Prospective Outcome Assessment of Occupational Rhinitis After Removal From Exposure

被引:10
作者
Castano, Roberto [1 ,2 ]
Trudeau, Carole [2 ]
Castellanos, Lucero [2 ]
Malo, Jean-Luc [2 ,3 ]
机构
[1] Hop Sacre Coeur, Dept Surg Otolaryngol, Montreal, PQ H4J 1C5, Canada
[2] Hop Sacre Coeur, Axe Rech Sante Resp, Montreal, PQ H4J 1C5, Canada
[3] Hop Sacre Coeur, Dept Chest Med, Montreal, PQ H4J 1C5, Canada
关键词
QUALITY-OF-LIFE; ACOUSTIC RHINOMETRY; AIRWAY INFLAMMATION; ALLERGIC RHINITIS; NASAL LAVAGE; ASTHMA; SYMPTOMS; REPRODUCIBILITY; QUESTIONNAIRE; MACROPHAGES;
D O I
10.1097/JOM.0b013e318289ee17
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To conduct a prospective evaluation of clinical and quality of life (QOL) outcomes of occupational rhinitis (OR) after cessation of exposure. Methods: We assessed changes in nasal symptoms, disease-specific QOL, nasal patency, and nasal inflammation in 20 subjects with confirmed OR. Olfactory function was assessed cross-sectionally at follow-up: Results: At follow-up, a significant decrease in the number of nasal symptoms and a significant improvement in QOL were observed. There were no significant differences in nasal patency outcomes. A not significant decrease in neutrophils number in nasal fluid and a significant decrease in macrophages were observed. As a group, study subjects showed a mild olfactory dysfunction at follow-up. Conclusions: We showed that cessation of exposure to causal agent improved QOL in patients with OR, leading to relief of rhinitis-associated symptoms and improvement in well-being.
引用
收藏
页码:579 / 585
页数:7
相关论文
共 34 条
[1]   Long-Term Exposure and Health-Related Quality of Life Among Occupational Rhinitis [J].
Airaksinen, Liisa K. ;
Luukkonen, Ritva A. ;
Lindstrom, Irmeli ;
Lauerma, Antti I. ;
Toskala, Elina M. .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2009, 51 (11) :1288-1297
[2]   Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the highest level of evidence [J].
Andre, R. F. ;
Vuyk, H. D. ;
Ahmed, A. ;
Graamans, K. ;
Trenite, Nolst G. J. .
CLINICAL OTOLARYNGOLOGY, 2009, 34 (06) :518-525
[3]   Occupational asthma due to low molecular weight agents: eosinophilic and non-eosinophilic variants [J].
Anees, W ;
Huggins, V ;
Pavord, ID ;
Robertson, AS ;
Burge, PS .
THORAX, 2002, 57 (03) :231-236
[4]   POSSIBLE ROLE OF MACROPHAGES IN ALLERGIC RHINITIS [J].
BACHERT, C ;
BEHRENDT, H ;
NOSBUSCH, K ;
HAUSER, U ;
GANZER, U .
INTERNATIONAL ARCHIVES OF ALLERGY AND APPLIED IMMUNOLOGY, 1991, 94 (1-4) :244-245
[5]   Rhinasthma: a new specific QoL questionnaire for patients with rhinitis and asthma [J].
Baiardini, I ;
Pasquali, M ;
Giardini, A ;
Specchia, C ;
Passalacqua, G ;
Venturi, S ;
Braido, F ;
Bonini, S ;
Majani, G ;
Canonica, GW .
ALLERGY, 2003, 58 (04) :289-294
[6]   Visual analog scales can assess the severity of rhinitis graded according to ARIA guidelines [J].
Bousquet, P. J. ;
Combescure, C. ;
Neukirch, F. ;
Klossek, J. M. ;
Mechin, H. ;
Daures, J. -P. ;
Bousquet, J. .
ALLERGY, 2007, 62 (04) :367-372
[7]   Nasal symptoms and indices of nasal inflammation in flour-dust-exposed bakers [J].
Brisman, J ;
Toren, K ;
Lillienberg, L ;
Karlsson, G ;
Ahlstedt, S .
INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH, 1998, 71 (08) :525-532
[8]  
BURNEY PGJ, 1989, EUR RESPIR J, V2, P940
[9]   Correlation between acoustic rhinometry and subjective nasal patency during nasal challenge test in subjects with suspected occupational rhinitis; a prospective controlled study [J].
Castano, R. ;
Trudeau, C. ;
Ghezzo, H. .
CLINICAL OTOLARYNGOLOGY, 2010, 35 (06) :462-467
[10]   Occupational rhinitis in workers investigated for occupational asthma [J].
Castano, R. ;
Gautrin, D. ;
Theriault, G. ;
Trudeau, C. ;
Ghezzo, H. ;
Malo, J-L .
THORAX, 2009, 64 (01) :50-54