Asthma and exposure to cleaning products - a European Academy of Allergy and Clinical Immunology task force consensus statement

被引:143
作者
Siracusa, A. [1 ]
De Blay, F. [2 ]
Folletti, I. [3 ]
Moscato, G. [4 ]
Olivieri, M. [5 ]
Quirce, S. [6 ,7 ]
Raulf-Heimsoth, M. [8 ]
Sastre, J. [9 ,10 ]
Tarlo, S. M. [11 ]
Walusiak-Skorupa, J. [12 ]
Zock, J. -P. [13 ,14 ,15 ]
机构
[1] Univ Perugia, Dept Occupat Med, I-06121 Perugia, Italy
[2] Univ Strasbourg, Univ Hosp Strasbourg, Div Asthma & Allergy, Dept Chest Dis, Strasbourg, France
[3] Univ Perugia, Terni Hosp, Dept Occupat Med, I-06121 Perugia, Italy
[4] Sci Inst Pavia, Inst Care & Res, Allergy & Immunol Unit, Fdn Salvatore Maugeri, Pavia, Italy
[5] Univ Hosp Verona, Unit Occupat Med, Verona, Italy
[6] Hosp La Paz Inst Hlth Res IdiPAZ, Dept Allergy, Madrid, Spain
[7] CIBER Resp Dis CIBERES, Madrid, Spain
[8] Inst Ruhr Univ Bochum, German Social Accid Insurance, Inst Prevent & Occupat Med, Bochum, Germany
[9] Ciberes, CIBER Enfermedades Resp, Dept Allergy, Madrid, Spain
[10] Fdn Jimenez Diaz, E-28040 Madrid, Spain
[11] Toronto Western Hosp, Toronto, ON M5T 2S8, Canada
[12] Nofer, Inst Occupat Med, Lodz, Poland
[13] Ctr Res Environm Epidemiol CREAL, Barcelona, Spain
[14] Hosp Mar Med Res Inst IMIM, Barcelona, Spain
[15] CIBER Epidemiol & Salud Publ CIBERES, Barcelona, Spain
关键词
allergies; asthma; epidemiology; occupational; prevention; WORK-RELATED ASTHMA; AIRWAYS DYSFUNCTION SYNDROME; QUATERNARY AMMONIUM-COMPOUNDS; OCCUPATIONAL RISK-FACTORS; IRRITANT-INDUCED ASTHMA; RESPIRATORY SYMPTOMS; CHLORAMINE-T; HEALTH; CHEMICALS; DISEASES;
D O I
10.1111/all.12279
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Professional and domestic cleaning is associated with work-related asthma (WRA). This position paper reviews the literature linking exposure to cleaning products and the risk of asthma and focuses on prevention. Increased risk of asthma has been shown in many epidemiological and surveillance studies, and several case reports describe the relationship between exposure to one or more cleaning agents and WRA. Cleaning sprays, bleach, ammonia, disinfectants, mixing products, and specific job tasks have been identified as specific causes and/or triggers of asthma. Because research conclusions and policy suggestions have remained unheeded by manufactures, vendors, and commercial cleaning companies, it is time for a multifaceted intervention. Possible preventive measures encompass the following: substitution of cleaning sprays, bleach, and ammonia; minimizing the use of disinfectants; avoidance of mixing products; use of respiratory protective devices; and worker education. Moreover, we suggest the education of unions, consumer, and public interest groups to encourage safer products. In addition, information activities for the general population with the purpose of improving the knowledge of professional and domestic cleaners regarding risks and available preventive measures and to promote strict collaboration between scientific communities and safety and health agencies are urgently needed.
引用
收藏
页码:1532 / 1545
页数:14
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