Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Current Allergy and Asthma Reports
Erschienen in: Current Allergy and Asthma Reports 4/2010

01.07.2010

Prevention of Occupational Asthma

verfasst von: Susan M. Tarlo, Gary M. Liss

Erschienen in: Current Allergy and Asthma Reports | Ausgabe 4/2010

Einloggen, um Zugang zu erhalten

Abstract

Prevention of occupational asthma related to a work-sensitizing agent ideally would be achieved by avoidance of exposures that cause immunologic sensitization and subsequent asthma. There are a few examples in which a sensitizing agent has been removed from a work process and others in which exposure has been significantly changed or reduced with associated reduced rates of sensitization and disease. Additional measures include containment, use of robots, ventilation measures, exposure monitoring, and use of respiratory protective devices. Secondary prevention includes medical surveillance, which may involve periodic respiratory questionnaires, spirometry, and immunologic tests aiming to detect sensitization or disease early to allow intervention and improve outcomes. Education measures for workers to understand the meaning of work-related respiratory symptoms and appropriate workplace safety measures have not been formally evaluated but may also be expected to enhance protective measures and lead to earlier diagnosis. Tertiary prevention includes medical management and workers’ compensation.
Literatur
1.
Orriols R, Costa R, Albanell M, et al.: Reported occupational respiratory diseases in Catalonia. Occup Environ Med 2006, 63:255–260.CrossRefPubMed
2.
Elder D, Abramson M, Fish D, et al.: Surveillance of Australian workplace Based Respiratory Events (SABRE): notifications for the first 3.5 years and validation of occupational asthma cases. Occup Med (Lond) 2004, 54:395–399.CrossRef
3.
Tarlo SM, Balmes J, Balkissoon R, et al.: Diagnosis and management of work-related asthma: American College of Chest Physicians consensus statement. Chest 2008, 134:1S–41S.CrossRefPubMed
4.
Kogevinas M, Zock JP, Jarvis D, et al.: Exposure to substances in the workplace and new-onset asthma: an international prospective population-based study (ECRHS-II). Lancet 2007, 370:336–341.CrossRefPubMed
5.
Balmes J, Becklake M, Blanc P, et al.: American Thoracic Society statement: occupational contribution to the burden of airway disease. Am J Respir Crit Care Med 2003, 167:787–797.CrossRefPubMed
6.
Toren K, Blanc PD: Asthma caused by occupational exposures is common—a systematic analysis of estimates of the population-attributable fraction. BMC Pulm Med 2009, 9:7.CrossRefPubMed
7.
Gautrin D, Cartier A, Howse D, et al.: Occupational asthma and allergy in snow crab processing in Newfoundland and Labrador. Occup Environ Med 2010, 67:17–23.CrossRefPubMed
8.
Walusiak J, Hanke W, Gorski P, Palczynski C: Respiratory allergy in apprentice bakers: do occupational allergies follow the allergic march? Allergy 2004, 59:442–450.CrossRefPubMed
9.
Folletti I, Forcina A, Marabini A, et al.: Have the prevalence and incidence of occupational asthma and rhinitis because of laboratory animals declined in the last 25 years? Allergy 2008, 63:834–841.CrossRefPubMed
10.
Bakerly ND, Moore VC, Vellore AD, et al.: Fifteen-year trends in occupational asthma: data from the Shield surveillance scheme. Occup Med (Lond) 2008, 58:169–174.CrossRef
11.
Tarlo SM, Liss GM: Diisocyanate-induced asthma: diagnosis, prognosis, and effects of medical surveillance measures. Appl Occup Environ Hyg 2002, 17:902–908.CrossRefPubMed
12.
• Delclos GL, Gimeno D, Arif AA, et al.: Occupational risk factors and asthma among health care professionals. Am J Respir Crit Care Med 2007, 175:667–675. This large, cross-sectional survey of health care workers confirmed the findings of other studies showing that NRL was a risk factor for OA only prior to 2000, consistent with changes in glove use. Cleaning and aerosolized medications were significant risk factors throughout the study period.CrossRefPubMed
13.
Liss GM, Tarlo SM: Natural rubber latex-related occupational asthma: association with interventions and glove changes over time. Am J Ind Med 2001, 40:347–353.CrossRefPubMed
14.
Allmers H, Schmengler J, Skudlik C: Primary prevention of natural rubber latex allergy in the German health care system through education and intervention. J Allergy Clin Immunol 2002, 110:318–323.CrossRefPubMed
15.
Buyantseva LV, Liss GM, Ribeiro M, et al.: Diisocyanates and non-diisocyanates induced asthma in Ontario. Am J Resp Crit Care Med 2008, 177:A526.
16.
Tarlo SM, Liss GM, Yeung KS: Changes in rates and severity of compensation claims for asthma due to diisocyanates: a possible effect of medical surveillance measures. Occup Environ Med 2002, 59:58–62.CrossRefPubMed
17.
Eng A, 'T Mannetje A, Douwes J, et al.: The New Zealand workforce survey II: occupational risk factors for asthma. Ann Occup Hyg 2010, 54:154–164.CrossRefPubMed
18.
Obadia M, Liss GM, Lou W, et al.: Relationships between asthma and work exposures among non-domestic cleaners in Ontario. Am J Ind Med 2009, 52:716–723.CrossRefPubMed
19.
Medina-Ramon M, Zock JP, Kogevinas M, et al.: Asthma symptoms in women employed in domestic cleaning: a community based study. Thorax 2003, 58:950–954.CrossRefPubMed
20.
Banauch GI, Dhala A, Alleyne D, et al.: Bronchial hyperreactivity and other inhalation lung injuries in rescue/recovery workers after the World Trade Center collapse. Am J Resp Crit Care Med 2005, 33:S102–S106.
21.
Feldman DM, Baron SL, Bernard BP, et al.: Symptoms, respirator use, and pulmonary function changes among New York City firefighters responding to the World Trade Center disaster. Chest 2004, 125:1256–1264.CrossRefPubMed
22.
Liss GM, Tarlo SM, Doherty J, et al.: Physician diagnosed asthma, respiratory symptoms, and associations with workplace tasks among radiographers in Ontario, Canada. Occup Environ Med 2003, 60:254–261.CrossRefPubMed
23.
Fujita H, Ogawa M, Endo Y: A case of occupational bronchial asthma and contact dermatitis caused by ortho-phthalaldehyde exposure in a medical worker. J Occup Health 2006, 48:413–416.CrossRefPubMed
24.
Tarlo SM, Easty A, Eubanks K, et al.: Outcomes of a natural rubber latex control program in an Ontario teaching hospital. J Allergy Clin Immunol 2001, 108:628–633.CrossRefPubMed
25.
Schweigert MK, Mackenzie DP, Sarlo K: Occupational asthma and allergy associated with the use of enzymes in the detergent industry—a review of the epidemiology, toxicology and methods of prevention. Clin Exp Allergy 2000, 30:1511–1518.CrossRefPubMed
26.
Bush RK, Wood RA, Eggleston PA: Laboratory animal allergy. J Allergy Clin Immunol 1998, 102:99–112.CrossRefPubMed
27.
Macfarlane E, Chapman A, Benke G, et al.: Training and other predictors of personal protective equipment use in Australian grain farmers using pesticides. Occup Environ Med 2008, 65:141–146.CrossRefPubMed
28.
Tam V, Fung I: A study of knowledge, awareness, practice and recommendations among Hong Kong construction workers on using personal respiratory protective equipment at risk. Open Constr Build Technol J 2008, 2:69–81.CrossRef
29.
Ricciuto DR, Obadia M, Liss GM, Tarlo SM: The effect of workplace safety training and comprehension on the incidence of occupational asthma among indoor cleaners. Chest 2006, 130:155S.
30.
• Seed M, Agius R: Further validation of computer-based prediction of chemical asthma hazard. Occup Med (Lond) 2010, 60:115–120. A quantitative structure-activity relationship model previously described by this group showed good global predictive value for identifying respiratory asthmagens among a validation set of asthmagenic chemicals, identified agents from studies published since 1995, and control set of chemicals. CrossRef
31.
Dearman RJ, Kimber I: Cytokine fingerprinting and hazard assessment of chemical respiratory allergy. J Appl Toxicol 2001, 21:153–163.CrossRefPubMed
32.
Vanoirbeek JA, Mandervelt C, Cunningham AR, et al.: Validity of methods to predict the respiratory sensitizing potential of chemicals: a study with a piperidinyl chlorotriazine derivative that caused an outbreak of occupational asthma. Toxicol Sci 2003, 76:338–346.CrossRefPubMed
33.
Nicholson PJ, Cullinan P, Taylor AJ, et al.: Evidence based guidelines for the prevention, identification, and management of occupational asthma. Occup Environ Med 2005, 62:290–299.CrossRefPubMed
34.
Beach J, Rowe B, Blitz S, et al.: Diagnosis and Management of Work-related Asthma. Summary, Evidence Report/Technology Assessment. AHRQ Clearinghouse. Silver Springs, MD: Agency for Healthcare Research and Quality; 2005. [AHRQ publication no. 06-E003-1.]
35.
Sarlo K, Kirchner DB: Occupational asthma and allergy in the detergent industry: new developments. Curr Opin Allergy Clin Immunol 2002, 2:97–101.CrossRefPubMed
36.
Nicholson PJ: How to undertake a systematic review in an occupational setting. Occup Environ Med 2007, 64:353–358.CrossRefPubMed
37.
Ontario Ministry of Labour: Regulation respecting isocyanates made under the Occupational Health and Safety Act, 1980. Revised statutes of Ontario Chapter 321. 1983; Ontario regulation 455/83.
38.
Poonai N, van Diepen S, Bharatha A, et al.: Barriers to diagnosis of occupational asthma in Ontario. Can J Public Health 2005, 96:230–233.PubMed
39.
• Santos MS, Jung H, Peyrovi J, et al.: Occupational asthma and work-exacerbated asthma: factors associated with time to diagnostic steps. Chest 2007, 131:1768–1775. This questionnaire study identified factors associated with longer than median time to diagnosis among participants with OA. The identified factors (that potentially could indicate groups in which to particularly focus preventive efforts) were male sex, being older, being unmarried, having low education, and being the sole income earner. Lack of awareness of an association of symptoms with work and lack of knowledge of the Workplace Hazardous Materials Information System program were also associated with a longer time to diagnosis, suggesting inadequate worker safety training as a risk factor. CrossRefPubMed
40.
Tarlo SM: Prevention of occupational asthma in Ontario. Can J Physiol Pharmacol 2007, 85:167–172.CrossRefPubMed
41.
Brant A, Berriman J, Sharp C, et al.: The changing distribution of occupational asthma: a survey of supermarket bakery workers. Eur Respir J 2005, 25:303–308.CrossRefPubMed
42.
Merget R, Caspari C, Dierkes-Globisch A, et al.: Effectiveness of a medical surveillance program for the prevention of occupational asthma caused by platinum salts: a nested case-control study. J Allergy Clin Immunol 2001, 107:707–712.CrossRefPubMed
43.
Grammer L, Shaughnessy M, Kenamore B: Utility of antibody in identifying individuals who have or will develop anhydride-induced respiratory disease. Chest 1998, 114:1199–1202.CrossRefPubMed
44.
Gordon SB, Curran AD, Murphy J, et al.: Screening questionnaires for bakers’ asthma—are they worth the effort? Occup Med (Lond) 1997, 47:361–366.CrossRef
45.
Brant A, Nightingale S, Berriman J, et al.: Supermarket baker’s asthma: how accurate is routine health surveillance? Occup Environ Med 2005, 62:395–399.CrossRefPubMed
46.
Miller MR, Hankinson J, Brusasco V, et al.: Standardisation of spirometry. Eur Respir J 2005, 26:319–338.CrossRefPubMed
47.
Mackie J: Effective health surveillance for occupational asthma in motor vehicle repair. Occup Med (Lond) 2008, 58:551–555.CrossRef
48.
Wild DM, Redlich CA, Paltiel AD: Surveillance for isocyanate asthma: a model based cost effectiveness analysis. Occup Environ Med 2005, 62:743–749.CrossRefPubMed
49.
Baur X, Stahlkopf H, Merget R: Prevention of occupational asthma including medical surveillance. Am J Ind Med 1998, 34:632–639.CrossRefPubMed
Metadaten
Titel
Prevention of Occupational Asthma
verfasst von
Susan M. Tarlo
Gary M. Liss
Publikationsdatum
01.07.2010
Verlag
Current Science Inc.
Erschienen in
Current Allergy and Asthma Reports / Ausgabe 4/2010
Print ISSN: 1529-7322
Elektronische ISSN: 1534-6315
DOI
https://doi.org/10.1007/s11882-010-0118-y

Weitere Artikel der Ausgabe 4/2010

Current Allergy and Asthma Reports 4/2010 Zur Ausgabe

ReviewPaper

Feeding Disorders in Food Allergic Children

ReviewPaper

Allergic Conjunctivitis and Nasal Allergy

Clinical Trial Report

Food Allergy: Who’s on First and What Do They Know?

Clinical Trial Report

Dietary Therapy for Chronic Urticaria

Clinical Trial Report

Treatment of Cold Urticaria

ReviewPaper

Pathogenesis and Treatment of Pruritus

Neu im Fachgebiet HNO

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

16.05.2024 Pädiatrische Allergologie Nachrichten

Die große Mehrheit der vermeintlichen Penicillinallergien sind keine. Da das „Etikett“ Betalaktam-Allergie oft schon in der Kindheit erworben wird, kann ein frühzeitiges Delabeling lebenslange Vorteile bringen. Ein Team von Pädiaterinnen und Pädiatern aus Kanada stellt vor, wie sie dabei vorgehen.

Eingreifen von Umstehenden rettet vor Erstickungstod

15.05.2024 Fremdkörperaspiration Nachrichten

Wer sich an einem Essensrest verschluckt und um Luft ringt, benötigt vor allem rasche Hilfe. Dass Umstehende nur in jedem zweiten Erstickungsnotfall bereit waren, diese zu leisten, ist das ernüchternde Ergebnis einer Beobachtungsstudie aus Japan. Doch es gibt auch eine gute Nachricht.

Real-World-Daten sprechen eher für Dupilumab als für Op.

14.05.2024 Rhinosinusitis Nachrichten

Zur Behandlung schwerer Formen der chronischen Rhinosinusitis mit Nasenpolypen (CRSwNP) stehen seit Kurzem verschiedene Behandlungsmethoden zur Verfügung, darunter Biologika, wie Dupilumab, und die endoskopische Sinuschirurgie (ESS). Beim Vergleich der beiden Therapieoptionen war Dupilumab leicht im Vorteil.

Schwindelursache: Massagepistole lässt Otholiten tanzen

14.05.2024 Benigner Lagerungsschwindel Nachrichten

Wenn jüngere Menschen über ständig rezidivierenden Lagerungsschwindel klagen, könnte eine Massagepistole der Auslöser sein. In JAMA Otolaryngology warnt ein Team vor der Anwendung hochpotenter Geräte im Bereich des Nackens.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen
Bildnachweise