对甲基异噻唑啉酮和卡松CG致敏的职业病例的人口统计学和临床概况:一项横断面研究

A. L. Villarinho, M. G. M. Melo, Wilma da Conceição D’Elia Moutinho, L. Teixeira
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引用次数: 0

摘要

摘要简介:甲基异噻唑啉酮单用或联用甲基氯异噻唑啉酮(methylchlorisothiazolinone, Kathon CG)是一种与职业性过敏性接触性皮炎相关的防腐剂。目的:评估巴西里约热内卢市对异噻唑啉酮致敏的职业病例的人口统计学和临床概况,并描述这些防腐剂在国家涂料中的存在。方法:基于2013-2017年进行补丁测试的工人医疗记录信息的横断面研究。描述了临床、人口统计学和职业特征的患病率,并使用未调整的模型来调查变量之间的关联。我们在国家涂料的化学成分表中寻找异噻唑啉酮的存在和浓度。结果:在接受测试的768名工人中,68名患有职业性皮肤病,对甲基异噻唑啉酮/卡松CG过敏反应呈阳性。受影响最大的职业是与家务活动和清洁有关的职业。女性和手脚受损伤的人对异噻唑啉酮过敏的可能性更大。在被评估的61种涂料中,26种含有异噻唑啉酮,其中甲基氯异噻唑啉酮最为常见。结论:异噻唑啉酮致敏会影响工人的健康,需要对清洁材料和化妆品提高警惕,并讨论在巴西销售的油漆的成分监管。
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Demographic and clinical profile of occupational cases of sensitization to methylisothiazolinone and Kathon CG: a cross-sectional study
Abstract Introduction: methylisothiazolinone alone or associated with methylchloroisothiazolinone (Kathon CG) is a preservative related to occupational allergic contact dermatitis. Objectives: to evaluate the demographic and clinical profile of occupational cases of sensitization to isothiazolinones in the city of Rio de Janeiro and to describe the presence of these preservatives in national paints. Methods: cross-sectional study based on information from medical records of workers who underwent patch testing between 2013-2017. The prevalence of clinical, demographic and occupational characteristics was described and an unadjusted model was used to investigate the association between variables. We sought the presence and concentration of isothiazolinones in the chemical composition sheets of national paints. Results: among the 768 workers submitted to the tests, 68 had occupational dermatosis with a positive result for sensitization to methylisothiazolinone/Kathon CG. The most affected occupations were those related to domestic activities and cleaning. There was a greater likelihood of sensitization to isothiazolinones in women and in those with involvement of the hands and legs. Among the 61 paints evaluated, 26 had some isothiazolinone, with methylchloroisothiazolinone being the most common. Conclusions: sensitization to isothiazolinones can impact workers’ health and demands greater vigilance on cleaning materials and cosmetics, as well as discussing the composition regulation of the paints sold in Brazil.
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