Prediction of occupational asthma
https://doi.org/10.18093/0869-0189-2017-27-4-484-489
Abstract
The aim of this study was to develop a method to evaluate risk factors of occupational bronchial asthma (OBA) in nurses.
Methods. A new method to predict occurrence of OBA in nurses has been proposed. This method used the approximation and optimization approach and was based on proceeding medical data using scheduled serial numerical experiments for 287 sanitary and technical characteristics of nurse working conditions.
Results. According to the results, a group of healthcare providers with the highest incidence of occupational allergic diseases was selected. This group included 222 nurses. A number of OBA risk factors were found including antibiotics, drugs, vaccines, detergents, antiseptics (both with and without chlorine), mold, and paper dust.
Conclusion. The approximation and optimization approach for evaluation occupational risk factors in nurses could predict OBA occurrence. This is important for development preventing measures. This study supposed that adherence to occupational safety rules could decrease the risk of OBA.
About the Authors
N. V. DudintsevaRussian Federation
Candidate of Medicine, Assistant Lecturer, Department of Nursing,
ul. Chapaevskaya 89, Samara, 443099
A. V. Zhestkov
Russian Federation
Doctor of Medicine, Professor, Head of Department of General and Clinical Microbiology, Immunology and Allergology,
ul. Chapaevskaya 89, Samara, 443099
V. V. Stulin
Russian Federation
Candidate of Engineering, Associate Professor, Department of Higher Mathematics and Applied Informatics,
ul. Molodogvardeyskaya 244, Samara, 443100
V. S. Lotkov
Russian Federation
Doctor of Medicine, Professor, Department of Occupational Diseases and Clinical Pharmacology,
ul. Chapaevskaya 89, Samara, 443099
References
1. Vasil'eva O.S., Kulemina E.A. Bronchial asthma related to inhaled toxic aerosols of polyvynilchloride. Pulmonology. 2012; (1): 112–116 (in Russian). DOI: 10.18093/0869-0189-2012-0-1-112-116.
2. Vasenova V.Yu., Butov Yu.S., Izmerova N.I. et al. Dioxins: a high ecological danger. Rossiyskiy meditsinskiy zhurnal. 2011; (5): 55–56 (in Russian).
3. Popovkina S.V., Izmerova N.I., Ivanova L.A. et al. Occupational dermatological diseases in healthcare providers. Meditsina truda i promyshlennaya ekologiya. 2011; (11): 43–47 (in Russian).
4. Bousquet J., Flahault A., Vandenplas O. et al. Natural rubber latex allergy among health care workers: a systematic review of the evidence. J. Allergy Clin. Immunol. 2006; 118 (2): 447–454. DOI: 10.1016/j.jaci.2006.03.048.
5. Samigullina N.V., Fayzullina R.M. Risk factors of bronchial asthma in children. Vrach-aspirant. 2013; 57 (2.2): 353–360 (in Russian).
6. GINA Report. Clobal Strategy for Asthma Management and Prevention. Published November 2011. Available at: http://www.ginasthma.org
7. Ugleva E.M. Petrova M.A., Razumovskaya T.S. Predicting risk of uncontrolled asthma in chiildren. Novye Sankt-Peterburgskie vrachebnye vedomosti. 2014; (2): 63–67 (in Russian).
8. Adler Yu.P., Markova E.V., Granovskiy Yu.V. An Experiment Scheduling to Search the Optimal Decision. Moscow: Nauka; 1976 (in Russian).
9. Stulin V.V., Zipaev D.V., Zimichev A.V. A probable model for evaluating an effect of factor-parameter on local characteristics of extremal serial experiments. Vestnik Samarskogo gosudarstvennogo tekhnicheskogo universiteta. 2008; 8 (2): 112–133 (in Russian).
10. Nalimov V.V., Chernova N.A. Statistical Methods of Scheduling Extremal Experiments. Moscow: Nauka; 1965 (in Russian).
11. Khartman K. Scheduling an Experiment in Investigations of Technological Processes: Translated from German by G.A.Fomina, N.S.Letskaya; ed. by E.K.Letskoy. Moscow: Mir; 1977 (in Russian).
12. Shakalis V.V. Modeling of Technological Processes. Moscow: Mashinostroenie; 1973 (in Russian).
Review
For citations:
Dudintseva N.V., Zhestkov A.V., Stulin V.V., Lotkov V.S. Prediction of occupational asthma. PULMONOLOGIYA. 2017;27(4):484-489. (In Russ.) https://doi.org/10.18093/0869-0189-2017-27-4-484-489