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Occupational Asthma in Subjects Occupationally Exposed to Herbal and Fruit Tea Dust

Identifieur interne : 000345 ( Istex/Corpus ); précédent : 000344; suivant : 000346

Occupational Asthma in Subjects Occupationally Exposed to Herbal and Fruit Tea Dust

Auteurs : Jordan Minov ; Jovanka Karadžinska-Bislimovska ; Kristin Vasilevska ; Snžana Risteska-Kuc ; Sašo Stoleski

Source :

RBID : ISTEX:64FDA40D79456095A2D5DD9FF01D7863F566B616

English descriptors

Abstract

We performed a cross-sectional study to detect occupational asthma (OA) in 63 subjects occupationally exposed to herbal and fruit tea dust and in 63 corresponding controls. The evaluation included a questionnaire, skin prick tests to workplace and common inhalant allergens, spirometry, and histamine challenge test. The evaluation of the work-relatedness of asthma in the exposed workers was based on serial peak expiratory flow rate (PEFR) measurements and bronchoprovocation tests. We found a higher prevalence of respiratory symptoms in the exposed workers, whereas spirometric parameters were significantly lower. The prevalence of sensitisation to allergens and of bronchial hyperresponsivenss (BHR) did not differ significantly between the groups. The prevalence of asthma was also similar in both groups (8.0 % vs. 6.4 %; P=0.540). Work-relatedness of symptoms was reported by all asthmatic tea workers and by no control with asthma. Significant work-related changes in PEFR diurnal variations and in non-specific BHR, suggesting allergic OA, were found in one tea worker with asthma (1.6 %). No specific workplace agent causing OA in the affected subject was identified. None of the tea workers with asthma met the criteria for medical case definition of the reactive airway dysfunction syndrome (RADS). Our data confirm workplace exposure to herbal and fruit tea dust as a risk factor for OA.

Url:
DOI: 10.2478/v10004-007-0016-4

Links to Exploration step

ISTEX:64FDA40D79456095A2D5DD9FF01D7863F566B616

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<p>Svrha je ovoga presječnog ispitivanja bila otkriti profesionalnu astmu u skupini od 63 ispitanika koji su na radnome mjestu bili izloženi prašinama biljnih i voćnih čajeva. Kao kontrola uzet je jednak broj uredskih radnika koji nisu bili izloženi ovim prašinama. Ocjena izloženih i kontrolnih ispitanika obuhvatila je upitnik, skin prick testove na uobičajene i profesionalne inhalacijske alergene, spirometriju te histaminski test. Povezanost astme s profesionalnom izloženosti u radnika utvrđena je prema kriterijima Američkog kolegija pulmologa (American College of Chest Physicians, krat. ACCP), a na temelju mjerenja niza vršnih ekspiratornih protoka (engl. peak expiratory flow rate, PEFR) i niza bronhoprovokativnih testova. Izloženi su radnici iskazali veću prevalenciju respiratornih simptoma odnosno niže spirometrijske vrijednosti od kontrole. Izloženi ispitanici nisu se značajno razlikovali od kontrole u prevalenciji senzibilizacije na profesionalne i uobičajene inhalacijske alergene te prevalenciji pretjerane bronhalne reaktivnosti (engl. bronchial hyperresponsiveness, krat. BHR). Isto vrijedi i za prevalenciju astme (8, 0 % u izloženih radnika prema 6, 4 % u kontrola; P=0, 540). Povezanost simptoma s poslom prijavili su svi radnici u obradi čaja oboljeli od astme te ni jedan kontrolni ispitanik s astmom. U jednoga astmatičnog radnika na čaju utvrđene su značajne promjene u dnevnim varijacijama PEFR-a te u nespecifičnom BHR-u koji upućuju na profesionalnu astmu (1.6 %). Nije utvrđeno koja je to tvar uzrokovala profesionalnu astmu u ovog ispitanika. Nitko od izloženih radnika s astmom nije zadovoljio sve medicinske kriterije za dijagnozu sindroma reaktivne disfunkcije dišnih putova (engl. reactive airway dysfunction syndrome, RADS). Naši podaci potvrđuju da je profesionalna izloženost prašinama iz biljnih i voćnih čajeva čimbenik rizika od profesionalne astme.</p>
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<title>Occupational Asthma in Subjects Occupationally Exposed to Herbal and Fruit Tea Dust</title>
<p>We performed a cross-sectional study to detect occupational asthma (OA) in 63 subjects occupationally exposed to herbal and fruit tea dust and in 63 corresponding controls. The evaluation included a questionnaire, skin prick tests to workplace and common inhalant allergens, spirometry, and histamine challenge test. The evaluation of the work-relatedness of asthma in the exposed workers was based on serial peak expiratory flow rate (PEFR) measurements and bronchoprovocation tests. We found a higher prevalence of respiratory symptoms in the exposed workers, whereas spirometric parameters were significantly lower. The prevalence of sensitisation to allergens and of bronchial hyperresponsivenss (BHR) did not differ significantly between the groups. The prevalence of asthma was also similar in both groups (8.0 %
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<abstract xml:lang="hr">
<title>Profesionalna Astma u Radnika Izloženih Prašinama iz Biljnih i Voćnih Čajeva</title>
<p>Svrha je ovoga presječnog ispitivanja bila otkriti profesionalnu astmu u skupini od 63 ispitanika koji su na radnome mjestu bili izloženi prašinama biljnih i voćnih čajeva. Kao kontrola uzet je jednak broj uredskih radnika koji nisu bili izloženi ovim prašinama. Ocjena izloženih i kontrolnih ispitanika obuhvatila je upitnik, skin prick testove na uobičajene i profesionalne inhalacijske alergene, spirometriju te histaminski test. Povezanost astme s profesionalnom izloženosti u radnika utvrđena je prema kriterijima Američkog kolegija pulmologa (American College of Chest Physicians, krat. ACCP), a na temelju mjerenja niza vršnih ekspiratornih protoka (engl.
<italic>peak expiratory flow rate</italic>
, PEFR) i niza bronhoprovokativnih testova. Izloženi su radnici iskazali veću prevalenciju respiratornih simptoma odnosno niže spirometrijske vrijednosti od kontrole. Izloženi ispitanici nisu se značajno razlikovali od kontrole u prevalenciji senzibilizacije na profesionalne i uobičajene inhalacijske alergene te prevalenciji pretjerane bronhalne reaktivnosti (engl.
<italic>bronchial hyperresponsiveness</italic>
, krat. BHR). Isto vrijedi i za prevalenciju astme (8, 0 % u izloženih radnika prema 6, 4 % u kontrola; P=0, 540). Povezanost simptoma s poslom prijavili su svi radnici u obradi čaja oboljeli od astme te ni jedan kontrolni ispitanik s astmom. U jednoga astmatičnog radnika na čaju utvrđene su značajne promjene u dnevnim varijacijama PEFR-a te u nespecifičnom BHR-u koji upućuju na profesionalnu astmu (1.6 %). Nije utvrđeno koja je to tvar uzrokovala profesionalnu astmu u ovog ispitanika. Nitko od izloženih radnika s astmom nije zadovoljio sve medicinske kriterije za dijagnozu sindroma reaktivne disfunkcije dišnih putova (engl.
<italic>reactive airway dysfunction syndrome</italic>
, RADS). Naši podaci potvrđuju da je profesionalna izloženost prašinama iz biljnih i voćnih čajeva čimbenik rizika od profesionalne astme.</p>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>bronchial provocation tests</kwd>
<kwd>peak expiratory flow rate</kwd>
<kwd>skin prick test</kwd>
</kwd-group>
<kwd-group xml:lang="hr">
<title>Keywords</title>
<kwd>bronhoprovokativni testovi</kwd>
<kwd>profesionalna izloženost</kwd>
<kwd>vršni ekspiratorni protok</kwd>
<kwd>skin prick test</kwd>
</kwd-group>
</article-meta>
</front>
</article>
</istex:document>
</istex:metadataXml>
<mods version="3.6">
<titleInfo lang="en">
<title>Occupational Asthma in Subjects Occupationally Exposed to Herbal and Fruit Tea Dust</title>
</titleInfo>
<titleInfo type="alternative" lang="en" contentType="CDATA">
<title>Occupational Asthma in Subjects Occupationally Exposed to Herbal and Fruit Tea Dust</title>
</titleInfo>
<name type="personal">
<namePart type="given">Jordan</namePart>
<namePart type="family">Minov</namePart>
<affiliation></affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Jovanka</namePart>
<namePart type="family">Karadžinska-Bislimovska</namePart>
<affiliation></affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Kristin</namePart>
<namePart type="family">Vasilevska</namePart>
<affiliation></affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Snžana</namePart>
<namePart type="family">Risteska-Kuc</namePart>
<affiliation></affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Sašo</namePart>
<namePart type="family">Stoleski</namePart>
<affiliation></affiliation>
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<roleTerm type="text">author</roleTerm>
</role>
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<originInfo>
<publisher>Versita</publisher>
<dateIssued encoding="w3cdtf">2007-06-01</dateIssued>
<dateCreated encoding="w3cdtf">2007-06-11</dateCreated>
</originInfo>
<language>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
<languageTerm type="code" authority="rfc3066">en</languageTerm>
</language>
<physicalDescription>
<internetMediaType>text/html</internetMediaType>
</physicalDescription>
<abstract lang="en">We performed a cross-sectional study to detect occupational asthma (OA) in 63 subjects occupationally exposed to herbal and fruit tea dust and in 63 corresponding controls. The evaluation included a questionnaire, skin prick tests to workplace and common inhalant allergens, spirometry, and histamine challenge test. The evaluation of the work-relatedness of asthma in the exposed workers was based on serial peak expiratory flow rate (PEFR) measurements and bronchoprovocation tests. We found a higher prevalence of respiratory symptoms in the exposed workers, whereas spirometric parameters were significantly lower. The prevalence of sensitisation to allergens and of bronchial hyperresponsivenss (BHR) did not differ significantly between the groups. The prevalence of asthma was also similar in both groups (8.0 % vs. 6.4 %; P=0.540). Work-relatedness of symptoms was reported by all asthmatic tea workers and by no control with asthma. Significant work-related changes in PEFR diurnal variations and in non-specific BHR, suggesting allergic OA, were found in one tea worker with asthma (1.6 %). No specific workplace agent causing OA in the affected subject was identified. None of the tea workers with asthma met the criteria for medical case definition of the reactive airway dysfunction syndrome (RADS). Our data confirm workplace exposure to herbal and fruit tea dust as a risk factor for OA.</abstract>
<abstract lang="hr">Svrha je ovoga presječnog ispitivanja bila otkriti profesionalnu astmu u skupini od 63 ispitanika koji su na radnome mjestu bili izloženi prašinama biljnih i voćnih čajeva. Kao kontrola uzet je jednak broj uredskih radnika koji nisu bili izloženi ovim prašinama. Ocjena izloženih i kontrolnih ispitanika obuhvatila je upitnik, skin prick testove na uobičajene i profesionalne inhalacijske alergene, spirometriju te histaminski test. Povezanost astme s profesionalnom izloženosti u radnika utvrđena je prema kriterijima Američkog kolegija pulmologa (American College of Chest Physicians, krat. ACCP), a na temelju mjerenja niza vršnih ekspiratornih protoka (engl. peak expiratory flow rate, PEFR) i niza bronhoprovokativnih testova. Izloženi su radnici iskazali veću prevalenciju respiratornih simptoma odnosno niže spirometrijske vrijednosti od kontrole. Izloženi ispitanici nisu se značajno razlikovali od kontrole u prevalenciji senzibilizacije na profesionalne i uobičajene inhalacijske alergene te prevalenciji pretjerane bronhalne reaktivnosti (engl. bronchial hyperresponsiveness, krat. BHR). Isto vrijedi i za prevalenciju astme (8, 0 % u izloženih radnika prema 6, 4 % u kontrola; P=0, 540). Povezanost simptoma s poslom prijavili su svi radnici u obradi čaja oboljeli od astme te ni jedan kontrolni ispitanik s astmom. U jednoga astmatičnog radnika na čaju utvrđene su značajne promjene u dnevnim varijacijama PEFR-a te u nespecifičnom BHR-u koji upućuju na profesionalnu astmu (1.6 %). Nije utvrđeno koja je to tvar uzrokovala profesionalnu astmu u ovog ispitanika. Nitko od izloženih radnika s astmom nije zadovoljio sve medicinske kriterije za dijagnozu sindroma reaktivne disfunkcije dišnih putova (engl. reactive airway dysfunction syndrome, RADS). Naši podaci potvrđuju da je profesionalna izloženost prašinama iz biljnih i voćnih čajeva čimbenik rizika od profesionalne astme.</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>bronchial provocation tests</topic>
<topic>peak expiratory flow rate</topic>
<topic>skin prick test</topic>
</subject>
<subject lang="hr">
<genre>Keywords</genre>
<topic>bronhoprovokativni testovi</topic>
<topic>profesionalna izloženost</topic>
<topic>vršni ekspiratorni protok</topic>
<topic>skin prick test</topic>
</subject>
<relatedItem type="host">
<titleInfo>
<title>Archives of Industrial Hygiene and Toxicology</title>
</titleInfo>
<identifier type="ISSN">0004-1254</identifier>
<identifier type="JournalID">AIHT</identifier>
<part>
<date>2007</date>
<detail type="volume">
<caption>vol.</caption>
<number>58</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>2</number>
</detail>
<extent unit="pages">
<start>211</start>
<end>221</end>
</extent>
</part>
</relatedItem>
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<genre>pdf</genre>
<identifier type="pdf">v10004-007-0016-4.pdf</identifier>
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<identifier type="istex">64FDA40D79456095A2D5DD9FF01D7863F566B616</identifier>
<identifier type="DOI">10.2478/v10004-007-0016-4</identifier>
<identifier type="ArticleID">v10004-007-0016-4</identifier>
<identifier type="Related-article-Href">v10004-007-0016-4.pdf</identifier>
<accessCondition type="use and reproduction" contentType="open-access">This content is open access.</accessCondition>
<recordInfo>
<recordContentSource>De Gruyter</recordContentSource>
</recordInfo>
</mods>
</metadata>
<serie></serie>
</istex>
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