职业性接触性皮炎诊断中使用职业性处理过的产品进行斑贴试验的贡献:10年回顾。

IF 1.5 Q3 DERMATOLOGY
Dermatology Research and Practice Pub Date : 2022-08-08 eCollection Date: 2022-01-01 DOI:10.1155/2022/6768932
A Aloui, M Maoua, S El Guedri, A Moussa, M Bouhoula, A Chouchene, I Kacem, A Brahem, N Ghariani, H Kalboussi, O El Maalel, S Chatti, M Denguezli, N Mrizek
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引用次数: 1

摘要

简介:过敏性接触性皮炎是一种常见的职业病。它的诊断基本上是基于询问和斑贴试验。然而,市售电池有时不适合工作条件和处理的产品,因此必须进行测试。在突尼斯,以前没有一项研究侧重于对工作场所处理过的产品进行斑贴试验的作用。本研究的目的是建立受益于工作场所处理过的产品贴片试验的患者的社会人口学和职业概况,以确定这些产品的特征,并评估其积极性的相关性及其在职业性ACD病因学诊断方面的贡献。方法:回顾性描述性流行病学研究,于2006年1月1日至2015年12月31日进行为期10年的回顾性流行病学研究,研究对象为从事专业活动并咨询苏塞Farhat Hached大学医院职业医学病房皮肤过敏科的患者,以探讨ACD。结果:在研究期间,113名患者接受了工作场所处理过的产品的贴片测试,同期贴片测试患者的患病率为7.3%。平均年龄35.79±9.45岁,男性为主(性别比1.35)。最具代表性的活动部门是卫生部门(30.1%)和纺织部门(21.2%)。大多数患者职业活跃(占研究人群的61.9%),平均职业资历为10.28±8.49个月。总共对处理过的产品进行了138次斑贴试验,其中46次试验呈阳性(33.3%)。在分析研究之后,与工作场所处理过的产品进行斑贴试验的阳性结果独立显著相关的变量是男性性别和在塑料行业工作的人。有8名病人向国家健康保险基金申报患有职业病,占病例总数的7.1%。结论:对工作场所处理过的产品进行斑贴试验可以为ACD的专业来源提供强有力的论据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Contribution of Patch Tests with Occupational Handled Products in the Diagnosis of Occupational Contact Dermatitis: A 10-year Review.

Introduction: Allergic contact dermatitis (ACD) is a common occupational disease. Its diagnosis is essentially based on interrogation and patch tests. However, commercially available batteries are sometimes not appropriate for the working conditions and the handled products, which must then be tested. In Tunisia, no previous study has focused on the contribution of patch tests with handled products in the workplace. The objective of this study is to establish the sociodemographic and occupational profile of the patients benefiting from patch tests with handled products in the workplace to identify the characteristics of these products as well as to evaluate the relevance of their positivity and their contributions in terms of aetiological diagnosis of occupational ACD.

Methods: This is a retrospective descriptive epidemiological study conducted for a period of 10 years from January 1st, 2006, to December 31, 2015, among patients exercising a professional activity and consulting the Dermato-Allergology Unit of the Occupational Medicine ward of the University Hospital Farhat Hached of Sousse for the exploration of ACD.

Results: During the study period, 113 patients received patch tests of handled products in the workplace with a prevalence of 7.3% of patch-tested patients during the same period. The mean age was 35.79 ± 9.45 years with a male predominance (sex ratio = 1.35). The most represented activity sectors were the health sector in 30.1% and the textile sector in 21.2%. The majority of patients were professionally active (61.9% of the study population) with an average professional seniority of 10.28 ± 8.49 months. In total, 138 patch tests with handled products were carried out of which 46 tests were positive (33.3%). After the analytical study, variables independently significantly associated with the positivity of patch tests with handled products in the workplace were the male gender and the working in the plastics industry. An occupational disease was declared to the National Health Insurance Fund for 8 patients, i.e., 7.1% of cases.

Conclusion: Patch tests with handled products in the workplace can provide strong arguments for the professional origin of the ACD.

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CiteScore
3.80
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