Vaccinating welders against pneumonia.
Vaccinating welders against pneumonia.
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DOI：
10.1093/occmed/kqs055
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发表时间：
2012-07
期刊：
影响因子：
--
通讯作者：
Cosgrove MP
中科院分区：
文献类型：
--
作者：
Palmer KT;Cosgrove MP
2011年，英国卫生部建议焊工每人接种一剂23价肺炎球菌疫苗(PPV23)。这篇综述评估了这一建议背后的证据及其实际影响。这篇综述是通过在Medline上进行系统搜索而得到的，该文章与焊接和/或暴露于金属烟雾有关，并利用作者的个人图书馆进行了补充。有一致的证据表明，焊工更多地死于肺炎，特别是大叶性肺炎，更频繁地因大叶性肺炎和肺炎球菌肺炎住院，更经常发展为侵袭性肺炎球菌病(IPD)。据估计，通过为588名焊工接种肺炎球菌感染疫苗，可以在10年内预防一例IPD。一个很好的例子是，雇主应该为接触金属烟雾的焊工和其他员工提供PPV23疫苗接种。此外，必须采取合理的措施，尽量减少接触焊接烟雾，并鼓励焊工不要吸烟。
In 2011 the Department of Health in England recommended that welders should each receive a single dose of the 23-valent pneumococcal vaccine (PPV23). This review assesses the evidence behind the advice and its practical implications. The review was informed by a systematic search in Medline, which related pneumonia to welding and/or exposure to metal fume, and was supplemented using the personal libraries of the authors. There is consistent evidence that welders die more often of pneumonia, especially lobar pneumonia, are hospitalised more often with lobar and pneumococcal pneumonia, and more often develop invasive pneumococcal disease (IPD). It is estimated that one case of IPD may be prevented over a 10-year period by vaccinating 588 welders against pneumococcal infection. A good case exists that employers should offer PPV23 vaccination to welders and other employees exposed to metal fume. Additionally, reasonable measures must be taken to minimise exposure to welding fume and welders should be encouraged not to smoke.
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