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Work-related rhinitis - Is it always an occupational disease?

Abstract Rhinitis is a chronic inflammatory disease of the upper respiratory tract, characterized by a high prevalence and a complex pathogenesis. Work-related rhinitis (WRR) can be divided into occupational rhinitis (OR) and work-exacerbated rhinitis (WER). It is not only considered as a disease entity but also in the context of medical certification as the allergic disease associated with occupational exposure. Epidemiology of work-related rhinitis has been found to vary depending on the occupation and specific exposure, on the other hand the prevalence data may be underestimated due to the lack of uniform diagnostic criteria. This paper reviews the issues comprising the pathogenesis, epidemiology, diagnosis and treatment of patients with work-related rhinitis. It also discusses the significance of the disease in occupational medicine, particularly in terms of preventive worker care, general principles of good practice in primary and secondary WRR prevention and the necessary directions of changes in medical certification in the cases of occupational rhinitis. Med Pr 2016;67(6):801-815.
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Authors

Mayor MeshTerms
Keywords

WRR

occupational rhinitis

prophylaxis

recommendations for medical stuff

work-exacerbated rhinitis

work-related rhinitis

Journal Title medycyna pracy
Publication Year Start




PMID- 28005088
OWN - NLM
STAT- MEDLINE
DA  - 20161222
DCOM- 20170313
LR  - 20170313
IS  - 0465-5893 (Print)
IS  - 0465-5893 (Linking)
VI  - 67
IP  - 6
DP  - 2016 Dec 22
TI  - [Work-related rhinitis - Is it always an occupational disease?]
PG  - 801-815
LID - 62509 [pii]
LID - 10.13075/mp.5893.00423 [doi]
AB  - Rhinitis is a chronic inflammatory disease of the upper respiratory tract,
      characterized by a high prevalence and a complex pathogenesis. Work-related
      rhinitis (WRR) can be divided into occupational rhinitis (OR) and
      work-exacerbated rhinitis (WER). It is not only considered as a disease entity
      but also in the context of medical certification as the allergic disease
      associated with occupational exposure. Epidemiology of work-related rhinitis has 
      been found to vary depending on the occupation and specific exposure, on the
      other hand the prevalence data may be underestimated due to the lack of uniform
      diagnostic criteria. This paper reviews the issues comprising the pathogenesis,
      epidemiology, diagnosis and treatment of patients with work-related rhinitis. It 
      also discusses the significance of the disease in occupational medicine,
      particularly in terms of preventive worker care, general principles of good
      practice in primary and secondary WRR prevention and the necessary directions of 
      changes in medical certification in the cases of occupational rhinitis. Med Pr
      2016;67(6):801-815.
CI  - This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL 
      license.
FAU - Salski, Witold
AU  - Salski W
AD  - Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational
      Medicine, Lodz, Poland (Klinika Chorob Zawodowych i Zdrowia Srodowiskowego,
      Oddzial Chorob Zawodowych / Department of Occupational Diseases) and
      Environmental Health, Division of Occupational Diseases.
      [email protected]
FAU - Wiszniewska, Marta
AU  - Wiszniewska M
AD  - Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational
      Medicine, Lodz, Poland (Klinika Chorob Zawodowych i Zdrowia Srodowiskowego,
      Oddzial Chorob Zawodowych / Department of Occupational Diseases) and
      Environmental Health, Division of Occupational Diseases. [email protected]
FAU - Salska, Agata
AU  - Salska A
AD  - Uniwersytet Medyczny w Lodzi / Medical University of Lodz, Lodz, Poland (Klinika 
      Intensywnej Terapii Kardiologicznej / Intensive Cardiac Therapy Clinic).
      [email protected]
FAU - Tymoszuk, Diana
AU  - Tymoszuk D
AD  - Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational
      Medicine, Lodz, Poland (Klinika Chorob Zawodowych i Zdrowia Srodowiskowego,
      Oddzial Chorob Zawodowych / Department of Occupational Diseases) and
      Environmental Health, Division of Occupational Diseases.
      [email protected]
FAU - Walusiak-Skorupa, Jolanta
AU  - Walusiak-Skorupa J
AD  - Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational
      Medicine, Lodz, Poland (Klinika Chorob Zawodowych i Zdrowia Srodowiskowego,
      Oddzial Chorob Zawodowych / Department of Occupational Diseases) and
      Environmental Health, Division of Occupational Diseases. [email protected]
LA  - pol
PT  - Journal Article
PT  - Review
TT  - Niezyt nosa zwiazany z praca - czy zawsze jest to choroba zawodowa?
DEP - 20161129
PL  - Poland
TA  - Med Pr
JT  - Medycyna pracy
JID - 0376642
SB  - IM
MH  - Comorbidity
MH  - Humans
MH  - Occupational Diseases/*epidemiology
MH  - Occupational Exposure/*adverse effects
MH  - Occupational Health Services/organization & administration
MH  - Primary Prevention/*organization & administration
MH  - Rhinitis/*epidemiology
OAB - Publisher: Niezyt blony sluzowej nosa jest przewlekla zapalna choroba gornych
      drog oddechowych cechujaca sie znacznym rozpowszechnieniem i zlozona patogeneza. 
      Termin 'niezyt nosa zwiazany z praca' (work-related rhinitis - WRR) jest pojeciem
      obejmujacym zarowno niezyt nosa wywolany praca - zawodowy niezyt blony sluzowej
      nosa, jak i niezyt nosa zaostrzony praca. Zawodowy niezyt nosa jako jednostka
      chorobowa jest takze rozpatrywany w kontekscie orzecznictwa jako schorzenie
      alergiczne zwiazane z ekspozycja zawodowa. Niezyt nosa zwiazany z praca jest
      jednostka chorobowa o zroznicowanej epidemiologii zaleznie od grupy zawodowej i
      rodzaju narazenia, z drugiej strony dane dotyczace rozpowszechnienia moga byc
      niedoszacowane ze wzgledu na brak jednolitych kryteriow diagnostycznych.
      Niniejsza praca ma na celu przeglad danych dotyczacych zagadnien zwiazanych z
      patogeneza, epidemiologia, diagnostyka i postepowaniem, w tym rowniez w
      kontekscie orzecznictwa, wsrod osob z niezytem nosa zwiazanym z praca. W
      niniejszej pracy omowiono takze znaczenie tego schorzenia w medycynie pracy,
      szczegolnie w aspekcie opieki profilaktycznej nad pracownikiem, ogolne zasady
      dobrej praktyki w prewencji pierwotnej i wtornej WRR oraz niezbedne kierunki
      zmian w orzecznictwie w przypadku zawodowego niezytu nosa. Med. Pr.
      2016;67(6):801-815.
OABL- eng
OTO - NOTNLM
OT  - *WRR
OT  - *occupational rhinitis
OT  - *prophylaxis
OT  - *recommendations for medical stuff
OT  - *work-exacerbated rhinitis
OT  - *work-related rhinitis
EDAT- 2016/12/23 06:00
MHDA- 2017/03/14 06:00
CRDT- 2016/12/23 06:00
AID - 62509 [pii]
AID - 10.13075/mp.5893.00423 [doi]
PST - ppublish
SO  - Med Pr. 2016 Dec 22;67(6):801-815. doi: 10.13075/mp.5893.00423. Epub 2016 Nov 29.

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