OCCUPATIONAL CONDITIONALITY OF DISEASES OF THE SKIN AND SUBCUTANEOUS TISSUE IN EMPLOYEES AT ENTERPRISES WITH MICROBIOLOGICAL CONTAMINATION OF THE AIR OF THE WORKING AREAстатья
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Дата последнего поиска статьи во внешних источниках: 19 марта 2025 г.
Аннотация:The purpose of research is the risk assessment of the occupationally caused morbidity of the skin and subcutaneous tissue in employees at enterprises with microbiological contamination of the air of the working area. Material and methods. The study was executed on the basis of 2 enterprises: sewage pumping station (SPS), State Unitary Enterprise “Vodokanal of the city of Saint Petersburg” and ZAO “St. Petersburg Cardboard and Printing Plant” (SPb CPP), running on raw from wastepaper. The research of factors of environment of enterprises included the determination of microclimate parameters, levels of industrial noise, overall vibration, artificial illumination, brightness, chemical substances, biological factor, as well as the severity and intensity of the work process. The type and amount of pathogenic and opportunistic microorganisms were detected. There was determined the total number, number and types of fungi, yeasts, staphylococci, and enterobacteria. The analysis of pathological lesions of the skin and subcutaneous tissue in employees was performed according to results of periodic medical examinations during the period 2007-2013 gg. The evaluation of occupational risk was carried out in accordance with the “Guidelines on occupational risk assessment for the health of workers. Organizational and methodological foundations, principles and evaluation criteria. R.2.2.1766-03” and “Guidelines for occupational risk assessment according to the periodic medical check-ups” approved by Scientific Council of the Health Ministry and the Russian Academy of Medical Sciences 13 June 2006.Results. In enterprises with microbiological contamination of the air of the working area employees are shown to have the risk of the development of occupationally caused diseases of the skin and subcutaneous tissue. The most risk of occupational diseases of the skin and subcutaneous tissue proves to be in exposed employees with the large experience at the age of 41-50 and 51-60 years. In the enterprises of production of cardboard from waste the high contamination of air of the working area was established conditionally - pathogenic microorganisms and mold micromycetes and a higher prevalence of pathological lesions of the skin and subcutaneous tissue diseases under the comparison of enterprises, where there was no contamination by mold micromycetes. There was proved the statistically significant higher degree of the occupational conditionality of the morbidity of skin and subcutaneous tissue in the working age group of 51-60 years (p <0.01). In the structure of pathological exposure first ranking places are occupied by benign skin tumors, dermatitis, eczema and fungal infections. Skin cancer was registered only in the group of workers who have been exposed to harmful factors of production more than 80% of the working time. There is required the regulation and the establishment of the maximum permissible level of contamination of the working area air by micromycetes at the level of state sanitary - epidemiological norms.