Entrar/Registro  
HOME SPANISH
 
Revista Médica del Instituto Mexicano del Seguro Social
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Revista Médica del Instituto Mexicano del Seguro Social >Year 2007, Issue 6


Soto-de la Fuente AE, Aguilar-Loya M, Méndez-Vargas MM, Zamudio-Martínez P, López-Rojas P, Salinas-Tovar S, Marín-Cotoñieto IA
Industrial Bronchitis in Workers Exposed to Hydroalcohol
Rev Med Inst Mex Seguro Soc 2007; 45 (6)

Language: Español
References: 27
Page: 565-572
PDF: 140.07 Kb.


Full text




ABSTRACT

Objective: to identify the association between industrial bronchitis and exposure to hydroalcohol.
Methods: in a prospective study, 80 workers exposed to hydroalcohol answered a standardized questionnaire and had two spirometry tests based on the American Thorax Society (ATS) criteria, to evaluate functional capacity and predominant spirometric patterns. The test included the parameters: forced vital capacity (FVC), forced expiratory volume in one second (FEV1), the ratio FEV1/FVC, the peak expiratory flow (PEF), the forced expiratory flow 25-50 (FEF50) and the forced expiratory flow 25-75% (FEF 25%-75%). Fisher exact test was used to identify differences. An environmental sampling of hydro-alcohols was done as well.
Results: 85% of workers were women and 15% men, with respiratory symptoms as follows: 25% with cough and expectoration, 14% thoracic pressure feeling, 23% dyspnea; 36% eye, nose or throat irritation. The spirometry results were: 25% for pulmonary normal pattern; 66% had obstructive pattern; 3% had restrictive patterns and 6% mix pattern. 25% of workers with obstructive pattern and 10% of normal pattern had symptoms. It was obtained an OR = 1.9 (95% CI = 1.135-3.195; p = 0.021) for the time of exposure to hydroalcohols and the presence of industrial bronchitis. The monitoring of hydro-alcohols reported: 131.1 mg/m3 for isopropyl alcohol and 438.3 mg/m3; 49 workers (61%) had bronchitis symptoms and 58 (72%) showed obstructive or mixed patterns in the spirometry tests. The exposure to hydro-alcohols was below the limits established by the Mexican Official Norm.


Key words: exposición ocupacional, bronquitis, hidroalcoholes.


REFERENCIAS

  1. Madrigal BE, Piña A, Hernández I. Exposición ocupacional a disolventes orgánicos (evaluación de pacientes en un hospital de medicina del trabajo). Rev Mex Patol Clin 1996;43(1):15-20.

  2. Zinder R, Andrews LS. Toxic effects of solvents and vapors. En: Klaasen CD, editor. Casarett & Dull’s Toxicology: The basic science of poisons. USA: MacMillan Publishing Company; 1996.

  3. Encyclopaedia of Occupational Health and Safety. 4th. edition. Canadian: International Labour Office; 1998, chap. 77.1, p. 77.

  4. Reave H, Nemery B. Lung diseases induced by metals and organic solvents. Eur Respir Monograph 1999;11:178-213.

  5. Schenker MB, Jacobs JA. Respiratory effects of organic solvent exposure. Tuber Lung Dis 1996;77:4-18.

  6. Snyder R, Andrew L. Toxic effects of solvents and vapors. . En: Klaasen CD, editor. Casarett & Dull’s Toxicology: The basic science of poisons. USA: MacMillan Publishing Company; 1996.

  7. Maldonado TL, Méndez VMM. Alteraciones bronquiales por inhalación de irritantes no sensoriales dentro de la industria. Rev Med IMSS 1983;21: 441-446.

  8. Maldonado TL, González ZA, Méndez VMM. Valoración de las enfermedades broncopulmonares de trabajo y su repercusión social. Rev Med IMSS 1987;25:379-385.

  9. Samet JM, Utell MJ. Indoor and outdoor air pollution. En: Fishman AP, editor. Fishman’s Pulmonary Diseases and Disorders. USA: McGraw-Hill; 1998.

  10. Xiao JQ, Levin SM. The diagnosis and management of solvent-related disorders. Am J Ind Med 2000;37:44-61.

  11. Maldonado TL, Méndez VMM. Enfermedades broncopulmonares de trabajo. Contaminación del medio ambiente del sitio de labor. México: Auroch; 1999.

  12. Dubois AB. Industrial bronchitis and the function of the lungs. Arch Environ Health 1962;4:128-134.

  13. American Thoracic Society. Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease. Am J Crit Care Med 1995; 152:77-120.

  14. Fletcher GM, Elmes PG, Earbairn AS, Wood CH. The significance of respiratory symptoms and the diagnosis of chronic bronchitis in the working population. Br Med J 1969;2:252-257.

  15. Martínez GC, Rego FG. Enfermedades respiratorias de origen ocupacional. Arch Bronconeumol 2000;36:631-644.

  16. American Thoracic Society. Evaluation of impairment/ disability secondary to respiratory disease. Am J Respir Dis 1982;87:945-951.

  17. American Thoracic Society. What constitutes an adverse health effect of air pollution? Am J Respir Crit Care Med 2000;161:665-673.

  18. Ferguson GT, Enright PL, Buist S. Office spirometry for lung health assessment in adults. A Consensus Statement from the National Lung Health Education Program. Chest 2000;117: 1146-1161.

  19. Secretaría de Trabajo y Previsión Social. Norma Oficial Mexicana NOM-010-STPS-1999, condiciones de seguridad e higiene en los centros de trabajo donde se manejen, transporten, procesen o almacenen sustancias químicas capaces de generar contaminación en el medio ambiente laboral. Diario Oficial de la Federación 13 de marzo de 2000.

  20. Moreno-Altamirano L, Cano VF. Consentimiento bajo información. En: Moreno-Altamirano L, editor. Epidemiología Clínica. México: McGraw-Hill; 1994.

  21. Lebowitz MD. Occupational exposures in relation to symptomatology and lung function in a community population. Environ Res 1977;14:59-67.

  22. Le Moual NL, Orlowsky E, Schenker MB, Avignon M, Brochard P, et al. Occupational exposures estimated by means of job exposure matrices in relation to lung function in the PAARC survey. Occup Environ Med. (En press.)

  23. Selikoff IJ. Investigations of health hazards in the painting trades. New York: Environmental Sciences Laboratory, Mount Sinai School of Medicine; 1975. Report to the National Institute for Occupational Safety and Health. Contract CDC 99-74-91.

  24. Alexandersson R, Hedenstierna G, Kolmodin HB. Respiratory hazards associated with exposure to formaldehyde and solvents in acid-curing paints. Arch Environ Health 1988;43:222-227.

  25. Nunn AJ, Craigen AA, Venables KM, Newman TAJ. Six year follow up of lung function in men occupationally exposed to formaldehyde. Br J Ind Med 1990;47:747-752.

  26. Angerer P, Marstaller H, Bahemann H, Rommelt HA, Hoppe P et al. Alterations in lung function due to mixtures of organic solvents used in floor laying. Int Arch Occup Environ Health 1991;63: 43-50.

  27. Ulfvarson U, Alexandersson R, Dahlzvist M, Ekholm U, Bergstrom B et al. Temporary health effects from exposure to water-borne paints. Scand J Work Environ Health 1992;18(6):376-387.






>Journals >Revista Médica del Instituto Mexicano del Seguro Social >Year 2007, Issue 6
 

· Journal Index 
· Links 






       
Copyright 2019