英国潜伏期较短的职业性呼吸道疾病的发展趋势。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
A Barradas, I Iskandar, M Carder, M Gittins, D Fishwick, M Seed, M van Tongeren
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引用次数: 0

摘要

背景:职业性短时呼吸道疾病(SLRD;主要是哮喘、鼻炎、过敏性肺炎和职业感染)的发病率难以确定,但某些职业可能与易感性增加有关。研究目的:本研究旨在调查哪些职业和行业目前是SLRD的高风险人群,并确定其各自的可疑致病因素:对1999年至2019年期间向SWORD计划报告的SLRD病例进行分析,以确定各职业的直接标准化比率(SRR)与所有其他职业的平均比率之比:结果:"面包师和面粉点心师 "和 "车辆喷漆工 "的 SLRD SRR 普遍显著升高,主要原因分别是职业性鼻炎(234.4;95% CI 200.5-274.0)和哮喘(63.5;95% CI 51.5-78.3)。实验室技术人员的职业性鼻炎 SRR 也明显升高(18.7;95% CI 15.1-23.1),主要由实验室动物和昆虫引起。金属加工装配工和装配操作工的职业性超敏性肺炎的 SRR 有所上升(42.0;95% CI 29.3-60.3),这主要是由切削油/可溶性油引起的。受传染病影响最大的职业是焊接工(12.9;95% CI 5.7-29.3),这主要是由于微生物的致病性:这项研究根据英国近二十年来记录的数据,确定了罹患 SLRD 风险较高的职业群体。研究发现,职业性哮喘和鼻炎是金属加工行业的主要病症,超敏性肺炎则是潜在的高发呼吸道问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trends in occupational respiratory conditions with short latency in the UK.

Background: Occupational short-latency respiratory disease (SLRD; predominantly asthma, rhinitis, hypersensitivity pneumonitis, and occupational infections) prevalence is difficult to determine but certain occupations may be associated with increased susceptibility.

Aims: This study aimed to examine which occupations and industries are currently at high risk for SLRD and determine their respective suspected causal agents.

Methods: SLRD cases reported to the SWORD scheme between 1999 and 2019 were analysed to determine directly standardized rate ratios (SRR) by occupation against the average rate for all other occupations combined.

Results: 'Bakers and flour confectioners' and 'vehicle spray painters' showed significantly raised SRR for SLRD in general, mostly due to occupational rhinitis (234.4; 95% CI 200.5-274.0) and asthma (63.5; 95% CI 51.5-78.3), respectively. Laboratory technicians also showed significantly raised SRR for occupational rhinitis (18.7; 95% CI 15.1-23.1), primarily caused by laboratory animals and insects. Metal machining setters and setter-operators showed increased SRR for occupational hypersensitivity pneumonitis (42.0; 95% CI 29.3-60.3), largely due to cutting/soluble oils. The occupation mostly affected by infectious disease was welding trades (12.9; 95% CI 5.7-29.3), mainly attributable to microbial pathogenicity.

Conclusions: This study identified the occupational groups at increased risk of developing an SLRD based on data recorded over a recent two-decade period in the UK. Occupational asthma and rhinitis were identified as the prevailing conditions and hypersensitivity pneumonitis as a potentially rising respiratory problem in the metalworking industry.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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