|
|
|
| Investigation on an incident of occupational contact dermatitis in a farm |
| LIU Baofeng1, QIN Runan1, LI Xudong1, ZHU Jun2, ZENG Qiang1
|
1. Department of Occupational Disease Control and Prevention, Tianjin Center for Disease Control and Prevention, Tianjin 300011, China;
2. Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine, Tianjin 300120, China |
|
|
|
|
Abstract Objective To investigate the cause of an incident of occupational contact dermatitis in a farm in Tianjin Prefecture, so as to provide insights into occupational safety. Methods The disinfection process, use of disinfectants and individual protective measures in this farm were collected, and a field epidemiological investigation was conducted to collect the demographic characteristics, history of occupational contact, clinical symptoms, diagnosis and treatment data, and onset of disease among individuals with the same type of job. The cause of this incident was analyzed. Results There were ten interns exposed to potassium hydrogen sulfate compounds simultaneously in this farm, and then, nine interns developed skin flushing across the body, and swelling and itching of the skin. Among these ten interns, five individuals were admitted to hospitals because of severe symptoms and were then clinically diagnosed as systemic contact dermatitis. All five individuals were cured following treatments. Epidemiological survey showed that all cases had a definite history of occupational contact with potassium hydrogen sulfate compounds but without use of any protective agents. In addition, there were thirty-five individuals with the same type of job in this farm that developed similar symptoms when they joined in the disinfection for the first time, and these individuals were self-cured following cessation to contact; however, recurrence of symptoms was found following contacts again. Conclusion This is a cluster of occupational contact dermatitis caused by exposure to potassium hydrogen sulfate compound.
|
|
Received: 09 September 2021
Revised: 31 December 2021
Published: 14 March 2022
|
|
|
|
|
|
[1] 南文龙,巩明霞,邹艳丽,等.四类常用消毒剂对非洲猪瘟病毒灭活效果的评价[J].中国动物检疫,2020,37(12):135-140.
NAN W L,GONG M X,ZOU Y L,et al.Evaluation on the inactivation effect of four kinds of disinfectants against African swine fever virus[J].China Anim Health Insp,2020,37(12):135-140.
[2] 蓝小云,黄贵彪,李善华.一起医院工作人员接触性皮炎爆发流行事件调查[J]. 现代医药卫生,2006,22(19):3061-3062.
LAN X Y,HUANG G B,LI S H.Investigation on an outbreak of contact dermatitis among hospital staff[J].Mod Med Health,2006,22(19):3061-3062.
[3] BAINS S N,NASH P,FONACIER L.Irritant contact dermatitis[J].Clin Rev Allergy Immunol,2019,56(1):99-109.
[4] MILAM E C,NASSAU S,BANTA E,et al.Occupational contact dermatitis:an update[J].J Allergy Clin Immunol Pract,2020,8(10):3283-3293.
[5] 邬堂春,牛侨,周志俊,等.职业卫生与职业医学(第8版)[M].北京:人民卫生出版社,2020:295-299.
WU T C,NIU Q,ZHOU Z J,et al.Occupational health and occupational medicine(the eighth edition)[M].Beijing:People's Medical Publishing House,2020:295-299.
[6] 张丽,邓胜男,王丁丁,等.丽水市首起奥雷宁堡沙门菌食源性疾病暴发事件朔源调查[J].预防医学,2021,33(6):602-606.
ZHANG L,DENG S N,WANG D D,et al.Investigation on the source of the first outbreak of foodborne disease caused by Salmonella oranienburg in Lishui[J].Prev Med,2021,33(6):602-606.
[7] 陆欣,徐斌,陈欢,等.一起副溶血性弧菌引起的食源性疾病事件调查[J].预防医学,2019,31(3):302-304,308.
LU X,XU B,CHEN H,et al.Investigation on an incident of foodborne disease caused by Vibrio parahaemolyticus[J].Prev Med,2019,31(3):302-304,308.
[8] 中华人民共和国国家卫生健康委.职业性接触性皮炎的诊断:GBZ 20—2019[S].北京: 中国标准出版社,2020.
National Health Commission of the People's Republic of China.Diagnosis of occupational contact dermatitis:GBZ 20-2019[S].Beijing:Standards Press of China,2020.
[9] 骆万婷,李海涛.含苯扎氯铵消毒剂致幼儿过敏性接触性皮炎1例[J].实用皮肤病学杂志,2020,13(4):1.
LUO W T,LI H T.Allergic contact dermatitis in children caused by benzalkonium chloride disinfectant: a case report[J].J Pract Dermatol,2020,13(4):1.
[10] 邱笑飞,李小萍,邱海凡.碘伏消毒残留液引起的妇科术后接触性皮炎的报告[J].中国消毒学杂志, 2014(8):2.
QIU X F,LI X P,QIU H F.Report on contact dermatitis after gynecological operation caused by iodophor disinfectant residue[J].Chin J Disinfect, 2014(8):2.
[11] 唐兴刚,魏文康,罗胜军,等.过硫酸氢钾复合物在畜牧水产中的应用研究进展[J].中国兽药杂志,2020,54(8):73-79.
DANG X G,WEI W K,LUO S J,et al.Advances in research of potassium peroxomonosulfate compound on animal husbandry and aquatic[J].Chin J Vet Drug,2020,54(8):73-79.
[12] SLAUGHTER R J,WATTS M,VALE J A,et al.The clinical toxicology of sodium hypochlorite[J].Clin Toxicol (Phila),2019,57(5):303-311. |
|
|
|
