某研究所动物设施工作人员实验动物过敏(laa)临床调查

H. Pei, Fadzli Shah Abd Aziz
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引用次数: 0

摘要

背景:研究动物设施已被确定为实验室动物过敏(LAA)发展的危险环境。风险程度与接触性质、暴露强度和个体易感性呈正相关。在LAA发展为慢性残疾之前,通过积极的临床监测来早期识别LAA是必要的。方法:采用横断面研究方法,选取接触动物过敏原的工人87名,对照87名。研究工具为自我填写的LAA问卷,包括职业和社会环境史的详细信息以及肺功能测试。统计分析采用SPSS version 20,采用描述性分析、交叉表、独立t检验、Mann Whitney u检验和多变量Logistic回归(MLR)。结果:半数以上暴露者出现至少一种LAA症状(58.6%),灵功能下降(56.3%)。上呼吸道症状是LAA最常见的症状(49.4%)。报告的症状与肺廓形异常有显著相关性(p<0.05)。肺功能值方面,暴露组的平均FEV1、FEV1/FVC和中位数FVC均显著低于对照组(p<0.001)。MLR证实,特应性工作人员、吸烟者和那些在与动物接触时不定期佩戴全套个人防护装备的人更有可能发生LAA。结论:LAA是公认的职业危害。因此,了解LAA的流行现状及其危险因素,设计一套工程控制、行政控制和个人防护相结合的有效的避免暴露和减少暴露的LAA预防方案至关重要。关键词:实验动物过敏,动物工作者,实验动物设施,临床调查
本文章由计算机程序翻译,如有差异,请以英文原文为准。
LABORATORY ANIMAL ALLERGY (LAA) AMONG THE ANIMAL FACILITIES’ WORKERS IN A RESEARCH INSTITUTE: A CLINICAL SURVEY
Background : Research animal facilities had been identified as a risky environment for the development of Laboratory Animal Allergy (LAA). The risk degree is in parallel with the nature of contact, intensity of exposure and individual susceptibility. Early recognition of LAA via active clinical surveillance is imperative before it progresses into chronic disability. Method: This cross-sectional study recruited 87 workers exposed to animal allergen and 87 control subjects. Self-administered LAA questionnaire contained details of occupational and socio-environmental history as well as pulmonary function test were employed as study tools. Statistical analysis performed with SPSS version 20, utilizing descriptive analysis, cross tabulation, independent t-test, Mann Whitney U-test and Multivariable Logistic Regression (MLR). Results : More than half of the exposed subjects were reported at least one LAA symptoms (58.6%) and declined ling function (56.3%). Upper respiratory symptoms were the most prevalent LAA symptoms (49.4%). There was significant association between the reported symptoms and abnormal lung profile (p<0.05). In term of lung function values, the mean FEV1, FEV1/FVC and median FVC were significantly lower among the exposed group compared to the control group (p<0.001). MLR substantiated that atopic workers, smokers and those did not comply with full PPE regularly upon animal contact were more likely to develop LAA. Conclusion :  LAA is an acknowledged occupational hazard. Therefore knowing the existing prevalence and its risk factors to design an effective LAA prevention program consisted of exposure avoidance and exposure reduction which combines the engineering control, administrative control and PPE is of paramount importance. Keywords : laboratory animal allergy, animal workers, research animal facilities, clinical survey
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