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Guidelines for the management of work-related asthma.

Authors
Baur-X; Sigsgaard-T; Aasen-TB; Burge-PS; Heederik-D; Henneberger-P; Maestrelli-P; Rooyackers-J; Schlunssen-V; Vandenplas-O; Wilken-D
Source
Eur Respir J 2012 Mar; 39(3):529-545
NIOSHTIC No.
20040521
Abstract
Work-related asthma, which includes occupational asthma and work-aggravated asthma, has become one of the most prevalent occupational lung diseases. These guidelines aim to upgrade occupational health standards, contribute importantly to transnational legal harmonisation and reduce the high socio-economic burden caused by this disorder. A systematic literature search related to five key questions was performed: diagnostics; risk factors; outcome of management options; medical screening and surveillance; controlling exposure for primary prevention. Each of the 1,329 retrieved papers was reviewed by two experts, followed by Scottish Intercollegiate Guidelines Network grading, and formulation of statements graded according to the Royal College of General Practitioners' three-star system. Recommendations were made on the basis of the evidence-based statements, which comprise the following major evidence-based strategic points. 1) A comprehensive diagnostic approach considering the individual specific aspects is recommended. 2) Early recognition and diagnosis is necessary for timely and appropriate preventative measures. 3) A stratified medical screening strategy and surveillance programme should be applied to at-risk workers. 4) Whenever possible, removing exposure to the causative agent should be achieved, as it leads to the best health outcome. If this is not possible, reduction is the second best option, whereas respirators are of limited value. 5) Exposure elimination should be the preferred primary prevention approach.
Keywords
Lung-disease; Lung; Lung-function; Lung-disorders; Exposure-levels; Exposure-limits; Occupational-diseases; Work-environment; Workers; Risk-factors; Pulmonary-disorders; Pulmonary-function; Pulmonary-system; Pulmonary-system-disorders; Respiratory-system-disorders; Author Keywords: Diagnostics; occupational asthma; occupational exposure; prevention; risk factors; surveillance
Contact
X. Baur, Institute for Occupational and Maritime Medicine, University Medical Center Hamburg-Eppendorf, Seewartenstrasse 10, D-20459 Hamburg, Germany
CODEN
ERJOEI
Publication Date
20120301
Document Type
Journal Article
Email Address
baur@uke.de
Fiscal Year
2012
NTIS Accession No.
NTIS Price
Identifying No.
B03282012
Issue of Publication
3
ISSN
0903-1936
NIOSH Division
DRDS
Source Name
European Respiratory Journal
State
WV
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