卫生保健专业人员中的清洁任务和产品和喘
Jenil Patel1, David Gimeno Ruiz de Porras, Laura E Mitchell
1Southwest Center for Occupational and Environmental Health, Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health, Houston, Texas (J.P., A.C., L.W.W., G.L.D.); Center for Pediatric Population Health, Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth Houston), Dallas, Texas (J.P.); Southwest Center for Occupational and Environmental Health, Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health in San Antonio, The University of Texas Health Science Center at Houston (UTHealth Houston), San Antonio, Texas (D.G.R.d.P.); Center for Research in Occupational Health, Universitat Pompeu Fabra, Barcelona, Spain (D.G.R.d.P., G.L.D.); CIBER Epidemiología y Salud Pública, Madrid, Spain (D.G.R.d.P., G.L.D.); Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health, Houston, Texas (L.E.M., R.P.); Department of Epidemiology and Biostatistics, Temple University College of Public Health, Philadelphia, Pennsylvania (I.H.); Research in Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio (L.P.); Smith Scientific LLC, Houston, Texas (S.C.); Center for Research in Environmental Epidemiology (CREAL), Barcelona, Spain ( J.-P.Z.); Respiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia (P.K.H.); and Department of Biostatistics and Data Science, The University of Texas Health Science Center at Houston (UTHealth Houston) School of Public Health, Houston, Texas (J.D.L.R.).
在医疗保健工作者中,与工作相关的喘仍然很普遍. 新出现的喘与建筑表面清洁产品 (如正甲,漂白剂和喷雾剂) 有关.
科学领域:
- 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:
- 医疗保健工作者面临职业喘的风险.
- 清洁习惯的改变可能会影响喘的发展.
- 之前的研究表明,卫生保健机构的清洁和喘之间存在联系.
研究的目的:
- 检查卫生保健工作者的清洁任务/产品和与工作相关的喘之间的关联.
- 将2016年的调查结果与2003年之前的数据进行比较.
- 为了确定与新发喘相关的特定清洁暴露.
主要方法:
- 调查了德克萨斯州9914名医疗保健专业人员 (医生,护士,治疗师,助理) 的代表性样本.
- 喘患病率是由专业小组估计的.
- 对自我报告的喘进行了分析,并将其与基于工作暴露矩阵的清洁任务和产品进行了对比.
主要成果:
- 应答率为34.8% (n=2421). 应答率是34.8% (n=2421). 应答率是34.8% (n=2421). 应答率是34.8% (n=2421). 应答率是34.8% (n=2421). 应答率是34.8%.
- 医生诊断 (15.3%),工作加重 (4.1%) 和新发喘 (6.7%) 的患病率与2003年相似.
- 新发性喘与建筑表面清洁,正形甲,漂白剂/四方化合物和喷雾剂有显著的关联.
结论:
- 自2003年以来,喘和支气管过敏反应的患病率似乎稳定.
- 新发喘和表面清洁暴露之间的关联仍然存在.
- 新发喘和仪器清洁暴露之间的联系已经减少.
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