Yıl: 2010 Cilt: 58 Sayı: 1 Sayfa Aralığı: 64 - 70 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Occupational asthma in welders and painters

Öz:
Bir bisiklet fabrikasının aynı bölümünde çalışan 3 işçide arka arkaya meslek astımı (MA) saptanmasının ardından, bu fabrikadaki MA sıklığını ve MA gelişimi ile ilgili risk faktörlerini araştırmayı amaçladık. Kırk bir kaynakçı, 23 boyacı ve 46 kontrol grubu (ofis çalışanları) olmak üzere toplam 110 olgu çalışmaya dahil edildi. Olgulara Türk Toraks Derneği Mesleki ve Çevresel Hastalıklar Değerlendirme Anketi ve gereğinde fizik muayene, akciğer grafisi ve solunum fonksiyon testleri uygulandı. Kaynakçı ve boyacılarda pik ekspiratuar akım (PEF) takibi yapıldı. Meslek ile ilişkili semptomları ve ≥ %20 PEF değişkenliği olan olguların MA olduğu kabul edildi. İstatistiksel anlama ulaşmamakla beraber whezing boyacı ve kaynakçılarda kontrol grubundan daha sıktı. Dispne, öksürük ve balgam çıkartma da kaynakçı ve boyacılarda kontrollere göre daha fazlaydı (p< 0.05). Dokuz (%22) kaynakçı ve 4 (%18) boyacı MA tanısı aldı. MA tanısı alan kaynakçı ve boyacıların çalışma süresi (sırasıyla 72 ve 156 ay), MA tanısı almayan kaynakçı ve boyacılardan daha fazlaydı (sırasıyla 45, 76 ay), ancak istatistiksel olarak anlamlı değildi. Sonuçlarımıza göre, kaynak ve boya bölümlerinde çalışmanın solunumsal semptomlara ve MA gelişimine yol açabileceğini düşünmekteyiz.
Anahtar Kelime:

Konular: Solunum Sistemi Kulak, Burun, Boğaz

Kaynakçı ve boyacılarda meslek astımı

Öz:
We aimed to investigate the frequency of occupational asthma (OA) and the factors associated with OA development in a bicycle factory, subsequently after the diagnosis of OA in three workers at the same department. Forty one welders, 23 painters and 46 controls (office workers), a total number of 110 cases were included in the study. Turkish Thoracic Society Occupational and Environmental Diseases Evaluation Questionnaire and physical examination, chest-X ray, pulmonary function tests were performed as needed. Peak expiratory flow (PEF) follow-up was done in welders and painters. Cases having symptoms related with work and &#8805; 20% PEF variability were diagnosed as OA. Wheezing were more frequent in welders and painters than the control group, although there wasn&#8217;t a statisticall significance. Dyspnea, cough and sputum production were more frequent in welders and painters with respect to controls (p< 0.05). Nine (22%) welder, 4 (18%) painter were diagnosed as OA. Working duration of welders and painters with OA (72, 156 months, respectively) were longer than the welders and painters without OA (45, 76 months, respectively), but it did not have any statistically significance. We suggest that working in welding and painting departments may cause respiratory symptoms and OA.
Anahtar Kelime:

Konular: Solunum Sistemi Kulak, Burun, Boğaz
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. McDonald JC, Chen Y, Zekveld J, et al. Incidence by occupation and industry of acute work related respiratory diseases in UK, 1992-2001. Occup Environ Med 2005; 62: 836-42.
  • 2. Balmes J, Becklake M, Blanc P, et al. American Thoracic Society Statement: Occupational contribution to the burden of airway disease. Am J Respir Crit Care Med 2003; 167: 787-97.
  • 3. Chan-Yeung M. Occupational asthma. Clin Rev Allergy 1986; 4: 251-66.
  • 4. Antonini JM, Taylor MD, Zimmer AT, Roberts JR. Pulmonary responses to welding fumes: Role of metal constituents. J Toxicol Environ Health A 2004; 67: 233-49.
  • 5. El-Zein M, Malo JL, Infante-Rivard C, Gautrin D. Incidence of probable occupational asthma and changes in airway caliber and responsiveness in apprentice welders. Eur Respir J 2003; 22: 513-8.
  • 6. Sferlazza S, Beckett W. The respiratory health of welders. Am Rev Respir Dis 1991; 143: 1134-48.
  • 7. Mur J, Teculescu D, Pham Q, et al. Lung function and clinical findings in a cross-sectional study of arc welders. Int Arch Occup Environ Health 1985; 57: 1-17.
  • 8. Akbar-Khanzadeh F. Short-term respiratory function changes in relation to workshift welding fume exposure. Int Arch Environ Health 1993; 64: 393-7.
  • 9. Rastogi S, Gupta B, Husain T, et al. Spirometric abnormalities among welders. Env Res 1991; 56: 15-24.
  • 10. Ozdemir O, Numanoglu N, Gonullu U, et al. Chronic effects of welding exposure on pulmonary function tests and respiratory symptoms. Occup Environ Med 1995; 52: 800-803.8.
  • 11. Wang ZP, Larsson K, Malmberg P, et al. Asthma, lung function, and bronchial responsiveness in welders. Am J Ind Med 1994; 26: 741-754.9.
  • 12. Erhabor GE, Fatusi S, Obembe OB. Pulmonary functions in arc-welders in Ile-Ife, Nigeria. East Afr Med J 2001; 78: 461-4.
  • 13. Nemery B. Occupational asthma for the clinician. Breathe 2004; 1: 25-33.
  • 14. Thorax Society Occupational and Environmental Diseases Task Force. Occupational and Environmental Diseases Evaluation Form (Turkish). Solunum Hastalıkları 1998; 9: 225-32.
  • 15. American Thoracic Society (ATS). Standardization of spirometry. Am J Respir Crit Care Med 1995; 152: 1136.
  • 16. Johansson SG, Bieber T, Dahl R, et al. Revised nomenclature for allergy for global use: Report of the Nomenclature Review Committee of the World Allergy Organization, October 2003. J Allergy Clin Immunol 2004; 113: 832-6.
  • 17. Banks DE, Jalloul A. Occupational asthma, work-related asthma and reactive airways dysfunction syndrome. Curr Opin Pulm Med 2007; 13: 131-6.
  • 18. Vandenplas O, Ghezzo H, Munoz X, et al. What are the questionnaire items most useful in identifying subjects with occupational asthma? Eur Respir J 2005; 26: 1056-63.
  • 19. Bernstein DI. Clinical assessment and management of occupational asthma. In: Bernstein IL, Chan-Yeung M, Malo JL, Bernstein DI (eds). Asthma in the Workplace. 2nd ed. New York: Marcel Dekker Inc, 1999: 145-57.
  • 20. Malo JL, Ghezzo H, L’Archeveˆque J, et al. Is the clinical history a satisfactory means of diagnosing occupational asthma? Am Rev Respir Dis 1991; 143: 528-32.
  • 21. Anees W, Gannon PF, Huggins V, et al. Effect of peak expiratory flow data quantity on diagnostic sensitivity and specificity in occupational asthma. Eur Respir J 2004; 23: 730-4.
  • 22. El-Zein M, Infante-Rivard C, Malo JL, Gautrin D. Is metal fume fever a determinant of welding related respiratory symptoms and/or increased bronchial responsiveness? A longitudinal study. Occup Environ Med 2005; 62: 688-94.
  • 23. Hammond SK, Gold E, Baker R, et al. Respiratory health effects related to occupational spray painting and welding. J Occup Environ Med 2005; 47: 728-39.
  • 24. Fishwick D, Pearce N, Souza W, et al. Occupational asthma in New Zealanders: A population based study. Occup Environ Med 1997; 54: 301-6.
  • 25. Erkinjuntti-Pekkanen R, Slater T, Cheng S, et al. Two year follow up of pulmonary function values among welders in New Zealand. Occup Environ Med 1999; 56: 328-33.
  • 26. Beckett WS, Pace PE, Sferlazza SJ, et al. Airway reactivity in welders: A controlled prospective cohort study. J Occup Environ Med 1996; 38: 1229-38.
  • 27. Mapp CE, Boschetto P, Maestralli P, et al. Occupational asthma. Am J Respir Crit Care Med 2005; 172: 280-306.
  • 28. Mapp CE, Boschetto P. Occupational asthma. Eur Respir Mon 2003; 23: 249-59.
  • 29. Becklacke MR, Malo JL, Chan-Yeung M. Epidemiological approaches in occupational asthma. In: Bernstein IL, Chan-Yeung M, Malo JL, Bernstein DI (eds). Asthma in the Workplace. New York: Marcel Dekker, 1999: 27-65.
  • 30. Beach JR, Dennis JH, Avery AJ, et al. Am J Respir Crit Care Med 1996; 145: 1394-400.
  • 31. Vandenplass O, Malo JL, Saetta ME, et al. Occupational asthma and extrinsic alveolitis due to isocyanates: Current status and perspectives. Br J Ind Med 1993; 50: 213-28.
  • 32. Sari-Minodier I, Charpin D, Signouret M, et al. Prevalence of self-reported respiratory symptoms in workers exposed to isocyanates. J Occup Environ Med 1999; 41: 582-8.
APA TEMEL O, ŞAKAR COŞKUN A, YAMAN N, SARIOĞLU N, ALKAÇ Ç, KONYAR I, ÖZGEN ALPAYDIN A, ÇELİK P, ÖZYURT C, KESKİN E, YORGANCIOĞLU A (2010). Occupational asthma in welders and painters. , 64 - 70.
Chicago TEMEL Orhan,ŞAKAR COŞKUN AYŞIN,YAMAN Nesrin,SARIOĞLU NURHAN,ALKAÇ Çayan,KONYAR Işın,ÖZGEN ALPAYDIN Aylin,ÇELİK PINAR,ÖZYURT Cengiz Beyhan,KESKİN Emine,YORGANCIOĞLU Arzu Occupational asthma in welders and painters. (2010): 64 - 70.
MLA TEMEL Orhan,ŞAKAR COŞKUN AYŞIN,YAMAN Nesrin,SARIOĞLU NURHAN,ALKAÇ Çayan,KONYAR Işın,ÖZGEN ALPAYDIN Aylin,ÇELİK PINAR,ÖZYURT Cengiz Beyhan,KESKİN Emine,YORGANCIOĞLU Arzu Occupational asthma in welders and painters. , 2010, ss.64 - 70.
AMA TEMEL O,ŞAKAR COŞKUN A,YAMAN N,SARIOĞLU N,ALKAÇ Ç,KONYAR I,ÖZGEN ALPAYDIN A,ÇELİK P,ÖZYURT C,KESKİN E,YORGANCIOĞLU A Occupational asthma in welders and painters. . 2010; 64 - 70.
Vancouver TEMEL O,ŞAKAR COŞKUN A,YAMAN N,SARIOĞLU N,ALKAÇ Ç,KONYAR I,ÖZGEN ALPAYDIN A,ÇELİK P,ÖZYURT C,KESKİN E,YORGANCIOĞLU A Occupational asthma in welders and painters. . 2010; 64 - 70.
IEEE TEMEL O,ŞAKAR COŞKUN A,YAMAN N,SARIOĞLU N,ALKAÇ Ç,KONYAR I,ÖZGEN ALPAYDIN A,ÇELİK P,ÖZYURT C,KESKİN E,YORGANCIOĞLU A "Occupational asthma in welders and painters." , ss.64 - 70, 2010.
ISNAD TEMEL, Orhan vd. "Occupational asthma in welders and painters". (2010), 64-70.
APA TEMEL O, ŞAKAR COŞKUN A, YAMAN N, SARIOĞLU N, ALKAÇ Ç, KONYAR I, ÖZGEN ALPAYDIN A, ÇELİK P, ÖZYURT C, KESKİN E, YORGANCIOĞLU A (2010). Occupational asthma in welders and painters. Tüberküloz ve Toraks, 58(1), 64 - 70.
Chicago TEMEL Orhan,ŞAKAR COŞKUN AYŞIN,YAMAN Nesrin,SARIOĞLU NURHAN,ALKAÇ Çayan,KONYAR Işın,ÖZGEN ALPAYDIN Aylin,ÇELİK PINAR,ÖZYURT Cengiz Beyhan,KESKİN Emine,YORGANCIOĞLU Arzu Occupational asthma in welders and painters. Tüberküloz ve Toraks 58, no.1 (2010): 64 - 70.
MLA TEMEL Orhan,ŞAKAR COŞKUN AYŞIN,YAMAN Nesrin,SARIOĞLU NURHAN,ALKAÇ Çayan,KONYAR Işın,ÖZGEN ALPAYDIN Aylin,ÇELİK PINAR,ÖZYURT Cengiz Beyhan,KESKİN Emine,YORGANCIOĞLU Arzu Occupational asthma in welders and painters. Tüberküloz ve Toraks, vol.58, no.1, 2010, ss.64 - 70.
AMA TEMEL O,ŞAKAR COŞKUN A,YAMAN N,SARIOĞLU N,ALKAÇ Ç,KONYAR I,ÖZGEN ALPAYDIN A,ÇELİK P,ÖZYURT C,KESKİN E,YORGANCIOĞLU A Occupational asthma in welders and painters. Tüberküloz ve Toraks. 2010; 58(1): 64 - 70.
Vancouver TEMEL O,ŞAKAR COŞKUN A,YAMAN N,SARIOĞLU N,ALKAÇ Ç,KONYAR I,ÖZGEN ALPAYDIN A,ÇELİK P,ÖZYURT C,KESKİN E,YORGANCIOĞLU A Occupational asthma in welders and painters. Tüberküloz ve Toraks. 2010; 58(1): 64 - 70.
IEEE TEMEL O,ŞAKAR COŞKUN A,YAMAN N,SARIOĞLU N,ALKAÇ Ç,KONYAR I,ÖZGEN ALPAYDIN A,ÇELİK P,ÖZYURT C,KESKİN E,YORGANCIOĞLU A "Occupational asthma in welders and painters." Tüberküloz ve Toraks, 58, ss.64 - 70, 2010.
ISNAD TEMEL, Orhan vd. "Occupational asthma in welders and painters". Tüberküloz ve Toraks 58/1 (2010), 64-70.