Referral Centres

Birmingham Occupational Lung Disease Service
Lead:  Dr Gareth Walters
Address:  Birmingham Chest Clinic
 151 Great Charles Street
 Birmingham
 B3 3HX
Appointments: Tim Smith, Tel: 0121 424 1940 
Peak flow Help: Vicky Moore Tel: 0121 424 2745
Team members: Dr Alastair Robertson, Professor Sherwood Burge
Facilities:  Specific challenge testing available

National Heart and Lung Centre
Lead:  Professor Paul Cullinan
Address:  Royal Brompton Hospital
 London
Appointments: 
Team members: Dr Jo Szram, Dr Johanna Feary
Facilities:  Specific challenge testing available


Sheffield

Manchester

Newcastle


Comments

What would be potential causative agents in a theatre environment? Patient is a theatre nurse, doesn't use latex
5/12/2017

In the past latex was the most likely, even if she doesn't use latex gloves, check that others don't. We have seen a wide range of agents causing asthma in theatre nurses from the anaesthetic gasses (particularly during recovery when the exhaled sevoflurane and isoflurane are not being scavanged), to cleaning agent containing quaternary ammonium compounds (benzalkonium chloride), chlorine releasing agents (Haztabs) reacting with proteins to release chloramines, hand gels containing bitrex (cross reacts with lignocaine), acrylic bone cements, cyananoacrylates (superglue) used for skin closure, cold sterilising agents (glutaraldehyde, formaldehyde, ortho-phthaldehyde and enzymatic sterilisers) and even a theatre mask. The ventilation system might also be the cause
Abstract Available for Occupational asthma caused by sensitization to a cleaning product containing triclosan, Antibac, (2,4,4’-trichloro-2’-hydroxydiphenyl ether), nurse, cleaner, Walters GI, Robertson AS, Moore VC, Burge PS, Occupational asthma caused by sensitization to a cleaning product containing triclosan, Antibac, (2,4,4’-trichloro-2’-hydroxydiphenyl ether), nurse, cleaner, , Ann Allergy Asthma Immunol, 2017;118:370-371,http://doi.org/10.1016/j.anai.2016.12.001
Sherwood Burge, Oasys, an author of 'Occupational asthma caused by sensitization to a cleaning product containing triclosan, Antibac, (2,4,4’-trichloro-2’-hydroxydiphenyl ether), nurse, cleaner,' Vicky Moore, Oasys, an author of 'Occupational asthma caused by sensitization to a cleaning product containing triclosan, Antibac, (2,4,4’-trichloro-2’-hydroxydiphenyl ether), nurse, cleaner,' Alastair Robertson, Selly Oak Hospital, an author of 'Occupational asthma caused by sensitization to a cleaning product containing triclosan, Antibac, (2,4,4’-trichloro-2’-hydroxydiphenyl ether), nurse, cleaner,' Gareth Walters, Heartlands, an author of 'Occupational asthma caused by sensitization to a cleaning product containing triclosan, Antibac, (2,4,4’-trichloro-2’-hydroxydiphenyl ether), nurse, cleaner,'

Abstract Available for Asthma among workers in healthcare settings: role of disinfection with quaternary ammonium compounds. Gonzalez M, Jégu J, Kopferschmitt MC, Donnay C, Hedelin G, Matzinger F, Velten M, Guilloux L, Cantineau A, de Blay F., Asthma among workers in healthcare settings: role of disinfection with quaternary ammonium compounds., Clin Exp Allergy, 2014;44:393-406,
Frederic de Blay, Hopital Universitaires de Strasbourg, an author of 'Asthma among workers in healthcare settings: role of disinfection with quaternary ammonium compounds.'

Abstract Available for Agents and trends in health care workers’ occupational asthma Walters GI, Moore VC, McGrath EE, Burge PS, Henneberger PK, Agents and trends in health care workers’ occupational asthma, Occup Med, 2013;63:513-516,
Paul Henneberger, NIOSH, Morgantown, USA, an author of 'Agents and trends in health care workers’ occupational asthma' Sherwood Burge, Oasys, an author of 'Agents and trends in health care workers’ occupational asthma' Vicky Moore, Oasys, an author of 'Agents and trends in health care workers’ occupational asthma' Emmet McGrath, Oasys, an author of 'Agents and trends in health care workers’ occupational asthma' Gareth Walters, Heartlands, an author of 'Agents and trends in health care workers’ occupational asthma'

Abstract Available for Asthma induced by chloramine T in nurses: case report,skin prick test positive,challenge,case report, Sartorelli P, Paolucci V, Rendo S, Romeo R, Murdaca F, Mariano A, Asthma induced by chloramine T in nurses: case report,skin prick test positive,challenge,case report,, Med Lav, 2010;101:134-138,

Full Text Available for Asthma Caused by Peracetic Acid-Hydrogen Peroxide Mixture CRISTOFARI-MARQUAND E, KACEL M, MILHE F, MAGNAN A, LEHUCHER-MICHEL M, Asthma Caused by Peracetic Acid-Hydrogen Peroxide Mixture, J Occup Health, 2007;49:155-158,

Full Text Available for A Case of Occupational Bronchial Asthma and Contact Dermatitis Caused by ortho-Phthalaldehyde Exposure in a Medical Worker FUJITA H, OGAWA M, ENDO Y, A Case of Occupational Bronchial Asthma and Contact Dermatitis Caused by ortho-Phthalaldehyde Exposure in a Medical Worker , J Occup Health, 2006;48:413-416,

Full Text Available for Occupational asthma and allergy to sevoflurane and isoflurane in anaesthetic staff Vellore AD, Drought VJ, Sherwood-Jones D, Tunnicliffe B, Moore VC, Robertson AS, Burge PS, Occupational asthma and allergy to sevoflurane and isoflurane in anaesthetic staff, Allergy, 2006;61:1485-6,
Sherwood Burge, Oasys, an author of 'Occupational asthma and allergy to sevoflurane and isoflurane in anaesthetic staff' Vicki Drought, Oasys, an author of 'Occupational asthma and allergy to sevoflurane and isoflurane in anaesthetic staff' Vicky Moore, Oasys, an author of 'Occupational asthma and allergy to sevoflurane and isoflurane in anaesthetic staff' Alastair Robertson, Selly Oak Hospital, an author of 'Occupational asthma and allergy to sevoflurane and isoflurane in anaesthetic staff' Arun Dev Vellore, Oasys, an author of 'Occupational asthma and allergy to sevoflurane and isoflurane in anaesthetic staff' Bill Tunnicliffe, University Hospital Birmingham, an author of 'Occupational asthma and allergy to sevoflurane and isoflurane in anaesthetic staff'

Abstract Available for Evidence-based decision making in an endoscopy nurse with respiratory symptoms exposed to the new ortho-phthalaldehyde (OPA) disinfectant. Franchi A, Franco G, Evidence-based decision making in an endoscopy nurse with respiratory symptoms exposed to the new ortho-phthalaldehyde (OPA) disinfectant., Occup Med (London), 2005;55:575-578,

Abstract Available for Occupational asthma after exposure to plaster casts containing methylene diphenyl diisocyanate. Donnelly R, Buick JB, Macmahon J, Occupational asthma after exposure to plaster casts containing methylene diphenyl diisocyanate., Occup Med (Oxford), 2004;54:432-434,

No Abstract Available for Health risk in hospitals through airborne allergens for patients presensitised to latex Baur X, Ammon J, Chen Z, Beckmann U, Czuppon AB, Health risk in hospitals through airborne allergens for patients presensitised to latex, Lancet, 1993;342:1148-1149,
Xaver Baur, Institute of occupational medicine, Hamburg, an author of 'Health risk in hospitals through airborne allergens for patients presensitised to latex'

No Abstract Available for Occupational asthma due to operating theatre wear Gannon PFG, Burge PS, Occupational asthma due to operating theatre wear, Eur Respir J, 1990;3 suppl 10:173s-173s,
Sherwood Burge, Oasys, an author of 'Occupational asthma due to operating theatre wear' Paul Gannon, Dupont, an author of 'Occupational asthma due to operating theatre wear'

Abstract Available for Occupational asthma in nurses due to chlorhexidine and alcohol aerosols Waclawski ER, McAlpine LG, Thomson NC, Occupational asthma in nurses due to chlorhexidine and alcohol aerosols, Br Med J, 1989;298:929-930,

No Abstract Available for Occupational risks of glutaraldehyde Burge PS, Occupational risks of glutaraldehyde, Br Med J, 1989;299:342-342,
Sherwood Burge, Oasys, an author of 'Occupational risks of glutaraldehyde'

No Abstract Available for Occupational asthma due to methyl methacrylate in an orthopaedic theatre sister Pickering CAC, Brainbridge D, Birtwhistle IH, Griffiths DL, Occupational asthma due to methyl methacrylate in an orthopaedic theatre sister, Br Med J, 1986;292:1362-1363,
Tony Pickering, Wythenshawe Hospital, Manchester, UK, an author of 'Occupational asthma due to methyl methacrylate in an orthopaedic theatre sister'

No Abstract Available for Formalin Asthma in hospital staff Hendrick DJ, Lane DJ, Formalin Asthma in hospital staff, Br Med J, 1975;i:607-608,
David Hendrick, Newcastle-upon-Tyne, an author of 'Formalin Asthma in hospital staff'

5/13/2017

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