Cleaning Tasks and Products and Asthma Among Healthcare Professionals

Source avec lien : Journal of Occupational and Environmental Medicine, En ligne. 10.1097/JOM.0000000000002990

Les travailleurs de la santé sont exposés à un risque d’asthme lié au travail, qui peut être affecté par des changements dans les pratiques de nettoyage. Nous avons examiné les associations entre les tâches et les produits de nettoyage et l’asthme lié au travail chez les travailleurs de la santé.

Objective  Healthcare workers (HCWs) are at risk for work-related asthma, which may be affected by changes in cleaning practices. We examined associations of cleaning tasks and products with work-related asthma in HCWs in 2016, comparing them to prior results from 2003. Methods  We estimated asthma prevalence by professional group, and explored associations of self-reported asthma with job-exposure matrix-based cleaning tasks/products in a representative Texas sample of 9914 physicians, nurses, respiratory/occupational therapists, and nurse aides. Results  Response rate was 34.8%(n = 2,421). The weighted prevalences of physician-diagnosed(15.3%), work-exacerbated (4.1%), and new-onset asthma(NOA) (6.7%), and bronchial hyperresponsiveness symptoms(31.1%) were similar to 2003. NOA was associated with building surface cleaning(OR = 1.91; 95%CI:1.10-3.33), use of orthophthalaldehyde(OR = 1.77; 95%CI:1.15-2.72), bleach/quaternary compounds(OR = 1.91; 95%CI:1.10-3.33), and sprays(OR = 1.97; 95%CI:1.12-3.47). Conclusion  Prevalence of asthma/BHR appears unchanged, whereas associations of NOA with exposures to surface cleaning remained, and decreased for instrument cleaning.

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