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Chronic Rhinosinusitis Related to Occupational Exposure

The Telemark Population Study

Clarhed, Ulrika K.E. MD; Svendsen, Martin MSc; Schiöler, Linus PhD; Kongerud, Johny MD, PhD; Torén, Kjell MD, PhD; Hellgren, Johan MD, PhD; Fell, Anne Kristin MD, PhD

Journal of Occupational and Environmental Medicine: July 2018 - Volume 60 - Issue 7 - p 656–660
doi: 10.1097/JOM.0000000000001312
ORIGINAL ARTICLES
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Objective: The aim of this study was to investigate the association between occupational exposure and chronic rhinosinusitis.

Methods: A random population from the region of Telemark, aged 16 to 50 years, answered a respiratory questionnaire including questions on chronic rhinosinusitis and exposure in the occupational environment.

Results: A total of 16,099/48,142 subjects responded. The prevalence of chronic rhinosinusitis was 9%. Exposure associated with chronic rhinosinusitis comprised paper dust [odds ratio (OR) 1.3, 95% confidence interval (95% CI) 1.1 to 1.5], cleaning agents (OR 1.2, 95% CI 1.0 to 1.3), metal dust (OR 1.3, 95% CI 1.1 to 1.6), animals (OR 1.2, 95% CI 1.0 to 1.5), moisture/mould/mildew (OR 1.3, 95% CI 1.1 to 1.5), and physically strenuous work (OR 1.4, 95% CI 1.2 to 1.7).

Conclusion: Occupational exposure to paper dust, cleaning agents, metal dust, animals, moisture/mould/mildew, and physically strenuous work was independently related to having chronic rhinosinusitis. An occupational history should be reviewed when assessing patients with chronic rhinosinusitis.

Department of Otorhinolaryngology, Head & Neck Surgery, Institute of Clinical Sciences, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden (Drs Clarhed, Hellgren); Department of Occupational and Environmental Medicine, Telemark Hospital, Skien, Norway (Mr Svendsen, Dr Fell); Occupational and Environmental Medicine, Institute of Medicine, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden (Drs Schiöler, Torén); Department of Respiratory Medicine, Oslo University Hospital, Norway Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway (Dr Kongerud).

Address correspondence to: Ulrika K.E. Clarhed, MD, Department of Otorhinolaryngology, Head & Neck Surgery, Institute of Clinical Sciences, University of Gothenburg, Gröna Stråket 9, SE-413 45 Göteborg, Sweden (Ulrika.KE.Svensson@vgregion.se).

Funding for this study was provided by The Medical Society of Gothenburg (GLS), ALF Regional and governmental funding, Swedish Association for Otorhinolaryngology Head & Neck Surgery.

The authors have no conflicts of interest, including financial, consultant, institutional, and other relationships.

Copyright © 2018 by the American College of Occupational and Environmental Medicine