Asma laboral en personal sanitari
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Document Type
Document Version
Author
Director
Antó i Boqué, Josep Maria
Benavides, Fernando G. (Fernando García)
Benavides, Fernando G. (Fernando García)
Tutor
Other authors
Publication Date
Pages
Embargo date
Citation
Delclòs i Clanchet, J. Asma laboral en personal sanitari. Universitat Pompeu Fabra; 2007. handle: http://hdl.handle.net/10803/7130
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Citation
Doctoral program
Programa de doctorat en Biomedicina
Abstract
Es va determinar el risc d'asma i la seva associació amb les exposicions laborals, així com la càrrega d'asma relacionat amb el treball, entre professionals sanitaris. Després de validar un qüestionari nou, es va administrar una enquesta a 5600 metges, infermers, i tècnics en teràpia respiratòria i ocupacional a Texas (tasa de resposta-66%). S'evidencia un risc elevat d'asma desprès d'haver començat a treballar per tasques de neteja general, desinfecció d'instruments mèdics, l'ús de guants de làtex i l'administració de medicaments en aerosol. També s'evidencien associacions significatives entre símptomes de hiperreactivitat bronquial i l'ús de productes generals de neteja, l'administració de medicaments en aerosol, l'aplicació de productes adhesius/dissolvents, i en persones amb antecedents d'exposició a un vessament químic. El risc per làtex desaparegué desprès de l'any 2000. Les exposicions laborals contribueixen de manera important a l'asma en el personal sanitari, justificant tant la implementació de controls adequats com la recerca addicional.
The magnitude of asthma risk, its associations with occupational exposures, and the burden of work-related asthma was estimated in healthcare professionals. After validating a new asthma questionnaire, a cross-sectional survey was conducted among 5600 Texas physicians, nurses, respiratory therapists and occupational therapists (response rate, 66%). Elevated risks of asthma after entry into the profession were found for general cleaning tasks, medical instrument cleaning, use of powdered latex gloves, and administration of aerosolized medications. Significant associations were also found between bronchial hyperresponsiveness-related symptoms and use of general cleaning products, administration of aerosolized medications, use of adhesives or solvents as products in patient care, and with a history of acute exposure to a chemical spill. The risk associated with latex disappeared after the year 2000. Occupational exposures contribute importantly to asthma among healthcare professionals and are not trivial, meriting both further study and implementation of appropriate controls.
The magnitude of asthma risk, its associations with occupational exposures, and the burden of work-related asthma was estimated in healthcare professionals. After validating a new asthma questionnaire, a cross-sectional survey was conducted among 5600 Texas physicians, nurses, respiratory therapists and occupational therapists (response rate, 66%). Elevated risks of asthma after entry into the profession were found for general cleaning tasks, medical instrument cleaning, use of powdered latex gloves, and administration of aerosolized medications. Significant associations were also found between bronchial hyperresponsiveness-related symptoms and use of general cleaning products, administration of aerosolized medications, use of adhesives or solvents as products in patient care, and with a history of acute exposure to a chemical spill. The risk associated with latex disappeared after the year 2000. Occupational exposures contribute importantly to asthma among healthcare professionals and are not trivial, meriting both further study and implementation of appropriate controls.
Keywords
questionnaire validation, healthcare workers, occupational asthma, work-related asthma, validació de qüestionari, personal sanitari, asma laboral, asma relacionat amb el treball
Subjects
616.2 - Pathology of the respiratory system
Publisher
Universitat Pompeu Fabra
