Use this URL to cite or link to this record in EThOS: https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.338450
Title: Laboratory animal allergy
Author: Slovak, Andrej Jan Michal
ISNI:       0000 0001 3417 2722
Awarding Body: University of London
Current Institution: University College London (University of London)
Date of Award: 1996
Availability of Full Text:
Access from EThOS:
Full text unavailable from EThOS. Please try the link below.
Access from Institution:
Abstract:
Work with laboratory animals is associated with a range of allergic disorders including rhinitis, conjunctivitis, skin whealing, asthma and anaphyllaxis. These disorders were investigated in an exposed population of 147 workers in a cross-sectional study which was part-repeated as a follow-up 6-7 years later. Workers sensitised to animal allergens but remaining in exposure were studied in a cooperative survey involving several institutions to assess the effect of respiratory protective equipment (RPE) and additional barrier precautions. The sensitivity, specificity and predictive value of atopy as a marker of proneness to laboratory animal allergy was explored together with the constancy and reliability of different concepts of atopy. A series of experiments to optimise animal room ventilation in relation to antigen suppression were performed and the limitations of this approach were considered. The diagnosis of early and difficult cases of occupational asthma was explored in a short series of case histories. Laboratory animal allergy was shown to be a common disorder (30%) separable on functional and immunological grounds into two predominant types rhinitis/conjunctivitis (20%) and asthma (10%). Asthma was strongly associated with positive specific skin prick tests and atopy. However atopy was not sufficiently good a predictive discriminant (35%) for it to be recommended as a screening procedure for employment exclusion. RPE provided protection which was incomplete for sensitised workers and assessment of this data using two different analytical conventions produced different results. An optimal animal room arrangement was characterised for steady-state ventilation but this was easily and seriously disrupted by operator entry and activity. Histamine challenge before and after work week exposure was more sensitive to early airways lability than FEV1 and REFR measurements. In challenge studies FEF75−85 was similarly more sensitive than FEV1 and PEFR. These techniques showed promise for early and difficult diagnosis. Atopy defined by subjective criteria, past personal and family history, was found to be inconstant with a 40% shift in population definition in 6-7 years.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.338450  DOI: Not available
Keywords: Medicine
Share: