Airway inflammation in waste handlers exposed to bioaerosols assessed by induced sputum

Eur Respir J. 2003 Apr;21(4):641-5. doi: 10.1183/09031936.03.00059702.

Abstract

Work-associated lower airway inflammation in waste collectors was examined by induced sputum and correlated with the bioaerosol exposure. Organic waste collectors (n=25) underwent induced sputum collection and spirometry before work on Monday and the following Thursday. Total cells, cell differentials, interleukin (IL)-8 and eosinophilic cationic protein were determined. Personal full-shift exposure measurements were performed Monday, Tuesday and Wednesday and analysed for total bacteria, fungal spores, endotoxins and beta(1-3)-glucans. The percentage of neutrophils (46-58%) and the IL-8 concentration (1.1-1.4 ng x mL(-1)) increased from Monday to Thursday. Forced expiratory volume in one second (FEV1) was significantly reduced on Thursday, and the decrease in FEV1/forced vital capacity correlated with the increase in the percentage of neutrophils. The median exposure to endotoxin (range 7-180 EU x m(-3)) and beta(1-3)-glucan (range 5-220 ng x m(-3)) was correlated with the increase in IL-8. Bioaerosol exposure during waste collection induced an inflammatory response in the lower airways, characterised by neutrophils and interleukin-8 secretion, that influenced the lung function. The inflammatory response was related to microbial components in the bioaerosol and was more pronounced for endotoxin than beta(1-3)-glucan exposure. No associations were found for mould spores or bacteria.

MeSH terms

  • Aerosols / adverse effects*
  • Air Pollutants, Occupational / adverse effects*
  • Air Pollutants, Occupational / analysis
  • Endotoxins / adverse effects
  • Glucans / adverse effects
  • Humans
  • Inhalation Exposure / adverse effects
  • Interleukin-8 / analysis
  • Neutrophils / immunology
  • Occupational Exposure / adverse effects
  • Refuse Disposal*
  • Respiratory Function Tests
  • Spores, Fungal / isolation & purification
  • Sputum / chemistry*
  • Statistics, Nonparametric
  • Surveys and Questionnaires

Substances

  • Aerosols
  • Air Pollutants, Occupational
  • Endotoxins
  • Glucans
  • Interleukin-8