NDLI: Occupational asthma in professional cleaning work: a clinical study.

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Occupational asthma in professional cleaning work: a clinical study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Mäkelä, R. Kauppi, P. Suuronen, K. Tuppurainen, M. Hannu, T.
Spatial Coverage	Finland
Description	Country affiliation: Finland Author Affiliation: Mäkelä R ( Occupational Medicine, Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, FI-00250 Helsinki, Finland.)
Abstract	BACKGROUND: Several epidemiological studies have reported an increased risk of asthma among professional cleaners. To date, however, no analysis of large patient series from clinic of occupational medicine has been published. AIMS: To describe the cases of occupational asthma (OA) diagnosed at the Finnish Institute of Occupational Health (FIOH) during the period 1994-2004 in workers employed in professional cleaning work. METHODS: OA was diagnosed according to patient history, lung function examinations and specific challenge tests with measurements of the forced expiratory volume in 1 second and peak expiratory flow values. RESULTS: Our series comprised 20 patients, all female, with a mean age of 48.8 years (range 27-60 years). The mean duration of cleaning work before the onset of the respiratory symptoms was 14.3 years (range 1-36 years), and the mean duration of cleaning work before the FIOH examinations was 18.6 years (range 3-38 years). OA was triggered by chemicals in 9 cases (45%) and by moulds in 11 cases (55%). The chemicals were cleaning chemicals (wax-removing substances containing ethanolamines in five cases and a cleaning agent containing chloramine-T in one case) and chemicals used in the industrial processes at workplaces (three cases). Of the moulds, the most frequently associated with OA was Aspergillus fumigatus (nine cases). CONCLUSIONS: OA was attributed not only to cleaning chemicals but also to other chemicals used in work environments. Moulds are presented as a new cause of OA in cleaners.
File Format	HTM / HTML
ISSN	09627480
e-ISSN	14718405
Journal	Occupational Medicine
Issue Number	2
Volume Number	61
Language	English
Publisher	Oxford University Press
Publisher Date	2011-03-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Occupational Medicine Asthma Chemically Induced Occupational Diseases Occupational Exposure Adverse Effects Aspergillus Fumigatus Isolation & Purification Diagnosis Microbiology Chloramines Toxicity Detergents Disinfectants Ethanolamines Finland Forced Expiratory Volume Physiology Mitosporic Fungi Peak Expiratory Flow Rate Spirometry Tosyl Compounds Vital Capacity
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health

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