Community-acquired pneumonia and welding

Palmer, Keith T; Cosgrove, Martin

doi:10.7861/clinmedicine.13-2-214b

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Not coincidentally, some reports have documented an increased occurrence of IPD in settings such as mines and extractive industry, where the exposures to welding fumes are limitedly documented, but the workforce shares very similar specificities in terms of health status and housing issues [ 49 , 51 ], and also in close contacts during their daily tasks, with high sharing of devices and surfaces. The increased risk for professionals exposed to welding fumes is otherwise confirmed by retrospective studies, where an OR of 2.59, with a 95% CI of 2.00 to 3.35, was eventually calculated [ 8 , 13 , 34 , 44 ].…”

Section: Discussionmentioning

confidence: 91%

“…The remaining 511 entries were then screened by title and abstract, with the subsequent removal of 477 items (55.9%). The remaining 34 entries (4.0% of the initial sample) were full-text reviewed [ 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ]. Of them, 20 were excluded from the final pool (2.3%), which only contained 14 articles (1.6% of the initial sample), whose content was included in both qualitative and quantitative analyses [ 8 , 13 , 29 , 30 , 32 , 33 , 34 , 35 , 37 , 38 , 41 , 42 , 43 , 47 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Vaccinating Welders against Pneumococcus: Evidence from a Systematic Review and Meta-Analysis

Riccò,

Ferraro,

Zaffina

et al. 2023

Vaccines

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Workers occupationally exposed to welding dusts and fumes have been suspected to be at increased risk of invasive pneumococcal disease (IPD). Since the 2010s, the United Kingdom Department of Health and the German Ständige Impfkommission (STIKO) actively recommend welders undergo immunization with the 23-valent polysaccharide (PPV23) pneumococcal vaccine, but this recommendation has not been extensively shared by international health authorities. The present meta-analysis was therefore designed to collect available evidence on the occurrence of pneumococcal infection and IPD among welders and workers exposed to welding fumes, in order to ascertain the effective base of evidence for this recommendation. PubMed, Embase and MedRxiv databases were searched without a timeframe restriction for the occurrence of pneumococcal infections and IPD among welders and workers exposed to metal dusts, and articles meeting the inclusion criteria were included in a random-effect meta-analysis model. From 854 entries, 14 articles (1.6%) underwent quantitative analysis, including eight retrospective studies (publication range: 1980–2010), and six reports of professional clusters in shipbuilding (range: 2017–2020). Welders had an increased likelihood of developing IPD compared with non-welders (odds ratio 2.59, 95% CI 2.00–3.35, I2 = 0%, p = 0.58), and an increased likelihood of dying from IPD (standardized mortality ratio (SMR) 2.42, 95% CI 1.96-2.99, I2 = 0%, p = 0.58). Serotype typing was available for 72 cases, 60.3% of which were represented by serotype 4, followed by 12F (19.2%) and serotype 8 (8.2%). Although the available data derive from a limited number of studies, available results suggest that pneumococcal vaccination should be recommended for workers exposed to welding fumes, and vaccination strategies should consider the delivery of recombinant formulates in order to combine the direct protection against serotypes of occupational interest with the mucosal immunization, reducing the circulation of the pathogen in occupational settings characterized by close interpersonal contact.

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