Praćenje vršnog ekspiratornog protoka u dijagnozi profesionalne astme
Prema podacima iz Registra profesionalnih bolesti Hrvatskoga zavoda za zaštitu zdravlja i sigurnost na radu, u posljednjih deset godina (2008. ‒ 2017.) prijavljeno je samo 20 slučajeva profesionalne astme od ukupno 2234 prijavljene profesionalne bolesti. To upućuje na značajne nedostatke u prepoznav...
Published in: | Archives of Industrial Hygiene and Toxicology |
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Main Authors: | , |
Format: | Article in Journal/Newspaper |
Language: | Croatian |
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Institute for Medical Research and Occupational Health
2018
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Online Access: | https://hrcak.srce.hr/213663 https://hrcak.srce.hr/file/312248 |
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astma pogoršana radom bronhoprovokacijski testovi dišni iritansi PEF profesionalni alergeni bronchoprovocation testing occupational allergens respiratory irritants work-aggravated asthma |
spellingShingle |
astma pogoršana radom bronhoprovokacijski testovi dišni iritansi PEF profesionalni alergeni bronchoprovocation testing occupational allergens respiratory irritants work-aggravated asthma Skroza, Dina Macan, Jelena Praćenje vršnog ekspiratornog protoka u dijagnozi profesionalne astme |
topic_facet |
astma pogoršana radom bronhoprovokacijski testovi dišni iritansi PEF profesionalni alergeni bronchoprovocation testing occupational allergens respiratory irritants work-aggravated asthma |
description |
Prema podacima iz Registra profesionalnih bolesti Hrvatskoga zavoda za zaštitu zdravlja i sigurnost na radu, u posljednjih deset godina (2008. ‒ 2017.) prijavljeno je samo 20 slučajeva profesionalne astme od ukupno 2234 prijavljene profesionalne bolesti. To upućuje na značajne nedostatke u prepoznavanju toga poremećaja u našoj radnoj populaciji. Cilj ovoga rada bio je opisati standardnu metodu praćenja vršnog ekspiratornog protoka zraka (eng. peak expiratory flow, PEF) i predložiti praktičnu smjernicu za korištenje te dijagnostičke metode u ambulantama medicine rada i sporta. Praćenje vršnog ekspiratornog protoka zraka (PEF-monitoring) jednostavna je, jeftina, neinvazivna i pouzdana metoda za utvrđivanje funkcije dišnog sustava u stvarnim uvjetima rada i radnog okoliša. Sadašnje smjernice preporučuju PEF-monitoring kao inicijalnu dijagnostičku metodu prilikom sumnje na profesionalnu astmu. Pozitivan test upozorava na povezanost promjene plućne funkcije s radnom izloženošću i važan je dio dijagnostičkoga procesa utvrđivanja profesionalne astme. Najveći je nedostatak te metode da se tim testom ne može utvrditi uzrok astme, tj. on ne razlikuje profesionalnu astmu od astme pogoršane na radu, nema standardizirane metode za interpretaciju rezultata, a mjerenja provode sami radnici pa su moguće namjerne i nenamjerne manipulacije rezultatima mjerenja. U radu je predložena praktična smjernica za primjenu te metode u ambulantama medicine rada i sporta, s preporukama protokola mjerenja PEF-a, prikaza rezultata mjerenja i njihove interpretacije u sklopu dijagnosticiranja profesionalne astme. According to the ten-year (2008-2017) data of the national Register of Occupational Diseases (Croatian Institute for Health Protection and Safety at Work), of the 2,234 registered cases of occupational diseases only 20 were of occupational asthma. Such underreporting points to poor diagnosing and recognition of this disorder in our working population. The aim of this paper was therefore to address this issue by introducing the standard method for peak expiratory flow (PEF) monitoring as a helpful tool in diagnosing occupational asthma. PEF monitoring is a relatively simple, inexpensive, noninvasive, and robust method for determining the function of the respiratory system in real working conditions and environment. Current guidelines recommend PEF monitoring as an initial diagnostic tool for cases of suspected occupational asthma. A positive test points to associations between changes in the lung function and work exposure and makes an important part in the procedure confirming suspect occupational asthma. However, this test cannot determine the cause of asthma because it does not distinguish occupational asthma from work-aggravated asthma, interpretation of results is not standardised, and its measurements are carried out by workers themselves, which may allow intentional and unintentional errors in measurements. This paper also brings a practical guide for occupational and sport medicine physicians to use this diagnostic method in their practices. Special focus is given to the PEF measurement protocol and the presentation and interpretation of its findings. |
format |
Article in Journal/Newspaper |
author |
Skroza, Dina Macan, Jelena |
author_facet |
Skroza, Dina Macan, Jelena |
author_sort |
Skroza, Dina |
title |
Praćenje vršnog ekspiratornog protoka u dijagnozi profesionalne astme |
title_short |
Praćenje vršnog ekspiratornog protoka u dijagnozi profesionalne astme |
title_full |
Praćenje vršnog ekspiratornog protoka u dijagnozi profesionalne astme |
title_fullStr |
Praćenje vršnog ekspiratornog protoka u dijagnozi profesionalne astme |
title_full_unstemmed |
Praćenje vršnog ekspiratornog protoka u dijagnozi profesionalne astme |
title_sort |
praćenje vršnog ekspiratornog protoka u dijagnozi profesionalne astme |
publisher |
Institute for Medical Research and Occupational Health |
publishDate |
2018 |
url |
https://hrcak.srce.hr/213663 https://hrcak.srce.hr/file/312248 |
long_lat |
ENVELOPE(144.254,144.254,59.381,59.381) |
geographic |
Protoka |
geographic_facet |
Protoka |
genre |
sami |
genre_facet |
sami |
op_source |
Arhiv za higijenu rada i toksikologiju ISSN 0004-1254 (Print) ISSN 1848-6312 (Online) Volume 69 Issue 4 |
op_relation |
info:eu-repo/semantics/altIdentifier/doi/10.2478/aiht-2018-69-3155 https://hrcak.srce.hr/213663 |
op_rights |
info:eu-repo/semantics/openAccess Copyright: Institute for Medical Research and Occupational Health, Zagreb, Croatia Parts of the contents such as figures and tables may be reproduced without prior permission, provided reference is made to the source. Annual subscription to the printed version (postage included): Europe Eur 70.00; overseas countries Eur 85,00 Slovenian Society of Toxicology Eur 30.00 Full text articles online available for free. |
op_doi |
https://doi.org/10.2478/aiht-2018-69-3155 |
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Archives of Industrial Hygiene and Toxicology |
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69 |
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4 |
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354 |
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363 |
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fthrcak:oai:hrcak.srce.hr:213663 2023-05-15T18:14:06+02:00 Praćenje vršnog ekspiratornog protoka u dijagnozi profesionalne astme Peak expiratory flow monitoring in the diagnosis of occupational asthma Skroza, Dina Macan, Jelena 2018 application/pdf https://hrcak.srce.hr/213663 https://hrcak.srce.hr/file/312248 hrv hrv Institute for Medical Research and Occupational Health info:eu-repo/semantics/altIdentifier/doi/10.2478/aiht-2018-69-3155 https://hrcak.srce.hr/213663 info:eu-repo/semantics/openAccess Copyright: Institute for Medical Research and Occupational Health, Zagreb, Croatia Parts of the contents such as figures and tables may be reproduced without prior permission, provided reference is made to the source. Annual subscription to the printed version (postage included): Europe Eur 70.00; overseas countries Eur 85,00 Slovenian Society of Toxicology Eur 30.00 Full text articles online available for free. Arhiv za higijenu rada i toksikologiju ISSN 0004-1254 (Print) ISSN 1848-6312 (Online) Volume 69 Issue 4 astma pogoršana radom bronhoprovokacijski testovi dišni iritansi PEF profesionalni alergeni bronchoprovocation testing occupational allergens respiratory irritants work-aggravated asthma text info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2018 fthrcak https://doi.org/10.2478/aiht-2018-69-3155 2018-12-27T00:01:43Z Prema podacima iz Registra profesionalnih bolesti Hrvatskoga zavoda za zaštitu zdravlja i sigurnost na radu, u posljednjih deset godina (2008. ‒ 2017.) prijavljeno je samo 20 slučajeva profesionalne astme od ukupno 2234 prijavljene profesionalne bolesti. To upućuje na značajne nedostatke u prepoznavanju toga poremećaja u našoj radnoj populaciji. Cilj ovoga rada bio je opisati standardnu metodu praćenja vršnog ekspiratornog protoka zraka (eng. peak expiratory flow, PEF) i predložiti praktičnu smjernicu za korištenje te dijagnostičke metode u ambulantama medicine rada i sporta. Praćenje vršnog ekspiratornog protoka zraka (PEF-monitoring) jednostavna je, jeftina, neinvazivna i pouzdana metoda za utvrđivanje funkcije dišnog sustava u stvarnim uvjetima rada i radnog okoliša. Sadašnje smjernice preporučuju PEF-monitoring kao inicijalnu dijagnostičku metodu prilikom sumnje na profesionalnu astmu. Pozitivan test upozorava na povezanost promjene plućne funkcije s radnom izloženošću i važan je dio dijagnostičkoga procesa utvrđivanja profesionalne astme. Najveći je nedostatak te metode da se tim testom ne može utvrditi uzrok astme, tj. on ne razlikuje profesionalnu astmu od astme pogoršane na radu, nema standardizirane metode za interpretaciju rezultata, a mjerenja provode sami radnici pa su moguće namjerne i nenamjerne manipulacije rezultatima mjerenja. U radu je predložena praktična smjernica za primjenu te metode u ambulantama medicine rada i sporta, s preporukama protokola mjerenja PEF-a, prikaza rezultata mjerenja i njihove interpretacije u sklopu dijagnosticiranja profesionalne astme. According to the ten-year (2008-2017) data of the national Register of Occupational Diseases (Croatian Institute for Health Protection and Safety at Work), of the 2,234 registered cases of occupational diseases only 20 were of occupational asthma. Such underreporting points to poor diagnosing and recognition of this disorder in our working population. The aim of this paper was therefore to address this issue by introducing the standard method for peak expiratory flow (PEF) monitoring as a helpful tool in diagnosing occupational asthma. PEF monitoring is a relatively simple, inexpensive, noninvasive, and robust method for determining the function of the respiratory system in real working conditions and environment. Current guidelines recommend PEF monitoring as an initial diagnostic tool for cases of suspected occupational asthma. A positive test points to associations between changes in the lung function and work exposure and makes an important part in the procedure confirming suspect occupational asthma. However, this test cannot determine the cause of asthma because it does not distinguish occupational asthma from work-aggravated asthma, interpretation of results is not standardised, and its measurements are carried out by workers themselves, which may allow intentional and unintentional errors in measurements. This paper also brings a practical guide for occupational and sport medicine physicians to use this diagnostic method in their practices. Special focus is given to the PEF measurement protocol and the presentation and interpretation of its findings. Article in Journal/Newspaper sami Hrčak - Portal of scientific journals of Croatia Protoka ENVELOPE(144.254,144.254,59.381,59.381) Archives of Industrial Hygiene and Toxicology 69 4 354 363 |