Occupational Asthma Reference

Mirabelli MC, Zock J-P, Plana E, Antó JM, Benke G, Blanc PD, Dahlman-Höglund A, Jarvis DL, Kromhout H, Lillienberg L, Norbäck D, Olivieri M, Radon K, Sunyer J, Torén K, van Sprunde, Occupational risk factors for asthma among nurses and related healthcare professionals in an international study, Occup Environ Med, 2007;64:474-479,
(Plain text: Mirabelli MC, Zock J-P, Plana E, Anto JM, Benke G, Blanc PD, Dahlman-Hoglund A, Jarvis DL, Kromhout H, Lillienberg L, Norback D, Olivieri M, Radon K, Sunyer J, Toren K, van Sprunde, Occupational risk factors for asthma among nurses and related healthcare professionals in an international study, Occup Environ Med)

Keywords: ECHRS, healthcare, cleaner,incidence, ammonia, bleach, latex, spray cleaners

Known Authors

Josep Antó, Barcelona, Catalonia, Spain Josep Antó

Kjell Toren, Sahlgrenska University Hospital. Goteborg Kjell Toren

Katja Radon, Ludwig Maximillian University, Munich Katja Radon

Paul Blanc, University of California San Francisco Paul Blanc

Jan-Paul Zock, Municipal Institute of Medical Research, Barcelona, Spain Jan-Paul Zock

Dan Norback, Dan Norback

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Abstract

Objective: The authors examined the relations between self-reported work tasks, use of cleaning products and latex glove use with new-onset asthma among nurses and other healthcare workers in the European Community Respiratory Health Survey (ECRHS II).

Methods: In a random population sample of adults from 22 European sites, 332 participants reported working in nursing and other related healthcare jobs during the nine-year ECRHS II follow-up period and responded to a supplemental questionnaire about their principal work settings, occupational tasks, products used at work and respiratory symptoms. Poisson regression models with robust error variances were used to compare the risk of new-onset asthma among healthcare workers with each exposure to that of respondents who reported professional or administrative occupations during the entire follow-up period (n = 2481).

Results: Twenty (6%) healthcare workers and 131 (5%) members of the referent population reported new-onset asthma. Compared to the referent group, the authors observed increased risks among hospital technicians (RR 4.63; 95% CI 1.87 to 11.5) and among those using ammonia and/or bleach at work (RR 2.16; 95% CI 1.03 to 4.53).

Conclusions: In the ECRHS II cohort, hospital technicians and other healthcare workers experience increased risks of new-onset current asthma, possibly due to specific products used at work.

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Associated Questions

Registered users of this website have associated this reference with the following questions. This association is not a part of the BOHRF occupational asthma guidelines.

Is exposure to agents in the workplace a risk factor for developing occupational asthma?
burgeps New-onset asthma incidence from the ECHRS II study of healthcare workers between 1991 and 1998. Incidence increased in institution-based health-care providers (RR 2.3) and hospital technicians (RR 4.63). Little consistent effect of latex gloves. Incidence increased with use of cleaning products in spray form (RR2.36) and ammonia or bleach (RR 2.16).

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