Orianne Dumas1,2, Aleta S Wiley3, Paul K Henneberger4, Frank E Speizer3, Jan-Paul Zock5,6,7, Raphaëlle Varraso1,2, Nicole Le Moual1,2, Krislyn M Boggs3, Carlos A Camargo3,8. 1. INSERM, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches, Villejuif, France. 2. Univ Versailles St-Quentin-en-Yvelines, Montigny le Bretonneux, France. 3. Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts. 4. Respiratory Health Division National Institute for Occupational Safety and Health, Morgantown, West Virginia. 5. ISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain. 6. Universitat Pompeu Fabra (UPF), Barcelona, Spain. 7. CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain. 8. Department of Emergency Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Abstract
BACKGROUND: Disinfectant use among healthcare workers has been associated with respiratory disorders, especially asthma. We aimed to describe disinfectants used by U.S. nurses, and to investigate qualitative and quantitative differences according to workplace characteristics and region. METHODS: Disinfectant use was assessed by questionnaire in 8,851 nurses. Hospital characteristics were obtained from the American Hospital Association database. RESULTS: Working in a hospital was associated with higher disinfectant use (OR: 2.06 [95%CI: 1.89-2.24]), but lower spray use (0.74 [0.66-0.82]). Nurses working in smaller hospitals (<50 beds vs. ≥200 beds) were more likely to use disinfectants (1.69 [1.23-2.32]) and sprays (1.69 [1.20-2.38]). Spray use was lower in the West than in the Northeast (0.75 [0.58-0.97]). CONCLUSION: Disinfectant use was more common among nurses working in smaller hospitals, possibly because they perform more diverse tasks. Variations in spray use by hospital size and region suggest additional targets for future efforts to prevent occupational asthma. Am. J. Ind. Med. 60:131-140, 2017.
BACKGROUND: Disinfectant use among healthcare workers has been associated with respiratory disorders, especially asthma. We aimed to describe disinfectants used by U.S. nurses, and to investigate qualitative and quantitative differences according to workplace characteristics and region. METHODS: Disinfectant use was assessed by questionnaire in 8,851 nurses. Hospital characteristics were obtained from the American Hospital Association database. RESULTS: Working in a hospital was associated with higher disinfectant use (OR: 2.06 [95%CI: 1.89-2.24]), but lower spray use (0.74 [0.66-0.82]). Nurses working in smaller hospitals (<50 beds vs. ≥200 beds) were more likely to use disinfectants (1.69 [1.23-2.32]) and sprays (1.69 [1.20-2.38]). Spray use was lower in the West than in the Northeast (0.75 [0.58-0.97]). CONCLUSION: Disinfectant use was more common among nurses working in smaller hospitals, possibly because they perform more diverse tasks. Variations in spray use by hospital size and region suggest additional targets for future efforts to prevent occupational asthma. Am. J. Ind. Med. 60:131-140, 2017.
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Authors: Orianne Dumas; Raphaëlle Varraso; Krislyn M Boggs; Catherine Quinot; Jan-Paul Zock; Paul K Henneberger; Frank E Speizer; Nicole Le Moual; Carlos A Camargo Journal: JAMA Netw Open Date: 2019-10-02