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Occupational asthma in office workers
C C Huntley1,2, P S Burge1, V C Moore1
1Birmingham Regional NHS Occupational Lung Disease Service, Birmingham, UK.
Occupational Medicine (Oxford, England)
|April 23, 2022
Summary
Occupational asthma (OA) can affect office workers, despite the perception of safety. Common causes include indoor air quality, printing, and cleaning chemicals, necessitating workplace assessments.
Area of Science:
- Occupational medicine
- Pulmonology
- Environmental health
Background:
- Office work is perceived as low-risk for occupational diseases like asthma.
- Epidemiological studies often use office workers as a control group.
- This study challenges the notion of low risk by examining diagnosed cases.
Purpose of the Study:
- To detail the tertiary clinical experience in diagnosing occupational asthma (OA) in office workers.
- To highlight specific exposures and outcomes in this population.
- To inform clinical vigilance and workplace assessment strategies.
Main Methods:
- Retrospective analysis of a clinical database (2002-2020).
- Inclusion of diagnosed occupational respiratory diseases in office workers.
- Data collection on demographics, diagnostic tests (OASYS, peak expiratory flow, specific inhalational challenge), and employment outcomes.
Main Results:
- 47 cases of OA identified, representing 5% of all asthma cases.
- Most diagnoses confirmed via Occupational Asthma SYStem (OASYS) analysis of peak expiratory flows (PEFs).
- Key exposures included indoor air quality, printing/copying, cleaning chemicals, mold, and flooring adhesives.
Conclusions:
- Clinicians must remain vigilant for OA in office workers with work-related respiratory symptoms.
- Recognize potential respiratory sensitizing agents in office environments.
- A structured workplace assessment approach is crucial for diagnosis and prevention.
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