Jordi Almirall1, Mateu Serra-Prat2, Ignasi Bolíbar3, Elisabet Palomera4, Jordi Roig5, Ramon Boixeda6, Maria Bartolomé7, Mari de la Torre8, Olga Parra9, Antoni Torres10. 1. Unidad de Cuidados Intensivos, Hospital de Mataró, Mataró, Universitat Autònoma de Barcelona, Barcelona, CIBERES, España. Electronic address: jalmirall@csdm.cat. 2. Unidad de Investigación, Consorci Sanitari del Maresme, CIBEREHD, Mataró, Barcelona, España. Electronic address: mserra@csdm.cat. 3. Departamento de Epidemiologia Clínica y Salud Pública, Institut de Recerca Biomédica (IIB Sant Pau), Barcelona, Universitat Autònoma de Barcelona, Barcelona, Ciber de Epidemiología y Salud Pública (CIBERESP), España. Electronic address: IBolibar@santpau.cat. 4. Unidad de Investigación, Consorci Sanitari del Maresme, CIBEREHD, Mataró, Barcelona, España. Electronic address: epalomera@csdm.cat. 5. Servei de Pneumologia, Hospital Nostra Senyora de Meritxell, Escaldes-Engordany, Principat d'Andorra. Electronic address: averoig@mypic.ad. 6. Servei de Medicina Interna, Hospital de Mataró, Mataró, Barcelona, España. Electronic address: rboixeda@csdm.cat. 7. ABS Mataró Centre, Consorci Sanitari del Maresme, Mataró, Barcelona, España. Electronic address: mbartolome@csdm.cat. 8. Unidad de Cuidados Intensivos, Hospital de Mataró, Mataró, Universitat Autònoma de Barcelona, Barcelona, CIBERES, España. Electronic address: mctorre@csdm.cat. 9. Servei de Pneumologia, Hospital Universitari Sagrat Cor, Universitat de Barcelona, CIBERES, Barcelona, España. Electronic address: oparra@ub.edu. 10. Institut Clínic del Tórax, Servei de Pneumologia, IDIBAPS, Hospital Clínic de Barcelona, CIBERES, Universitat de Barcelona, Barcelona, España. Electronic address: ATORRES@clinic.ub.es.
Abstract
INTRODUCTION: Community-acquired pneumonia (CAP) is not considered a professional disease, and the effect of different occupations and working conditions on susceptibility to CAP is unknown. The aim of this study is to determine whether different jobs and certain working conditions are risk factors for CAP. METHODOLOGY: Over a 1-year period, all radiologically confirmed cases of CAP (n=1,336) and age- and sex-matched controls (n=1,326) were enrolled in a population-based case-control study. A questionnaire on CAP risk factors, including work-related questions, was administered to all participants during an in-person interview. RESULTS: The bivariate analysis showed that office work is a protective factor against CAP, while building work, contact with dust and sudden changes of temperature in the workplace were risk factors for CAP. The occupational factor disappeared when the multivariate analysis was adjusted for working conditions. Contact with dust (previous month) and sudden changes of temperature (previous 3 months) were risk factors for CAP, irrespective of the number of years spent working in these conditions, suggesting reversibility. CONCLUSION: Some recent working conditions such as exposure to dust and sudden changes of temperature in the workplace are risk factors for CAP. Both factors are reversible and preventable.
INTRODUCTION: Community-acquired pneumonia (CAP) is not considered a professional disease, and the effect of different occupations and working conditions on susceptibility to CAP is unknown. The aim of this study is to determine whether different jobs and certain working conditions are risk factors for CAP. METHODOLOGY: Over a 1-year period, all radiologically confirmed cases of CAP (n=1,336) and age- and sex-matched controls (n=1,326) were enrolled in a population-based case-control study. A questionnaire on CAP risk factors, including work-related questions, was administered to all participants during an in-person interview. RESULTS: The bivariate analysis showed that office work is a protective factor against CAP, while building work, contact with dust and sudden changes of temperature in the workplace were risk factors for CAP. The occupational factor disappeared when the multivariate analysis was adjusted for working conditions. Contact with dust (previous month) and sudden changes of temperature (previous 3 months) were risk factors for CAP, irrespective of the number of years spent working in these conditions, suggesting reversibility. CONCLUSION: Some recent working conditions such as exposure to dust and sudden changes of temperature in the workplace are risk factors for CAP. Both factors are reversible and preventable.
Authors: Gudrun S Freidl; Ineke T Spruijt; Floor Borlée; Lidwien A M Smit; Arianne B van Gageldonk-Lafeber; Dick J J Heederik; Joris Yzermans; Christel E van Dijk; Catharina B M Maassen; Wim van der Hoek Journal: PLoS One Date: 2017-03-31 Impact factor: 3.240
Authors: Paul D Blanc; Isabella Annesi-Maesano; John R Balmes; Kristin J Cummings; David Fishwick; David Miedinger; Nicola Murgia; Rajen N Naidoo; Carl J Reynolds; Torben Sigsgaard; Kjell Torén; Denis Vinnikov; Carrie A Redlich Journal: Am J Respir Crit Care Med Date: 2019-06-01 Impact factor: 21.405
Authors: Lauge Østergaard; Rikke Nørmark Mortensen; Kristian Kragholm; Michael Dalager-Pedersen; Kristoffer Koch; Lars Køber; Christian Torp-Pedersen; Emil Fosbøl Journal: Scand J Public Health Date: 2020-10-30 Impact factor: 3.021