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Titolo:
Current best practice for the health surveillance of enzyme workers in thesoap and detergent industry
Autore:
Nicholson, PJ; Taylor, AJN; Oliver, P; Cathcart, M;
Indirizzi:
Procter & Gamble Co, Surrey TW20 9NW, England Procter & Gamble Co SurreyEngland TW20 9NW Co, Surrey TW20 9NW, England
Titolo Testata:
OCCUPATIONAL MEDICINE-OXFORD
fascicolo: 2, volume: 51, anno: 2001,
pagine: 81 - 92
SICI:
0962-7480(200103)51:2<81:CBPFTH>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
SKIN-PRICK-TEST; OCCUPATIONAL-LUNG-DISEASE; BACILLUS-SUBTILIS; MEDICAL SURVEILLANCE; BAKING INDUSTRY; ALLERGIC-ASTHMA; ALPHA-AMYLASE; CETIRIZINE; GUIDELINES; HISTAMINE;
Keywords:
asthma; enzymes; health surveillance;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
101
Recensione:
Indirizzi per estratti:
Indirizzo: Nicholson, PJ Procter & Gamble Co, Rusham Pk,Whitehall Lane, Surrey TW20 9NW, England Procter & Gamble Co Rusham Pk,Whitehall Lane Surrey England TW20 9NW
Citazione:
P.J. Nicholson et al., "Current best practice for the health surveillance of enzyme workers in thesoap and detergent industry", OCCUP MED-O, 51(2), 2001, pp. 81-92

Abstract

This study defines current best practice for the health surveillance of workers who are potentially exposed to enzymes in the manufacture of enzymatic detergent products. It is recommended that health surveillance is performed 6-monthly for the first 2 years and annually thereafter. The health surveillance programme should include a respiratory questionnaire to detect symptoms, assessment of lung function to detect pre-symptomatic changes and animmunological test to detect specific immunoglobulin E (IgE) to enzymes. The International Union Against Tuberculosis and Lung Disease respiratory questionnaire should be used since it has been validated extensively for detecting asthma. Operators should observe the American Thoracic Society performance criteria for spirometers and standardized procedures for conducting spirometry. Since current airborne monitoring techniques for enzymes do not detect short-duration peak exposures, the incidence of employee sensitizations remains the most reliable measure of the integrity of environmental control. The Pepys skin prick test has been validated as a sensitive, specificand practical test for detecting specific IgE to many inhalant allergens including enzymes. For newly sensitized workers, a multi-cause investigationshould be conducted to identify potential sources of exposure. Group results of immunological test results assist in the evaluation of workplace control measures, and should be used to monitor the effectiveness of hygiene and engineering programmes and to help prioritize areas for improvement. Positive responses to a questionnaire or abnormal spirometry should be assessedfurther. Occupational asthma should be excluded in any case of adult-onsetasthma that starts or deteriorates during working life. This is particularly important because an accurate diagnosis of occupational asthma with early avoidance of exposure to its cause can result in remission of symptoms and restoration of lung function.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/21 alle ore 10:16:55