Avtor/Urednik		Mandelc-Grom, Majda; Franko, Alenka
Naslov		Verifikacija poklicnih bolezni: poklicna astma
Prevedeni naslov		Verification of occupational diseases: occupational asthma
Tip		članek
Vir		Sanitas et labor
Vol. in št.		Letnik 2, št. 1
Leto izdaje		2002
Obseg		str. 33-62
Jezik		slo
Abstrakt		Summary: Occupational asthma nowadays is the most common occupational respiratory disease in developed countries. Its prevalence is rising, as does the number of potential etiological agents. There are different definitions of occupational asthma, all having in common, that it is caused by an agent specific for a certain workplace. In the article data on epidemiology, pathophysiological mechanisms, and causal agents are summarized. Stepwise diagnostic approach is presented, and the importance of early diagnosis as well as cessation of the exposure to ensure better prognosis is emphasized. According to current legislation in Slovenia, legislation of some countries of the EU and EU recommendations, review of the conditions and criteria for recognition asthma as an occupational disease are presented. The paper concludes with a proposal of new criteria for verification of occupational asthma and specification of executives participating in the procedure of verification. Algorhythm of diagnostic procedure and the list of some common causal agents of occupational asthma are added in the annex.
Izvleček		Poklicna astma je danes v razvitem svetu najpogostejša poklicna bolezen dihal. Prevalenca poklicne astme narašča, prav tako število možnih vzročnih dejavnikov. Definicije poklicne astme so različne, v vseh pa je navedeno, da jo povzroča dejavnik, ki je specifičen za delovno mesto. V prispevku so povzeti podatki o epidemiologiji, patofizioloških mehanizmih in vzročnih dejavnikih. Prikazana je stopenjska diagnostika in pomembnost zgodnje diagnoze ter prenehanja izpostavljenosti za dobro prognozo bolezni. Podan je pregled pogojev in kriterijev za priznanje astme kot poklicne bolezni glede na trenutno veljavno zakonodajo v Sloveniji in v nekaterih državah Evropske skupnosti in navedena priporočila, ki veljajo v Evropski skupnosti. V zaključku je podan predlog novih kriterijev za verifikacijo paklicne astme in navedeni izvajalci, ki sodelujejo v postopku verifikacije. V prilogi je prikazan algoritem diagnostičnih postopkov in seznam nekaterih pogostejših vzročnih dejavnikov poklicne astme.
Deskriptorji		ASTHMA OCCUPATIONAL DISEASES RESPIRATORY FUNCTION TESTS RISK ASSESSMENT ALLERGENS SLOVENIA EUROPEAN ECONOMIC COMMUNITY