Identificated exposures and its consequences on employment in patients with occupational asthma
Kammoun Nesrine1, Bahloul Najla2, Hajjaji Mounira1, Feki Walid2, Ben Salah Béchir1, Kallel nessrine2, Kotti Amina2, Kammoun Samy2 and Jmal Hammami Kaouthar1
1Medicine Department of Labour - Hospital HediChaker - Tunisia , Sfax, SFAX, Tunisia, 2Pulmonology Department - Hospital HediChaker, SFAX, Tunisia
Work-related asthma includes work aggravation of preexisting asthma and new-onset asthma induced by occupational exposure.
To identify cases of asthma related to the occupational exposure, assess the severity and control of asthma at work and appreciate the consequences on employment, we conducted a cross-sectional study involving all active asthmatic patients who had consulted the pulmonology department of the University Hospital of Sfax in Tunisia for a period of four months.
We collected the records of 104 patients. The group of elementary occupations was 69.2%. Workers in the textile and food industry represented 16.3% and 15.4% respectively. Symptoms appear in the first ten years of occupational exposure in 39.4% of cases. The asthma was 31.7% partially controlled and uncontrolled in 7.7% of cases. The professional investigation had concluded that the occupational origin of asthma represented 44.2% of patients and the worsening by the professional environment 28.8% of cases. The declaration as occupational disease was possible only for 10.6% of patients. The adjustment of job conditions and professional redeployment options were provided in 13.5% of patients. The absenteeism for medical reasons was noted in 46.2% of patients with an average of 24 days during the last twelve months. The work-related asthma was significantly associated with poor control of the illness, job loss, the departure of early retirement and the number of working days lost.
The confirmation of the occupational origin of asthma through the identification of the causative agent is often difficult.
Sumber : http://erj.ersjournals.com/content/50/suppl_61/PA1245
PDPI Lampung & Bengkulu. 07/02/18.
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