201. Humidifier disinfectant and use characteristics associated with lung injury in Korea.
- Author
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Ryu SH, Park DU, Lee E, Park S, Lee SY, Jung S, Hong SB, Park J, and Hong SJ
- Subjects
- Adolescent, Adult, Age Distribution, Child, Child, Preschool, Disinfectants analysis, Female, Guanidines analysis, Humans, Inhalation Exposure adverse effects, Inhalation Exposure analysis, Male, Middle Aged, Pregnancy, Pregnant Women, Republic of Korea epidemiology, Young Adult, Disinfectants adverse effects, Guanidines adverse effects, Humidifiers, Lung Injury chemically induced, Lung Injury epidemiology
- Abstract
Since around the year 2000, hundreds of people in Korea have developed humidifier disinfectant-associated lung injury (HDLI). We collected all HD exposure-related information from the field investigations into the locations in which the 1199 registered patients had used HD. Among the people who registered, 38% (1st round = 214, 2nd = 73, 3rd = 166) were confirmed as HDLI patients. Children aged under eight years old made up the highest proportion of HDLI cases (N = 279, 62%), followed by pregnant women (N = 31, 7%). One hundred thirty-three (29%) of the confirmed HDLI patients died. Fifty-seven percent of HDLI patients (N = 259) developed HDLI after <1 year of HD use. The number of HDLI patients who used only the Oxy Saksak HD brand was found to be 176 (39%), followed by the brands Cefu (N = 27, 6%) and Aekyung (N = 22, 5%). HD products containing only polyhexamethylene guanidine phosphate (PHMG-P) were the most frequently used among HDLI patients (N = 234, 52%), followed by oligo (2-(2-ethoxy)ethoxyethyl) guanidinium (PGH) (N = 27, 6%) and a mixture of chloromethylisothiazolinone (CMIT) and methylisothiazolinone (MIT) (N = 26, 6%). The average PHMG-P inhalation level estimated from the patient group classified as suffering lung injury definitely associated with HD use was 145.1 μg/m
3 (N = 91, SD = 395.1 μg/m3 ), higher than levels estimated from both the probable and possible HDLI patient groups. In conclusion, HD exposure-related variables, including type of HD brand and estimated inhalation HD level, were associated with the risk of HDLI., (© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)- Published
- 2019
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