Diagnosing metal fume fever-an integrated approach
Diagnosing metal fume fever-an integrated approach
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DOI：
10.1093/occmed/kqq036
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发表时间：
2010-08-01
影响因子：
5.1
通讯作者：
Fletcher, R. M.
中科院分区：
文献类型：
--
作者：
Cain, J. R.;Fletcher, R. M.
背景暴露于高浓度的氧化锌烟雾可引起金属烟雾热（MFF）。两个案件发生后的氧乙炔切割镀锌钢frames.Aims要表明，综合工作是有价值的，因为二级卫生保健人员可能不熟悉MFF.Methods现场访问由女王陛下的医疗，健康和安全（H&S）和专业职业卫生督察收集信息和合作，职业健康，结果暴露控制不佳导致患者吸入金属烟雾。多学科的工作建立诊断，因果关系和遵守H&S legislation.Conclusions风险评估，需要确定健康风险，并确定所需的暴露控制措施。未能做到这一点导致了一个不寻常的情况下，MFF导致住院。如果没有完整的职业史，诊断可能会延迟。成功调查这类案件得益于合作。
Background Exposure to high concentrations of zinc oxide fume can cause metal fume fever (MFF). Two cases occurring following the oxy-acetylene cutting of galvanized steel frames are reported.Aims To show that integrated working is valuable as secondary health care staff may not be familiar with MFF.Methods Site visits by Her Majesty's Medical, Health and Safety (H&S) and Specialist Occupational Hygiene Inspectors to gather information and cooperation with occupational health, primary and secondary health care staff to diagnose MFF.Results Poor exposure control caused metal fume inhalation in these cases. Multidisciplinary working established diagnosis, causation and compliance with H&S legislation.Conclusions Risk assessments are required to identify health risks and to determine required exposure control measures. Failure to do this resulted in an unusual case of MFF leading to hospital admission. Diagnosis can be delayed if a full occupational history is not taken. Successful investigation of such cases benefits from collaborative working.