Hostname: page-component-76fb5796d-9pm4c Total loading time: 0 Render date: 2024-04-25T11:24:46.444Z Has data issue: false hasContentIssue false

Effects of indoor swimming pools on the nasal cytology of pool workers

Published online by Cambridge University Press:  24 April 2014

E Erkul*
Affiliation:
Department of Otorhinolaryngology, GATA Haydarpaşa Training Hospital, Istanbul, Turkey
A Yaz
Affiliation:
Department of Otorhinolaryngology, Şehitkamil State Hospital, Gaziantep, Turkey
C Cİngİ
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Eskişehir Osmangazi University, Turkey
H M İnançlI
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Near East University, Nicosia, North Cyprus, Turkey
T San
Affiliation:
Department of Otorhinolaryngology, Istanbul Medeniyet University, Turkey
C Bal
Affiliation:
Department of Biostatistics, Medical Faculty, Eskişehir Osmangazi University, Turkey
*
Address for correspondence: Dr E Erkul, GATA Haydarpasa Egitim Hastanesi, KBB klinigi 34668, Kadikoy, Istanbul, Turkey Fax: + 90 216 348 78 80 E-mail: evrenerkul@yahoo.com

Abstract

Objective:

We aimed to evaluate the relationship between swimming pool pollutants and allergic rhinitis in swimming pool workers.

Materials and methods:

Twenty-seven indoor pool workers (group 1) and 49 control subjects (group 2) were enrolled in the study. A skin prick test was performed and a nasal smear was obtained from each subject to evaluate rhinitis.

Results:

When the groups were compared in terms of epithelial cells, group 1 had significantly more epithelial cells than group 2. When the groups were compared with regard to eosinophils, group 1 had significantly more eosinophils than group 2. The skin prick test results for both groups were not significantly different.

Conclusion:

Indoor pool workers showed severe symptoms of rhinitis and eosinophilic nasal cytology, likely due to chlorine. Nasal cytology is an easy-to-administer diagnostic test and can be used to follow up rhinitis in indoor pool workers, along with nasal endoscopy, a detailed clinical history and a skin prick test.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Higgins, TS, Reh, DD. Environmental pollutants and allergic rhinitis. Curr Opin Otolaryngol Head Neck Surg 2012;20:209–14Google Scholar
2Fang, L, Wyon, DP, Clausen, G, Fanger, PO. Impact of indoor air temperature and humidity in an office on perceived air quality, SBS symptoms and performance. Indoor Air 2004;14(suppl 7):7481Google Scholar
3Wargocki, P, Sundell, J, Bischof, W, Brundrett, G, Fanger, PO, Gyntelberg, F et al. Ventilation and health in non-industrial indoor environments: report from a European multidisciplinary scientific consensus meeting (EUROVEN). Indoor Air 2002;12:113–28Google Scholar
4Gaspar Elsas, MI, Joseph, D, Elsas, PX, Vargaftig, BB. Rapid increase in bone-marrow eosinophil production and responses to eosinopoietic interleukins triggered by intranasal allergen challenge. Am J Respir Cell Mol Biol 1997;17:404–13Google Scholar
5Rosenberg, HF, Phipps, S, Foster, PS. Eosinophil trafficking in allergy and asthma. J Allergy Clin Immunol 2007;119:1303–10Google Scholar
6Bystrom, J, Patel, SY, Amin, K, Bishop-Bailey, D. Dissecting the role of eosinophil cationic protein in upper airway disease. Curr Opin Allergy Clin Immunol 2012;12:1823Google Scholar
7Dang, B, Chen, L, Mueller, C, Dunn, KH, Almaguer, D, Roberts, JL et al. Ocular and respiratory symptoms among lifeguards at a hotel indoor waterpark resort. J Occup Environ Med 2010;52:207–13Google Scholar
8Gelardi, M, Ventura, MT, Fiorella, R, Fiorella, ML, Russo, C, Candreva, T et al. Allergic and non-allergic rhinitis in swimmers: clinical and cytological aspects. Br J Sports Med 2012;46:54–8Google Scholar
9Belda, J, Ricart, S, Casan, P, Giner, J, Bellido-Casado, J, Torrejon, M et al. Airway inflammation in the elite athlete and type of sport. Br J Sports Med 2008;42:244–8Google Scholar
10Alves, A, Martins, C, Delgado, L, Fonseca, J, Moreira, A. Exercise-induced rhinitis in competitive swimmers. Am J Rhinol Allergy 2010;24:e114–17Google Scholar
11Bougault, V, Turmel, J, Boulet, LP. Effect of intense swimming training on rhinitis in high-level competitive swimmers. Clin Exp Allergy 2010;40:1238–46Google Scholar
12Ferrari, M, Schenk, K, Mantovani, W, Papadopoulou, C, Posenato, C, Ferrari, P et al. Attendance at chlorinated indoor pools and risk of asthma in adult recreational swimmers. J Sci Med Sport 2011;14:184–9Google Scholar
13Fantuzzi, G, Righi, E, Predieri, G, Giacobazzi, P, Petra, B, Aggazzotti, G. Airborne trichloramine (NCl(3)) levels and self-reported health symptoms in indoor swimming pool workers: dose-response relationships. J Expo Sci Environ Epidemiol 2013;23:8893Google Scholar
14Goutziana, G, Mouchtouri, VA, Karanika, M, Kavagias, A, Stathakis, NE, Gourgoulianis, K et al. Legionella species colonization of water distribution systems, pools and air conditioning systems in cruise ships and ferries. BMC Public Health 2008;8:390Google Scholar
15Jacobs, JH, Fuertes, E, Krop, EJ, Spithoven, J, Tromp, P, Heederik, DJ. Swimming pool attendance and respiratory symptoms and allergies among Dutch children. Occup Environ Med 2012;69:823–30Google Scholar
16Fornander, L, Ghafouri, B, Lindahl, M, Graff, P. Airway irritation among indoor swimming pool personnel: trichloramine exposure, exhaled NO and protein profiling of nasal lavage fluids. Int Arch Occup Environ Health 2013;86:571–80Google Scholar
17Weng, SC, Weaver, WA, Afifi, MZ, Blatchley, TN, Cramer, JS, Chen, J et al. Dynamics of gas-phase trichloramine (NCl3) in chlorinated, indoor swimming pool facilities. Indoor Air 2011;21:391–9Google Scholar
18Bessonneau, V, Derbez, M, Clément, M, Thomas, O. Determinants of chlorination by-products in indoor swimming pools. Int J Hyg Environ Health 2011;215:7685Google Scholar
19Ahmadiafshar, A, Taghiloo, D, Esmailzadeh, A, Falakaflaki, B. Nasal eosinophilia as a marker for allergic rhinitis: a controlled study of 50 patients. Ear Nose Throat J 2012;91:122–4Google Scholar
20Annesi-Maesano, I, Hulin, M, Lavaud, F, Raherison, C, Kopferschmitt, C, de Blay, F et al. Poor air quality in classrooms related to asthma and rhinitis in primary schoolchildren of the French 6 Cities Study. Thorax 2012;67:682–8Google Scholar
21Celtik, C, Okten, S, Okutan, O, Aydogdu, H, Bostancioglu, M, Ekuklu, G et al. Investigation of indoor molds and allergic diseases in public primary schools in Edirne city of Turkey. Asian Pac J Allergy Immunol 2011;29:42–9Google Scholar
22Sharma, R, Deval, R, Priyadarshi, V, Gaur, SN, Singh, VP, Singh, AB. Indoor fungal concentration in the homes of allergic/asthmatic children in Delhi, India. Allergy Rhinol (Providence) 2011;2:2132CrossRefGoogle ScholarPubMed