Lyme borreliosis from the perspective of Occupational Medicine – a comparative study
Authors:
J. Buchancová 1; H. Hudečková 1; L. Murajda 1; V. Švihrová 1; I. Bátora 2; Ľ. Legáth 3; O. Osina 4; R. Vilček 5; E. Jakubovičová 1
Authors place of work:
Ústav verejného zdravotníctva JLF UK Martin, vedúca doc. MUDr. H. Hudečková, PhD.
1; Klinika pracovného lekárstva a toxikológie, LF UK Bratislava, vedúci doc. MUDr. I. Bátora, CSc.
2; Klinika pracovného lekárstva a klinickej toxikológie, UPJŠ Košice, vedúci doc. MUDr. Ľ. Legáth, PhD.
3; Klinika pracovného lekárstva a toxikológie, JLFUK a MFN Martin, vedúci doc. MUDr. O. Osina, PhD.
4; Oddelenie pracovného lekárstva a toxikológie, Rooseveltova nemocnica, Banská Bystrica, vedúci prim. MUDr. R. Vilček
5
Published in the journal:
Pracov. Lék., 61, 2009, No. 2, s. 46-55.
Category:
Original Papers
Summary
Lyme borreliosis (LB) is currently the most frequent anthropozoonosis transferred by ticks in Europe, Asia and North America. In their review, authors highlighted the special resistance of Borrelias in the environment and organism, current knowledge on the structure of Borrelias and their interaction with the host organism, vectors and reservoirs, geographically specific genotypes with different organ tropism. The knowledge should contribute to the protection of health, improvement of detection of Borrelias which are hidden under other diagnoses in chronic conditions and require adequate treatment and working position.
The authors refer to the increasing trend in occurrence of LB in Slovakia in 1998–2007, with the highest occurrence in the age group of 55–64 years. Professional LB is not reported separately in the health statics in SR (numbers are included into the item of infectious professional diseases altogether). Therefore, they collected data on the occurrence of professional LB from individual clinics and departments of occupational medicine in SR. They proved that the occurrence of professional LB between 2001 and 2007 had an increasing trend. Between 2001 and 2007, 102 cases of professional LB were reported in Slovakia, with the highest rates in the West Slovakia Region (Považie, Žarnovica). LB forms 4–6% of all occupational diseases reported annually in SR. The authors found retrospectively predominance of workers in the wood production and employees in the forestry in the narrow 55 member sample of patients with professional LB from the Central Slovakia Region. They registered the clinical findings at the time of reporting the occupational disease (predominantly chronic LB with neurological and arthromuscular symptomatology). The mean age at reporting professional LB was 48.55 ± 9.53 years (x ± SD), the group of 45–54 years old culminated, with the higher proportion of women. The disease required the change in working position in a half of patients, sometimes also disability or retirement. LB in the productive age reflects the social significance with subsequent problems related to suitable employment adequate to long-term health disability. The authors presented the criteria used in the diagnostics of professional LB. Finally, they mentioned current quite limited options in prevention of LB.
Key words:
longitudinal follow-up, occurrence in population, occupational disease, Slovakia, age factor, risk in forestry
Zdroje
1. AFZELIUS, A. Verhandlungen der dermatologischen Gesellschaft zu Stockholm im oktober 28, 1909. Arch. Dermatol. Syph., 1910, 101, s. 404.
2. AUERBACH, P. A diagnostic dilemma update. Medicine for the Outdoors. Healthline. Dostupne na:
http://www.healthline.com/blogs/outdoorhealth/-/2007/03/diagnostic-dilemma-update.html.
3. BARTŮNĚK, P. et al. Lymeská borelióza. Praha: Grada 2006, 123 s.
4. BAZOVSKÁ, S. Prof. MUDr. Emil Kmety, DrSc. a výskum lymskej boreliózy u nás. Antibiotiká a rezistencia, 2004, 3, č. 1, s. 4–5.
5. BURGDORFER,W., BARBOUR, A. G., HAYES, S. F., BENACH, J. Z., GRUNWALDT, P., DAVIS, J. P. Lyme disease – a tick borne spirochetosis? Science, 1982, 216, s. 1317–1319.
6. DERDAKOVÁ, M. Najnovšie poznatky o Lymskej borelióze. Slovenský veterinársky časopis, 2002, 27, č. 5, s. 58.
7. DOUTLÍK, S., VEJLUPKOVÁ, J. Lymeská borelióza jako choroba z povolání. Pracov. Lék., 1990, 42, č. 4, s. 173–175.
8. ĎUREČKO, R. et al. Lymská choroba. Slovenský veterinársky časopis, 2002, 27, č. 4, s. 29–32.
9. ĎUROVSKÁ, J. Mikrobiologická diagnostika lymskej boreliózy. Dostupne na:
http://www.borelioza.sk/Diagnostika.htm. 2007.
10. EPIS. dostupne na: http://www.Epis,SK/2007/.
11. GAVORNÍK, P. Lymská choroba. Alergo, 2002, 3, č. 1, s. 18–19.
12. GOLEMBIOVSKÁ, D., HORÁKOVÁ, Z., KOSTŘICA, R. Borrelióza – klinické projevy v ORL oblasti. Choroby hlavy a krku, 2002, 11, č. 2, s. 37–41.
13. HULINSKÁ, D. Laboratorní diagnostika. In Bartůněk, P. et al. Lymeská borelióza. Praha: Grada Publishing 2006, s. 50–57.
14. HULINSKÁ, D. Současný pohled na borrelii a lymeskou nemoc. Medicína v praxi, 2001, č. 5/6, s. 69–71.
15. ISHAG, S. et al. Phrenic nerve paralysis secondary to lyme neuroborreliosis. Neurology, 2002, 59, č. 11, s. 1810–1811.
16. JANOVSKÁ, D. Epidemiologická situace v České republice. In Bartůněk, P. et al. Lymeská borelióza. Praha: Grada Publishing 2006, s. 25–42.
17. KAMRAD, T. Lyme disease and current aspects of immunization. Arthritis Res., 2002, 4, s. 20–29.
18. KRISTIAN, P., SCHRÉTER, I. Borelióza – odporúčané diagnostické a liečebné postupy. Slovenský lekár, 2006, 16, č. 10–12, s. 272–274.
19. MALENKA, P. Lymeská borrelióza jako nemoc z povolání. Pracov. Lék., 2007, 59, č. 4, s. 147–150.
20. MASAROVIČOVÁ, A. História, mikrobiológia a epidemiológia lymskej boreliózy. Lekárske listy, 2003, 43, s. 30–31.
21. MATEIČKA, F. Lymská borelióza. In Ďuriš, I. et al. Princípy internej medicíny 2. Bratislava: SAP 2001, s. 1514–1522.
22. PROKOPČÁKOVÁ, H. Lymeská borelióza. In Čisálková, L., Halanová, M., Pospišil, P., Prokopčáková, H. Epidemiológia vybraných nákaz. Košice: UPJŠ 2001, s. 185–185.
23. SMITH, R., TAKKINEN, J. Lyme borreliosis: Europe–wide coordinated surveillance and action needed? Dostupne na:
http://www.eurosurveillance.org/ew/ 2006/060622.asp
24. SCHRÉTER, I., KRISTIAN, P. Toxoplazmóza, borelióza – odporúčané diagnostické a liečebné postupy. In abstrakta Konferencia všeobecného a praktického lekárstva na tému: Novinky v infektológii, Bojnice 19.–20. 5. 2006.
25. VLKOVÁ, V., LÁBUSOVÁ, D. Časná neuroborelióza. Praktic. Lékař, 2007, 87, č. 7, s. 425–427.
26. WALTHER, L. E., NENTSCHEL, H., OEHME, A., GUDZIOL, H., NELEITES, E. Lyme disease – A reason sudden sensorial hearing loss and vestibular neurotitis? Laryngo-rhino-otologie, 2003, 82, č. 4, s. 249–257.
27. WILSKE, B. Diagnosis of Lyme boreliosis in Europe. Vector Borne Zoonotic. Dis., 2003, 3, č. 4, s. 215–227.
28. ZHIOUA, E., RODHAIN, F., BINET, P., PEREZ- EID, C. Prevalence of antibodies to Borrelia burgdorferi in forestry workers of Ile de France. Eur. J. Epidemiol., 1997, 13, č. 8, s. 959–962.
29. http://www.ordinace.cz/clanek/ vyskyt –lymeske-boreliozy-v.cr/?increase=1
30. http://www.nemecky-ovciak.sk/modules.php?name-=News&fileárticle&sid=278
Štítky
Hygiene and epidemiology Hyperbaric medicine Occupational medicineČlánok vyšiel v časopise
Occupational Medicine
2009 Číslo 2
Najčítanejšie v tomto čísle
- Lyme borreliosis from the perspective of Occupational Medicine – a comparative study
- TBC nowadays
- Selected harmful substances in rubber-making technologies
- Atopy in patients with allergic contact dermatitis