Abstract
To investigate the association between occupational exposure to disinfectants/antiseptics used for hand hygiene and asthma control in nurses. In 2014, we invited female nurses with asthma drawn from the Nurses' Health Study II to complete two supplemental questionnaires on their occupation and asthma (cross-sectional study, response rate: 80%). Among 4055 nurses (mean age: 59 years) with physician-diagnosed asthma and asthma medication use in the past year, we examined asthma control, as defined by the Asthma Control Test (ACT). Nurses were asked about the daily frequency of hand hygiene tasks: 'wash/scrub hands with disinfectants/hand sanitizers' (hand hygiene) and 'wash/scrub arms with disinfecting products' (surrogate of surgical hand/arm antisepsis). Analyses were adjusted for age, race, ethnicity, smoking status and body mass index. Nurses with partly controlled asthma (ACT: 20-24, 50%) and poorly controlled asthma (ACT ≤19, 18%) were compared with nurses with controlled asthma (ACT=25, 32%). In separate models, both hand and arm hygiene were associated with poorly controlled asthma. After mutual adjustment, only arm hygiene was associated with poorly controlled asthma: OR (95% CI) for <1 time/day, 1.38 (1.06 to 1.80); ≥1 ...Continue Reading
References
Nov 26, 1999·Archives of Internal Medicine·C A CamargoF E Speizer
Jan 8, 2003·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·John M BoyceUNKNOWN Healthcare Infection Control Practices Advisory Committee. Society for Healthcare Epidemiology of America. Association for P
Mar 9, 2006·The Journal of Allergy and Clinical Immunology·Michael SchatzPriti Jhingran
Jan 8, 2009·American Journal of Epidemiology·George L DelclosJan-Paul Zock
May 24, 2011·Occupational and Environmental Medicine·Ahmed A Arif, George L Delclos
Jan 13, 2012·American Journal of Industrial Medicine·V H ArrandaleD L Holness
Apr 20, 2013·Occupational Medicine·T WittczakC Pałczyński
May 28, 2013·Journal of Occupational Medicine and Toxicology·Xaver Baur
Oct 17, 2013·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·M GonzalezF de Blay
Feb 5, 2014·European Journal of Dermatology : EJD·Jean-Marie Lachapelle
Mar 21, 2015·American Journal of Infection Control·Margaret M QuinnJan-Paul Zock
Jan 23, 2016·The Cochrane Database of Systematic Reviews·Judith TannerMathew Fortnam
May 1, 2016·American Journal of Infection Control·David J WeberWilliam A Rutala
Aug 11, 2016·Surgical Infections·Brad S Oriel, Kamal M F Itani
Aug 28, 2016·Occupational and Environmental Medicine·C QuinotN Le Moual
Nov 20, 2016·American Journal of Industrial Medicine·Orianne DumasCarlos A Camargo
Mar 3, 2017·Current Allergy and Asthma Reports·Olivier Vandenplas, Monika Raulf
Oct 7, 2017·The European Respiratory Journal·Orianne DumasCarlos A Camargo
Citations
Oct 19, 2019·JAMA Network Open·Orianne DumasCarlos A Camargo
Nov 7, 2019·American Journal of Industrial Medicine·Orianne DumasCarlos A Camargo
Jan 3, 2020·Journal of Occupational and Environmental Medicine·Kenneth RosenmanPatricia Schleiff
Jun 25, 2019·Journal of Occupational and Environmental Medicine·Tobias WeinmannJessica Gerlich
Apr 3, 2020·American Journal of Industrial Medicine·Rajni RaiSonia El-Zaemey
May 28, 2019·Medicine·Kou-Huang ChenKow-Tong Chen
Jan 7, 2021·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Ameth N GarridoSusan M Tarlo
Dec 8, 2020·Current Opinion in Allergy and Clinical Immunology·Orianne Dumas
Feb 15, 2020·Revue des maladies respiratoires·C RaherisonUNKNOWN groupe de travail 'Femmes et poumons' de la SPLF