暴露频率,强度和持续时间:我们对卫生保健工作者从清洁和消毒中获得的工作相关喘风险的了解
Amanda M Wilson1, Olusola O Ogunseye1, Tina Fingesi1
1Department of Community, Environment, & Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona.
Journal of occupational and environmental hygiene
|June 6, 2023
概括
卫生保健工作者面临着与工作相关的喘风险,因为暴露在清洁和消毒中. 审查发现职业喘的潜伏期平均为4.55年,不清楚的剂量反应关系需要进一步调查.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 环境健康 环境健康
- 流行病学 流行病学
背景情况:
- 在医疗机构中,清洁和消毒是必不可少的.
- 医疗保健工作者有患职业喘的风险.
- 对清洁剂的暴露评估需要了解频率,强度和持续时间.
研究的目的:
- 审查卫生保健中的清洁和消毒对暴露评估 (频率,强度,持续时间) 的证据.
- 调查这些暴露与医疗保健工作者与工作相关的喘风险之间的关系.
- 分析潜伏期,并将暴露度与职业暴露限值进行比较.
主要方法:
- 在Embase,PubMed和CINAHL数据库中进行系统的文献搜索.
- 数据提取的重点是暴露频率,强度和持续时间.
- 使用指数分布进行延迟分析;度数据与职业暴露限值 (OEL) 相比.
主要成果:
- 审查中包括了133个来源.
- 职业性喘的平均潜伏期为4.55年.
- 大多数暴露度都低于OEL,除了甲和甲.
- 有证据表明,与暴露频率存在潜在的剂量-反应关系,但这是混的.
结论:
- 卫生保健工作者接触清洁剂的职业喘的平均延迟时间为4.55年.
- 需要进一步的研究来将特定的暴露度与健康结果联系起来,并澄清剂量-反应关系.
- 解决混因素对于准确的风险评估至关重要.
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