Follow-up after occupational asbestos exposure: Terms and devices in foreign
Follow-up after occupational asbestos exposure: Terms and devices in foreign
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DOI：
10.1016/j.rmr.2010.08.012
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发表时间：
2011-04-01
影响因子：
0.6
通讯作者：
Bergeret, A.
中科院分区：
文献类型：
--
作者：
Massardier-Pilonchery, A.;Bergeret, A.
导论.疾病，包括石棉引起的癌症，通常在潜伏多年后发生。因此，在雇员就业结束（退休、裁员等）后，必须继续对他们进行跟踪。法国自1996年以来就有这样的安排。本文回顾了文献上存在的就业后的监测安排，法国以外，特别是在其他欧洲国家，和他们的characteristics.State的艺术。-这项研究揭示了数量有限的国家经验，在德国，西班牙，芬兰，意大利，挪威，波兰和瑞士。医疗协议通常涉及：算法决策、问卷调查、体格检查、胸部X线摄影、CT扫描和/或肺量测定。- 在国际上，有各种方法来选择进行后续检查的员工，并确定随后检查的频率。不像德国，这是一个长期的经验，这样的医疗后续行动，其中几个方案是最近。- 对与石棉有关的疾病进行职业后医疗监测的情况并不多见，监测安排各不相同，取决于医疗和社会因素。法国的职后监测系统无疑可以改进，但与其他国家的安排相比，它值得一提，因为其他国家甚至已经存在这些安排。(C)2011年由Elsevier Masson SAS代表SPLF出版。
Introduction. Diseases, including cancer induced by asbestos, usually occur after many years of latency. The follow-up of employees must therefore continue after the end of their employment (retirement, redundancy, etc.) and such an arrangement has existed in France since 1996. This article reviews the literature on the post-employment monitoring arrangements that exist outside of France, particularly in other European countries, and their characteristics.State of art. - This research has revealed a limited number of national experiences in Germany, Spain, Finland, Italy, Norway, Poland, and Switzerland. The medical protocols generally involve: algorithm decisions, questionnaire, physical examination, chest radiography, CT scan, and/or spirometry.Perspectives. - Internationally, various methods exist to select employees for follow-up and to determine the frequency of subsequent examinations. Unlike Germany, which has a long experience of such medical follow-up, several of these programs are more recent.Conclusions. - Post-occupational medical surveillance of asbestos-related disease is uncommon, monitoring arrangements vary and depend on medical and also on social factors. The French system of post-occupational monitoring can undoubtedly improve but it bears comparison with arrangements in other countries, where these are even present. (C) 2011 Published by Elsevier Masson SAS on behalf of SPLF.