Welders are at increased risk for invasive pneumococcal disease

International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases
Alexander WongSPAT Group

Abstract

Welders are at increased risk of pulmonary infection and lobar pneumonia, likely due to significant occupational exposure to metal fumes. We hypothesized that welders would be at increased risk for invasive pneumococcal disease (IPD) compared to the general population. A retrospective chart review of all patients with IPD in the province of Alberta, Canada (population approx. 3.3 million) was conducted from 2000 to 2004 to study the epidemiology of IPD. There were 18 cases identified in welders, giving an attack rate of 22.7 cases per 100,000 population per year (95% confidence interval (CI) 12.23-33.23). Compared with an attack rate of 8.7 cases per 100,000 population per year (95% CI 8.10-9.26) for the general adult population between ages 18 and 65 years, there was a 2.7-fold greater incidence of IPD in welders (95% CI 1.67-4.22, p<0.001). There was an increased prevalence of serotypes 4 and 8 compared to the general population. Eight of 18 cases were caused by serotypes in the 7-valent pneumococcal conjugate vaccine, 11 of 18 cases by serotypes in the 13-valent pneumococcal conjugate vaccine, and 18 of 18 cases by serotypes in the 23-valent pneumococcal polysaccharide vaccine. Seventeen patients had bacteremic pneumococcal ...Continue Reading

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Citations

Jul 6, 2012·Occupational Medicine·K T Palmer, M P Cosgrove
May 18, 2013·Clinical Medicine : Journal of the Royal College of Physicians of London·Keith Palmer, Martin Cosgrove
Aug 19, 2015·The Journal of Allergy and Clinical Immunology·Reetika SuriJonathan Grigg
Sep 12, 2015·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Altynay ShigayevaUNKNOWN Toronto Invasive Bacterial Diseases Network
Oct 17, 2014·Thorax·David CoggonKeith T Palmer
Nov 17, 2012·Occupational Medicine·Dil Sen, Yiqun Chen
Jun 26, 2017·Nanomedicine : Nanotechnology, Biology, and Medicine·Abhinav KumarIan Mudway
Feb 14, 2018·The European Respiratory Journal·Lisa MiyashitaJonathan Grigg
Aug 26, 2014·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·A TorresT Welte
Feb 2, 2016·Current Protocols in Toxicology·Jamie C DeWittVictor J Johnson
Dec 19, 2019·Occupational and Environmental Medicine·Kjell TorénLinus Schioler
Jun 13, 2015·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·L PattersonL Jessop
Jun 1, 2019·American Journal of Respiratory and Critical Care Medicine·Paul D BlancCarrie A Redlich
Apr 23, 2016·Thorax·David Coggon, Keith T Palmer
Apr 21, 2017·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·T J MarrieDean T Eurich
Dec 12, 2019·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Marius LinkeviciusJussi Sane
Mar 27, 2020·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Nadim CassirPhilippe Parola
Dec 12, 2018·American Journal of Industrial Medicine·A Michael Donoghue, James C Wesdock

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