Comparison of the prevalence of darkroom disease and related factors between radiotechnologists and nurses in selected hospitals of Guilan University of Medical Sciences, Iran, in year 2016
DOI:
https://doi.org/10.22122/cdj.v6i2.269Keywords:
Radiography, X-Ray Film, Allergy, Chemically-Induced Disorders, Diagnostic Uses of ChemicalsAbstract
BACKGROUND: Radiotechnologists are always in contact with chemicals during the process of confirmation and appearance of radiographs. This study evaluated the prevalence of darkroom disease among the radiotechnologists and nurses working in radiology centers of Guilan University of Medical Sciences, Iran.
METHODS: This case-control study was conducted between two groups of radiotechnologists and nurses from selected hospitals of Guilan University of Medical Sciences, in year 2016, including 323 radiotechnologists (exposure group = 140 people) and nurses (control group = 183 people) working in educational therapy centers. The participants were selected through convenience sampling method. Total information on darkroom disease was collected using the standard Damases questionnaire, and analyzed using SPSS software at the significance level of P < 0.050.
RESULTS: The mean age of radiotechnologists was 34.01 ± 7.9, and the mean age of nurses was 32.33 ± 7.90 years. Symptoms of nausea (P = 0.001), runny nose (P = 0.001), oral ulcer (P = 0.020), burning mouth (P = 0.001), skin rash (P = 0.001), blurred vision (P = 0.002) night sweats (P = 0.001), chemical taste (P = 0.001), and dysuria (P = 0.001) were significantly more common in the radiotechnologists group. Regarding gender and symptoms of darkroom disease in each occupational group, nausea (P = 0.024) and runny nose (P = 0.001) among the radiotechnologists and chemical taste (P = 0.001) among the nurses, had significant relationship with being woman.
CONCLUSION: The prevalence of darkroom disease was high among the radiotechnologists in Guilan Province, Iran. Therefore, it is recommended to improve the quality of services provided, as well as to promote the health and safety of radiology personnel through preparing and implementing modern digital equipment in radiology departments.
References
Kolarzyk E, Stepniewski M, Zapolska I. Occurrence of pulmonary diseases in steel mill workers. Int J Occup Med Environ Health 2000; 13(2): 103-12.
Department of Health and Human Services. Niosh pocket guide to chemical hazards. Pittsburgh, PA: DHHS (NIOSH) Publication; 2007.
Dykewicz MS. Occupational respiratory and dermatologic disease. Prim Care 1987; 14(3): 559-73.
Chan-Yeung M, Lam S. Occupational asthma. Am Rev Respir Dis 1986; 133(4): 686-703.
Takigawa T, Endo Y. Effects of glutaraldehyde exposure on human health. J Occup Health 2006; 48(2): 75-87.
Hewitt PJ. Occupational health problems in processing of X-ray photographic films. Ann Occup Hyg 1993; 37(3): 287-95.
Smedley J, Inskip H, Wield G, Coggon D. Work related respiratory symptoms in radiographers. Occup Environ Med 1996; 53(7): 450-4.
Genton M. Shedding light on darkroom disease-progress and challenges in understanding radiology workers' occupational illness. Can J Med Radiat Technol 1998; 29: 60-5.
Glass B. Exposure to glutaraldehyde alone or in a fume mix. MAG Mem Sem and Shadows 1997; 40(2).
Spicer J, Hay DM, Gordon M. Workplace exposure and reported health in New Zealand diagnostic radiographers. Australas Radiol 1986; 30(3): 281-6.
Jalalvandi M, Noori Tahne H, Fakhri M, Babaee S, Askari M. A comparison of the prevalence of the darkroom diseases syndrome between the radiographers and critical care nurses in the selected hospitals of University of Medical Sciences in Kermanshah, 2014. J Clin Res Paramed Sci 2015; 4(3): 204-12. [In Persian].
Gordon M. Reactions to chemical fumes in radiology departments. Radiography 1987; 53(608): 85-9.
Teschke K, Chow Y, Brauer M, Chessor E, Hirtle B, Kennedy SM, et al. Exposures and their determinants in radiographic film processing. AIHA J (Fairfax, Va) 2002; 63(1): 11-21.
Sanchez T. When it hurts to breathe: Chemicals and RTs. ASRT Scanner 1999; 31: 6-8.
Hansen KS. Glutaraldehyde occupational dermatitis. Contact Dermatitis 1983; 9(1): 81-2.
Smith DR, Wang RS. Glutaraldehyde exposure and its occupational impact in the health care environment. Environ Health Prev Med 2006; 11(1): 3-10.
Misher J, Goldin M, Karim I. Abnormal Heart Rate. In: Manu P, Karlin-Zysman C, Editors. Handbook of Medicine in Psychiatry. Philadelphia, PA: American Psychiatric Pub; 2015.
Dargan RS. Uncovering the roots of 'darkroom disease'. EASRT Scanner 2011; 43(3): 22.
Nallon AM, Herity B, Brennan PC. Do symptomatic radiographers provide evidence for 'darkroom disease'? Occup Med (Lond) 2000; 50(1): 39-42.
Al Zabadi H, Nazzal Y. Evaluation of Darkroom disease's symptoms among radiographers in the West Bank hospitals: A cross-sectional study in Palestine. J Occup Med Toxicol 2014; 9: 15.
Damases C. An evaluation of sulphur dioxide fume levels and the prevalence of darkroom disease symptoms amongst radiology workers in Namibia [Online]. [MSc Thesis]. Durban, Namibia: Department of Radiography, Durban University of Technology; 2006. Available from: URL: http://repository.unam.edu.na/handle/11070/350
Jazayeri Gharebagh E, Abaszadeh Ghanavati M. A comparative study on the incidence of symptoms known as "Darkroom Disease" amongst X-ray department personnel & physiotherapists. Payavard Salamat 2008; 1(2): 52-9. [In Persian].
Majonga E, Karera A, Zanga A, Kowo F. The prevalence and severity of the symptoms of darkroom disease among darkroom technicians in Harare, Zimbabwe. World Journal of Medical Sciences 2013; 8(2): 113-7.
Murty PS, Rao KL. Assessment of risk at workplace: A study on radiographers work practices in Vizag Steel. Indian J Occup Environ Med 2005; 9(1): 26.
Tarlo SM, Liss GM, Greene JM, Purdham J, McCaskell L, Kipen H, et al. Work-attributed symptom clusters (darkroom disease) among radiographers versus physiotherapists: Associations between self-reported exposures and psychosocial stressors. Am J Ind Med 2004; 45(6): 513-21.
Schulte-Frohlinde V, Ashkenazy Y, Ivanov PC, Glass L, Goldberger AL, Stanley HE. Noise effects on the complex patterns of abnormal heartbeats. Phys Rev Lett 2001; 87(6): 068104.
Watanabe J, Thamilarasan M, Blackstone EH, Thomas JD, Lauer MS. Heart rate recovery immediately after treadmill exercise and left ventricular systolic dysfunction as predictors of mortality: The case of stress echocardiography. Circulation 2001; 104(16): 1911-6.
Polikar R, Burger AG, Scherrer U, Nicod P. The thyroid and the heart. Circulation 1993; 87(5): 1435-41.
Wikstrom L, Johansson C, Salto C, Barlow C, Campos Barros A, Baas F, et al. Abnormal heart rate and body temperature in mice lacking thyroid hormone receptor alpha 1. EMBO J 1998; 17(2): 455-61.
Wang JX, Boice JD Jr, Li BX, Zhang JY, Fraumeni JF Jr. Cancer among medical diagnostic x-ray workers in China. J Natl Cancer Inst 1988; 80(5): 344-50.
Padala KP, Hinners CK, Padala PR. Mirtazapine therapy for dysgeusia in an elderly patient. Prim Care Companion J Clin Psychiatry 2006; 8(3): 178-80.
Williams R, Virtue K, Adkins A. Room service improves patient food intake and satisfaction with hospital food. J Pediatr Oncol Nurs 1998; 15(3): 183-9.
Markley EJ, Mattes-Kulig DA, Henkin RI. A classification of dysgeusia. J Am Diet Assoc 1983; 83(5): 578-80.
Sullivan JB, Krieger GR. Clinical environmental health and toxic exposures. Philadelphia, PA: Lippincott Williams & Wilkins; 2001.
Lorusso A, Vimercati L, L'Abbate N. Musculoskeletal complaints among Italian X-ray technology students: a cross-sectional questionnaire survey. BMC Res Notes 2010; 3(1): 114.
Shafiee M, Rashidfar R, Borzoueisileh S, Ghorbani M, Vafapour H, Rahimi S. The Effect of occupational exposure on blood parameters of radiology staffs in Yasuj. Armaghane-Danesh 2016; 21(4): 410-9. [In Persian].
Feyzi V, Mehdipoor S, Ghotbi Ravandi MR, Asadi M, Ghafori S. Ergonomic assessment of workstations and musculoskeletal disorders risk assessment in the central oil refinery workshop of Hormozgan province. J Health Dev 2015; 4(4): 315-26.
Mansouri A, Adhami Mojarad MR, Badfar G, Abasian L, Rahmati S, Kooti W, et al. Epidemiology of Toxoplasma gondii among blood donors in Iran: A systematic review and meta-analysis. Transfus Apher Sci 2017; 56(3): 404-9.
ZakerJafari HR, YektaKooshali MH. Work-Related Musculoskeletal Disorders in Iranian Dentists: A Systematic Review and Meta-analysis. Saf Health Work 2018; 9(1): 1-9.
