to laboratory rats. Of 366 eligible workers at four sites 323 (88%) were surveyed; symptoms assessed by self completed questionnaire and sensitisation measured by the response to skin prick tests were related to intensity of exposure both to total dust and to rat urinary aeroallergen. Among 238 workers, without previous occupational exposure to rats, work related symptoms, which started after first employment at the site were related to exposure intensity (expressed either in terms of dust or of aeroallergen) at the time of onset of symptoms. These relations were stronger in atopic subjects but were unrelated to smoking. Positive skin tests to rat urinary extract were also more frequent with increased exposure, a relation found in both atopic subjects and in smokers. There was a strong association between work related symptoms and specific sensitisation.
本文呈现了一项针对接触实验大鼠的员工队列研究初始横断面阶段的研究结果。在四个场所的366名符合条件的工人中,323人(88%)接受了调查;通过自我填写问卷评估的症状以及通过皮肤点刺试验反应测量的致敏情况与总粉尘和大鼠尿变应原的接触强度相关。在238名此前无职业性大鼠接触史的工人中,在该场所首次就业后出现的与工作相关的症状与症状出现时的接触强度(以粉尘或变应原表示)相关。这些关系在特应性受试者中更强,但与吸烟无关。随着接触增加,对大鼠尿提取物的皮肤试验阳性也更频繁,这一关系在特应性受试者和吸烟者中均有发现。工作相关症状与特异性致敏之间存在强烈关联。