Development of a bar code-based exposure assessment method to evaluate occupational exposure to disinfectants and cleaning products: a pilot study

Quinot, Catherine; Amsellem-Dubourget, S; Temam, Sofia; Sevin, Étienne de; Barreto, C; Tackin, Arzu; Félicité, Jérémy; Lyon-Caen, Sarah; Siroux, Valérie; Girard, R.; Descatha, Alexis; Moual, Nicole Le; Dumas, Orianne

doi:10.1136/oemed-2017-104793

Cited by 16 publications

(14 citation statements)

References 37 publications

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“…46 To improve knowledge regarding agents causing respiratory hazards, the use of novel exposure assessment methods, such as a Smartphone application to scan the barcodes of DCP and the development of databases listing all ingredients of DCP may be useful in future studies. 47 Major strengths of our study include the large population size, the high response rate and the use of standardized and validated definitions to evaluate asthma and asthma control.…”

Section: Discussionmentioning

confidence: 99%

Household Cleaning and Poor Asthma Control Among Elderly Women

Dumas

Bédard

Marbac

et al. 2021

The Journal of Allergy and Clinical Immunology: In Practice

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Section: Discussionmentioning

confidence: 99%

Household Cleaning and Poor Asthma Control Among Elderly Women

Dumas

Bédard

Marbac

et al. 2021

The Journal of Allergy and Clinical Immunology: In Practice

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“…More recently, Quinot et al [77] investigated the feasibility of using smartphones and product bar codes to advance occupational exposure assessments for cleaning and disinfecting products among hospital/cleaning workers. The smart phone application has a bar code reader and seven fields for manual data entry: product name, frequency of use (per week and per day), what product is used for, physical form of product (e.g., spray), use of protective equipment and if the product is used in a confined place.…”

Section: Discussionmentioning

confidence: 99%

Methodological evaluation of human research on asthmagenicity and occupational cleaning: a case study of quaternary ammonium compounds (“quats”)

LaKind

Goodman

2019

Allergy Asthma Clin Immunol

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In this paper, we review methodological approaches used in studies that evaluated the association between occupational exposure to quaternary ammonium compounds (quats) and occupational asthma. This association is of interest because quats are a common active ingredient of disinfectants and have been linked to work-related asthma in some circumstances. However, any evidence-based assessment of an exposure-outcome association needs to consider both strengths and limitations of the literature. We focus on publications cited by various US and international organizations. Eighteen investigations included in the review fall into two broad categories: case reports and challenge studies of individual patients and population studies that examined the association between quats and asthma occurrence in groups of subjects. We evaluated these studies guided by questions that address whether: exposure data on specific quat(s) and other agents that may cause asthma were included, new asthma cases were differentiated from asthma exacerbation, and information on respiratory sensitivity versus irritation was given. We also assessed consistency across studies. Studies of individual patients, particularly those that provided detailed information on challenge test results, document cases of asthma induced by exposure to quats. By contrast, studies of occupational groups with the highest potential for quats exposure (e.g., cleaners and farmers) do not consistently report increased incidence of asthma due specifically to quats. The unresolved methodological issues include: poor understanding of exposure pathways considering that quats are non-volatile, lack of quantitative data allowing for identification of an asthmagenicity threshold, insufficient information on whether quats are sensitizers or act via dose-dependent irritation or some other mechanism, and inability to quantify risk of new-onset asthma attributable to quats. Another important area of uncertainty is the lack of information on the specific quats being used. There is also a lack of data capable of distinguishing the effects of quats from those of other chemical and biological workplace exposures. The current state-of-the-science does not allow a proper assessment of the potential link between quats and occupational asthma.

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“…Studies have generally used questionnaires, which is prone to both differential and non-differential misclassification errors, as participants are unlikely to know the detailed composition of the products they use. To overcome this issue, a new method using a smartphone application to scan the cleaning products' bar code, with a related database linking the bar codes to the products' compositions, has been proposed [28]. This method could be particularly useful in large populations, in which quantitative exposure measurements are hardly feasible.…”

Section: Challenges and Opportunities In Assessing Causative Agents Amentioning

confidence: 99%

Damaging effects of household cleaning products on the lungs

Dumas

Moual

2019

Expert Review of Respiratory Medicine

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Development of a bar code-based exposure assessment method to evaluate occupational exposure to disinfectants and cleaning products: a pilot study

Abstract: This innovative and easy-to-use method could help to improve the assessment of occupational exposure to disinfectants/cleaning products in epidemiological studies.

Cited by 16 publications

References 37 publications

Household Cleaning and Poor Asthma Control Among Elderly Women

Household Cleaning and Poor Asthma Control Among Elderly Women

Methodological evaluation of human research on asthmagenicity and occupational cleaning: a case study of quaternary ammonium compounds (“quats”)

Damaging effects of household cleaning products on the lungs

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