Skip to main content

Advertisement

Log in

Prevalence and host determinants of occupational bronchial asthma in animal shelter workers

  • Original Article
  • Published:
International Archives of Occupational and Environmental Health Aims and scope Submit manuscript

Abstract

Objective

We examined the risk factors for the development of airway allergy in animal shelter workers.

Methods

The study population comprised 88 animal shelter workers occupationally exposed to cats and dogs. They responded to a questionnaire concerning the history of exposure to animal allergens and job characteristics and were subjected to skin prick test (SPT) to common and occupational allergens (cat and dog), and determination of total serum IgE level and specific IgE. In addition, SPT with rat and mouse allergens were performed. Bronchial hyperreactivity and peak expiratory flow rate were measured at work and off work only in workers with work-related symptoms suggestive of occupational asthma (OA).

Results

The prevalence of OA was 9.1%. Sensitization to dog allergens was higher than to cats. The multivariate logistic regression analysis revealed a significant role of positive family history of atopy and having a dog as pet in the past for the development of occupational airway allergy (OR 5.9; 95% CI 1.76, 20.00; P = 0.003; OR 6.47; 95% CI 1.90, 22.02; P = 0.002, respectively). In the multivariate logistic regression analysis, the risk for developing OA was most clearly associated with growing up in the country (OR 7.59; 95% CI 1.25, 45.9; P = 0.025).

Conclusions

Allergic disease is a serious occupational health concern for subjects who have occupational contact with cats and dogs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Abbreviations

SPT:

Skin prick test

OAA:

Occupational airway allergy

PEFR:

Peak expiratory flow rate

BHR:

Bronchial hyperreactivity

OA:

Occupational asthma

References

  • Agrup G, Belin I, Sjostedt L, Skerfving S (1986) Allergy to laboratory animals in laboratory technicians and animal keepers. Br J Ind Med 43:192–198

    PubMed  CAS  Google Scholar 

  • Aoyama K, Ueda A, Manda F, Matsushita T, Ueda T (1992) Allergy to laboratory animals: an epidemiological study. Br J Ind Med 49:41–47

    PubMed  CAS  Google Scholar 

  • Burney PG, Laitinen LA, Perdrizet S, Huckauf H, Tattersfield AE, Chinn S, Poisson N, Heeren A, Britton JR, Jones T (1989) Validity and repeatability of the IUATLD (1984) Bronchial Symptoms Questionnaire: an international comparison. Eur Respir J 2:940–945

    PubMed  CAS  Google Scholar 

  • Botham PA, Davies GE, Teasdale EL (1987) Allergy to laboratory animals: a prospective study of its incidence and of the influence of atopy on its development. Br J Ind Med 44:627–632

    PubMed  CAS  Google Scholar 

  • Cockcroft DW, Killian DN, Mellon JJ, Hargreave FE (1977) Bronchial reactivity to inhaled histamine: a method and clinical survey. Clin Allergy 7:235–243

    Article  PubMed  CAS  Google Scholar 

  • Cote J, Kennedy S, Chan-Yeung M (1990) Sensitivity and specificity of PC20 and peak expiratory flow rate in cedar asthma. J Allergy Clin Immunol 85:592–598

    Article  PubMed  CAS  Google Scholar 

  • Cullinan P, Cook A, Gordon S, Nieuwenhuijsen MJ, Tee RD, Venables KM, McDonald JC, Taylor AJ (1999) Allergen exposure, atopy and smoking as determinants of allergy to rats in a cohort of laboratory employees. Eur Respir J 13:1139–1143

    Article  PubMed  CAS  Google Scholar 

  • Dabbagh K, Dahl ME, Stepick-Biek P, Lewis DB (2002) Toll-like receptor 4 is required for optimal development of Th2 immune response: role of dendritic cells. J Immunol 168:4524–4530

    PubMed  CAS  Google Scholar 

  • Dreborg S, Frew AJ (1993) Allergen standarisation and skin tests. Allergy 47:S48–S82

    Google Scholar 

  • Eder W, Klimecki W, Lizhi Y, von Mutius E, Riedler J, Braun-Fahrlander Ch, Nowak D, Martinez FD (2004) Toll-like receptor 2 as a major gene for asthma in children of European farmers. J Allergy Clin Immunol 113:482–488

    Article  PubMed  CAS  Google Scholar 

  • Eisenbarth SC, Piggott DA, Huleatt JW, Visintin I, Herrick CA, Bottomly K (2002) Lipopolysasccharide-enhanced, toll-like receptor 4-dependent T helper cell type 2 responses to inhaled antigen. J Exp Med 196:1645–1651

    Article  PubMed  CAS  Google Scholar 

  • Elliott L, Heederik D, Marshall S, Peden D, Loomis D (2005) Progression of self-reported symptoms in laboratory animal allergy. J Allergy Clin Immunol 116:127–132

    Article  PubMed  Google Scholar 

  • Haahtela T, Jaakonmaki I (1981) Relationship of allergen-specific IgE antibodies, skin prick tests and allergic disorders in unselected adolescents. Allergy 36:251–256

    PubMed  CAS  Google Scholar 

  • Heederik D, Venables KM, Malmberg P, Hollander A, Karlsson AS, Renström A, Doekes G, Nieuwenhuijsen M, Gordon S (1999) Exposure-response relationships for work-related sensitization in workers exposed to rat urinary allergens: results from a pooled study. J Allergy Clin Immunol 103:678–684

    Article  PubMed  CAS  Google Scholar 

  • Heinrich J, Gehring U, Douwes J, Koch A, Fahlbusch B, Bischof W, Wichmann HE (2001) Pets and vermin are associated with high endotoxin levels in house dust. Am J Respir Crit Care Med 163:A844

    Google Scholar 

  • Hesselmar B, Äberg N, Äberg B, Eriksson B, Björksten B (1999) Does early exposure to cat or dog protect against later allergy development ? Clin Exp Allergy 29:611–617

    Article  PubMed  CAS  Google Scholar 

  • Hollander A, Doekes G, Heederik D (1996) Cat and dog allergy and total IgE as risk factors of laboratory animal allergy. J Allergy Clin Immunol 98:545–554

    Article  PubMed  CAS  Google Scholar 

  • Hölscher B, Frye C, Wichmann HE, Heinrich J (2002) Exposure to pets and allergies in children. Pediatr Allergy Immunol 13:334–341

    Article  PubMed  Google Scholar 

  • Holt PG, O’Keeffe PO, Holt BJ, Upham JW, Baron-Hay MJ, Suphioglu C, Knox B, Stewart GA, Thomas WR, Sly PD (1995) T-cell “priming” against environmental allergens in human neonates: sequential deletion of food antigens reactivity during infancy with concomitant expansion of responses to ubiquitous inhalant allergens. Pediatric Allergy Immunol 6:85–90

    CAS  Google Scholar 

  • Hunskaar S, Fosse RT (1990) Allergy to laboratory mice and rats: a review of the pathophysiology, epidemiology and clinical aspects. Lab Anim 24:358–374

    PubMed  CAS  Google Scholar 

  • Hunter CJ, Brightling CE, Woltmann G, Wardlaw AJ, Pavord ID (2002) A comparison of the validity of different diagnostic tests in adults with asthma. Chest 121:1051–1057

    Article  PubMed  Google Scholar 

  • Imler JL, Hoffmann JA (2001) Toll receptors in innate immunity. Trends Cell Biol 11:304–311

    Article  PubMed  CAS  Google Scholar 

  • Jagielo PJ, Thorne PS, Watt JL, Frees KL, Quinn TJ, Schwartz DA (1996) Grain dust and endotoxin inhalation challenges produce similar inflammatory responses in normal subjects. Chest 110:263–270

    PubMed  CAS  Google Scholar 

  • Johansson SG, Hourihane JO, Bousquet J, Bruijnzeel-Koomen C, Dreborg S, Haahtela T, Kowalski ML, Mygind N, Ring J, van Cauwenberge P, van Hage-Hamsten M, Wuthrich B. (2001) A revised nomenclature for allergy. An EAACI position statement from the EAACI nomenclature task force. Allergy 56:813–824. Review. Erratum in: Allergy 2001 Dec; 56(12):1229

    Google Scholar 

  • Johnson CC, Chan-Yeung M (1999) Nonspecific bronchial hyperresponsiveness. In: Bernstein IL, Chan-Yeung M, Malo JL, Bernstein DI (eds) Asthma in the workplace. Marcel Dekker, Basel, pp 173–210

    Google Scholar 

  • Johnson CC, Alford SH (2002) Do animals on the farm and in the home reduce the risk of pediatric atopy? Curr Opin Allergy Clin Immunol 2:133–139

    Article  PubMed  Google Scholar 

  • Lindfors A, van Hage-Hamsten M, Rietz H, Wickman M, Nordvall SL (1999) Influence of interaction of environmental risk factors and sensitization in young asthmatic children. J Allergy Clin Immunol 104:755–762

    Article  PubMed  CAS  Google Scholar 

  • Linnenberg A, Nielsen NH, Madsen F, Fröund L, Dirksen A, Jörgensen T (2003) Pets in the home and the development of pet allergy in adulthood. The Copenhagen Allergy Study. Allergy 58:21–26

    Article  Google Scholar 

  • Malolepszy J, Liebhart J, Wojtyniak B, Pisiewicz K, Plusa T (2000) Prevalence of allergic diseases in Poland. Alergia Astma Immunologia 5:163–169 (in Polish)

    Google Scholar 

  • Pacheco KA, McCammon Ch, Liu AH, Thorne PS, O’Neill ME, Martyny J, Newman LS, Hamman F, Rose SC (2003) Airborne endotoxin predicts symptoms in non-mouse-sensitized technicians and research scientists exposed to laboratory mice. Am J Respir Crit Care Med 167:983–990

    Article  PubMed  Google Scholar 

  • Perrin B, Lagier F, L’Archeveque J, Cartier A, Boulet LP, Cote J, Malo JL (1992) Occupational asthma: validity of monitoring of peak expiratory flow rates and non-allergic bronchial responsiveness as compared to specific inhalation challenge. Eur Respir J 5:40–48

    PubMed  CAS  Google Scholar 

  • Platts-Mills T, Vaughan J, Squillace S, Woodfolk J, Sporik R (2001) Sensitisation, asthma, and modified Th2 response in children exposed to cat allergen: a population-based cross-sectional study. Lancet 357:752–756

    Article  PubMed  CAS  Google Scholar 

  • Quirce S, Contreras G, Dybuncio A, Chan-Yeung M (1995) Peak expiratory flow monitoring is not a reliable method for establishing the diagnosis of occupational asthma. Am J Respir Crit Care Med 152:1100–1102

    PubMed  CAS  Google Scholar 

  • Reininger R, Swoboda I, Bohle B, Hauswirth AW, Valent P, Rumpold H, Valenta R, Spitzauer S (2003) Characterization of recombinant cat albumin. Clin Exp Allergy 33:1695–1702

    Article  PubMed  CAS  Google Scholar 

  • Schou C (1993) Defining allergens of mammalian origin. Clin Exp Allergy 23:7–14

    Article  PubMed  CAS  Google Scholar 

  • Spitzauer S, Schweiger C, Sperr WR, Pandjaitan B, Valent P, Muhl S, Ebner C, Scheiner O, Kraft D, Rumpold H, Valenta R (1994) Molecular characterization of dog albumin as a cross-reactive allergen. J Allergy Clin Immunol 93:614–627

    Article  PubMed  CAS  Google Scholar 

  • Virtanen T, Zeiler T, MantyjarviR (1999) Important animal allergens are lipocalin proteins: why are they allergenic? Int Arch Allergy Immunol 120:247–258

    Article  PubMed  CAS  Google Scholar 

  • Waser M, von Mutius E, Riedler J, Nowak D, Maisch S, Carr D, Eder W, Tebow G, Schierl R, Schreuer M, Braun-Fahrlander C (2005) Exposure to pets, and the association with hay fever, asthma, and atopic sensitization in rural children. Allergy 60:177–184

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Anna Krakowiak.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Krakowiak, A., Krawczyk, P., Szulc, B. et al. Prevalence and host determinants of occupational bronchial asthma in animal shelter workers. Int Arch Occup Environ Health 80, 423–432 (2007). https://doi.org/10.1007/s00420-006-0152-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00420-006-0152-1

Keywords

Navigation