{"id":2372,"date":"2014-02-26T15:03:21","date_gmt":"2014-02-26T15:03:21","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/pao\/"},"modified":"2025-05-13T20:27:27","modified_gmt":"2025-05-13T20:27:27","slug":"pao","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/pao\/","title":{"rendered":"Prevention of Sensitizer-Induced Occupational Asthma"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Primary, secondary, and tertiary preventive measures may reduce the incidence and severity of\u00a0<span style=\"line-height: 1.3em;\">sensitizer-induced asthma. <\/span><br \/>\n<!--more--><br \/>\n<strong>Prevention of Sensitizer-Induced Occupational Asthma<\/strong><\/p>\n<p><strong>Primary prevention<\/strong><\/p>\n<ul>\n<li><span style=\"line-height: 1.3em;\">Avoid introducing predicted new sensitizing agents into the workplace <\/span><span style=\"line-height: 1.3em;\">(efficacy as primary prevention currently theoretical).<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Avoid use of known sensitizing agents if safer alternatives are available.<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Modify the physical or chemical form of known sensitizers to reduce risk of <\/span><span style=\"line-height: 1.3em;\">exposure (e.g., less volatile preparations, polymerized products, and latex <\/span><span style=\"line-height: 1.3em;\">gloves with a low-protein and low-powder content).<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Reduce exposure to work sensitizers by means of occupational hygiene <\/span><span style=\"line-height: 1.3em;\">measures (e.g., use of robotics, containment, ventilation, and respirators).<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Educate workers in the use of safe practices at work.<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Monitor and control levels of exposure to workplace sensitizers.<\/span><\/li>\n<\/ul>\n<p><strong style=\"line-height: 1.3em;\">Secondary prevention (early detection)<\/strong><\/p>\n<ul>\n<li><span style=\"line-height: 1.3em;\">Institute medical-surveillance programs for workers at risk, consisting of <\/span><span style=\"line-height: 1.3em;\">preplacement and periodic respiratory questionnaires, with spirometry <\/span><span style=\"line-height: 1.3em;\">and immunologic tests as indicated.<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Ensure that health care providers have adequate knowledge of occupational <\/span><span style=\"line-height: 1.3em;\">asthma and consider it early in the evaluation of all adults with asthma <\/span><span style=\"line-height: 1.3em;\">symptoms, leading to early diagnosis and management of occupational <\/span><span style=\"line-height: 1.3em;\">asthma.<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Educate workers about the risks of occupational asthma through workplace <\/span><span style=\"line-height: 1.3em;\">programs, information provided by health care providers, and public-education programs (e.g., from news media, lung associations, and Web-based programs).<\/span><\/li>\n<\/ul>\n<p><strong style=\"line-height: 1.3em;\">Tertiary prevention (appropriate treatment)<\/strong><\/p>\n<ul>\n<li><span style=\"line-height: 1.3em;\">Evaluate symptomatic workers early and obtain an accurate diagnosis.<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Remove workers from further exposure to the implicated agent after a confirmed diagnosis, when possible.<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Control other triggers and use pharmacologic measures if necessary.<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Assist the patient with a workers\u2019 compensation claim when applicable, to <\/span><span style=\"line-height: 1.3em;\">limit the socioeconomic effects of the diagnosis.<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Monitor the patient\u2019s asthma in future work locations to ensure safe <\/span><span style=\"line-height: 1.3em;\">placement.<\/span><\/li>\n<\/ul>\n<div><\/div>\n<div><\/div>\n<div><strong>References:<\/strong><\/div>\n<div>\n<ol>\n<li>Tarlo SM, Lemiere C. Occupational asthma. N Engl J Med. 2014 Feb 13;370(7):640-9.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24521110\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Heederik D, Henneberger PK, Redlich CA; ERS Task Force on the Management of Work-related Asthma. Primary prevention: exposure reduction, skin exposure and respiratory protection. Eur Respir Rev. 2012 Jun 1;21(124):112-24.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22654083\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<\/div>\n<div><\/div>\n<div>Created Apr 29, 2014.<\/div>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[233],"tags":[962,961,960,959,958,957,956,955,954,963],"class_list":["post-2372","post","type-post","status-publish","format-standard","hentry","category-pulmonary","tag-asma","tag-asthma","tag-induced","tag-inducida","tag-occupational","tag-ocupacional","tag-prevencion","tag-prevention","tag-sensibilizadores","tag-sensitizer"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2372","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2372"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2372\/revisions"}],"predecessor-version":[{"id":9287,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2372\/revisions\/9287"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2372"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2372"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2372"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}