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Research Article
ISSN: 2321-3124
Available at: http://ijmcr.com
Abstract
The main objective of our study is to determine the prevalence of respiratory allergies and skin at. the personnel of the
medical laboratories of care of the wilaya of Tlemcen. It is a descriptive cross-sectional study from the month of
November 2013 in may 2014; Bearing on the staff of the laboratories for medical analyses of care institutions private
and public of the wilaya of Tlemcen, whose 69 agents on 229 laboratory personnel or a rate of 30.13% with respiratory
allergy and skin. Staff nursing laboratories for medical Analyses that presents respiratory clinical manifestations and or
skin triggered or aggravated by work. A general clinical examination is practiced by the occupational physician; notices
specialized: ORL of Dermatology and possibly the pulmonologist questioned looking for associated allergic disease
(rhinitis, asthma). The registration of a flow - volume using a spirometer curve. Formula for blood count with
determination of the rate of Eosinophilia: looking for a hyper Eosinophilia that is often transient but relapses. [42]
The practice of skin testing: the prick-tests were performed by a physician allerguologue. Indicate whether or not the
Organization has a reaction to the suspected allergen.The skin epi tests: the test patch. These tests have a dual function,
highlight an allergic mechanism, and identify the responsible allergen. Statistical treatment: the seizure of data and
descriptive analysis of results are carried out on SPSS software. Version 17
Keywords: Respiratory-Tlemcen-prick-tests-statistics-asthma allergy - rhinitis
Introduction
Skin or respiratory allergies affect a large number of
professions and sectors of activity. They are due to
exposure, even at low levels, to a sensitizing agent.
In the environment of care, as in many professional
circles, allergic manifestations are common and their
prevalence tends to increase, the diversity and the
multiplication of allergenic products that are handled.
Among personnel of the laboratories; Risks relate
mainly to a more intensive use of: gloves to protect
themselves from accidents to blood (AES).
The high incidence of occupational latex allergy know
antiseptics, disinfectants; and aldehydes in the fight
against nosocomial infections; all this against a
background of increasing the frequency of atopy in the
general population.
The literature of these past ten years agrees to
estimate the frequency of allergy to the latex in constant
progression. With a prevalence of allergy to the latex in
hospitals which can reach 17% of caregivers.
The first observation of occupational asthma to latex
has been described in 1988 in a laboratory technician
Meziane. Z et al
Respiratory Allergies and or Skin at the Personnel in Care of Tlemcen Medical Analysis Laboratories
Exclusion criteria
A seniority of less than 6 months
Treatments antihistamine or corticosteroid long-term
under treatment beta blockers
Materials and Methods
1-investigation initial on workplaces and exposure
assessment
Is based on the perfect knowledge of risks to which
employees are exposed, including the allergy risks
Locate sources of exposure.
Identification of positions exposed to known allergenic
products.
Identify the most vulnerable workers.
Study of the positions of the trial of labour and work.
2 -Survey itself
The anamnesis, first step of this investigation is made by
three questionnaires
This questionnaire, based on the questionnaire
prepared by the University of health McGill [19] is
interested in allergic history adapted to the circumstances
and conditions of life in our country.
A bronchial symptoms questionnaire, prepared by the
Committee of respiratory diseases, the international
union against tuberculosis and lung disease (UNION)
1986) [20]: allows you to collect information on the
existence of respiratory symptoms 12 months 'whistle
and breathing difficulty, shortness of breath, cough and
sputum, asthma, smoking... '. .
Meziane. Z et al
Respiratory Allergies and or Skin at the Personnel in Care of Tlemcen Medical Analysis Laboratories
Sex
Seniority
Hospital laboratories Tlemcen
hemobiology
bacteriology
biochemistry
Pathology
Blood Transfusion Centre
histology
Occupational Medicine
Blood-clinical
hemodialysis
Laboratory EHS
Privates Laboratoires
Establishment
Percentage %
middle aged: 33,8 ans :+/-10 year old
F : 84%
H : 16%
average length: 8,9 +/- 9 ans year old
85%
18.57%
18.57%
10%
18.57%
10%
1 .42%
1.42%
2.85%
1.42%
5%
10%
0,28%
1,42%
95,71%
tobacco use
smoking
ex smoker
Non-smoking
alcohol
allergy treatment
Familial atopy
Skin allergy
Respiratory respiratory
Behaviour
Antecedent family
Antecedents
personal
00%
49,3%
56.5%
42%
82,6%
Respiratory allergy
and Ear Nose & Throat
47
11
11
5
11
5
1
1
2
0
4
6
57
Skin allergy
24
11
4
2
2
2
0
0
2
1
2
3
29
Respiratory and
skin allergy
10
2
2
0
2
1
1
1
1
0
4
3
17
Meziane. Z et al
Respiratory Allergies and or Skin at the Personnel in Care of Tlemcen Medical Analysis Laboratories
45%
medical biologist
Ammoniums quaternaitres
latex
aldehydes
33.30%
secretary
8.70%
resident doctor
7.20%
assistant master
cleaning woman
2.90%
1.40%
cleaning woman
assistant master
resident doctor
secretary
medical biologist
laboratory assistant
8.70%
51.70%
eczma
34.50%
31.60%
42%
43.50%
conjonctivis
79.70%
rhinitis
7%6.90%
3.50%
3.40%
7%
1.80%0%
3.40%
contact dermatitis
14%
75%
hand
forearm
face
Meziane. Z et al
Respiratory Allergies and or Skin at the Personnel in Care of Tlemcen Medical Analysis Laboratories
C. Additional Examinations
Table No 3: Spirometry results
Normal Spirometry
Obstructive syndrome
Restrictive syndrome
Joint syndrome
Syndrome of the small airways
Grand Total
Allergens
Latex
Formaldhyde
Fragrance mix
Paraphynylne diamine free base
Cobalt chloride
Thiuram mix
Colophane
Wood alcools
Nomycine sulfate
Nickel sulfate
budesonide
The Number(%)
13(18,84%)
3(4,34%)
3(4,34%)
2(2,89%)
2(2,89%)
2(2,89%)
1(1,44%)
1(1,44%)
1(1,44%)
1(1,44%)
1(1,44%)
Allergic staff
E. Means of Protection
22
15
Pollen
cat
16
roach
olive tree
19
29%
latex
71%
blouse+gloves
Meziane. Z et al
Respiratory Allergies and or Skin at the Personnel in Care of Tlemcen Medical Analysis Laboratories
Meziane. Z et al
Respiratory Allergies and or Skin at the Personnel in Care of Tlemcen Medical Analysis Laboratories
Meziane. Z et al
Respiratory Allergies and or Skin at the Personnel in Care of Tlemcen Medical Analysis Laboratories
Conclusion
Professional pathology of allergic-type reactions in
hospitals is a hot topic and a global health problem. The
incidence and prevalence of these disorders are probably
undervalued and certainly very underreported. The
causes of these ailments are varied
Our study looked at the medical laboratories staff
handling allergenic substances (latex, formaldehyde) and
established the risk of allergy respiratory and skin
resulting from contact with these products.
The questionnaire is still insufficient for an accurate
assessment of the prevalence of asthma and other
allergic diseases because the door diagnosis is before any
clinical.
But despite the "difficulties" of a such cross-sectional
study, our survey gives an idea of the magnitude of the
problem of allergic diseases in medical analysis
laboratories.
It would have been more interesting to control data
by immunological assays more particularly subjects with
an allergy immediate type, but, in practice, it was difficult
to achieve.
(Prevalence of different conditions) results that we
have obtained seem predictable and prevalence rates are
virtually the same found in studies in the staff what
means that the allergic risk and is present in all health
facilities.
So it is important to give the necessary attention to
the allergic risk identification, risk factors (e.g. atopy
56.4%) and their evaluation to implement strategies
tailored support based on preventive measures and early
detection of occupational allergy in analysis laboratories
medical.
References
a *
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, M. Bartal , M.T. El Fassy Fihry
c
, Ch. Laraqui *Auteur correspondant. BP 9118, Mers
Sultan, Casablanca, Maroc. Profil des allergies respiratoires
et dermatologiques chez le personnel de sant au Maroc
Doi : 10.1016/S0335-7457(03)00206-5
[2]. Ccile SURLERAUX , conseiller en prvention Mdecin du
travail :Dermatoses professionnelles en milieu hospitalier
14 Nov 2011
[3]. Cline Ravallec travail et scurit 09-07 tablissement
de soins , un risque allergique mal considr