Association of hand and arm disinfection with asthma control in US nurses

Occupational and Environmental Medicine
Orianne DumasCarlos A Camargo

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

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Citations

Nov 7, 2019·American Journal of Industrial Medicine·Orianne DumasCarlos A Camargo
Jan 3, 2020·Journal of Occupational and Environmental Medicine·Kenneth RosenmanPatricia Schleiff
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

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