Smedley J, Coggon D
MRC Environmental Epidemiology Unit, Southampton General Hospital, UK.
Occup Med (Lond). 1996 Feb;46(1):33-6. doi: 10.1093/occmed/46.1.33.
Seventy-eight National Health Service occupational health departments were invited to take part in an audit of health surveillance for employees exposed to respiratory sensitising agents. Most of the departments had responsibility for workers using glutaraldehyde, formaldehyde, methyl methacrylate and X-ray processing chemicals, but the extent to which health surveillance was provided for these employees varied. Many departments had no written policies for surveillance, and the methods used were often unnecessarily labour intensive. Only a minority of departments had made arrangements for communicating the collective results of screening to employees, failure to do so indicating a breach of statutory duty. There were major discrepancies between departments in criteria for excluding employees from work with respiratory sensitising agents. Occupational physicians caring for hospital staff should discuss and establish guidelines for effective surveillance of people working with the commonly encountered sensitisers.
78个国民保健服务体系职业健康部门受邀参与一项针对接触呼吸道致敏剂员工的健康监测审计。大多数部门负责使用戊二醛、甲醛、甲基丙烯酸甲酯和X射线显影化学品的工人，但为这些员工提供健康监测的程度各不相同。许多部门没有书面的监测政策，所采用的方法往往劳动强度过大。只有少数部门安排向员工通报筛查的总体结果，不这样做即表明违反法定义务。各部门在将员工排除在接触呼吸道致敏剂工作之外的标准方面存在重大差异。负责医院员工的职业医生应讨论并制定有效监测接触常见致敏剂工作人员的指导方针。
