Introduction: Alcohol use accounts for 11% of all workplace injuries and alcohol-related absenteeism amounts to $2 billion/year. Literature is lacking of information on potential association between occupational injuries among health care workers and alcohol use. This study aims to conduct a pilot study on alcohol induced injuries in health care workers and analyzes the use of Carbohydrate-Deficient Transferrin (CDT) in health surveillance programs in occupational settings. Materials and Methods: A retrospective study was conducted in a large Local Health Unit in Italy. The sample consisted in 75 cases defined as workers who sustained an occupational injury. We analyzed serum ALT, AST, γ GT, MCV and CDT levels. CDT refers to a temporary alteration in the glycosylation pattern of transferrin that occurs in sustained heavy alcohol consumption (50-80 g of alcohol/day for at least 2 weeks). Results: As for the type of occupational injury, biological injuries 36% are the most common ones, followed by slipping and falls 33%, commuting accidents 15%, musculoskeletal injuries caused by manual handling 9% and verbal/physical aggressions 7%. Globally the majority of samples had low or medium CDT levels but no one was positive (cut-off value equal to 2%); no gender difference was detected. Conclusions: In the health care sector, alcohol plays a minor role in the occurrence of occupational injuries. The use of CDT in health surveillance protocols could play a role, such as a specific biomarker, as well as a deterrent for operators who may incur in important work sanctions.

Borrelli, I., Gualano, M. R., Santoro, P. E., Rossi, M. F., Amantea, C., Daniele, A., Capitanelli, I., Dolgetta, V., Moscato, U., Alcohol use and risk of work injuries among health care workers: a pilot study, Poster (Melbourne - Rome, 06-10 February 2022), <<SAFETY AND HEALTH AT WORK>>, 2022; 13 (N/A): S218-S2018.[doi: 10.1016/j.shaw.2021.12.1432] [http://hdl.handle.net/10807/196542]

Alcohol use and risk of work injuries among health care workers: a pilot study

Borrelli
;
Maria Rosaria; Santoro;Paolo Emilio; Rossi;Maria Francesca; Amantea;Carlotta; Daniele;Alessandra; Capitanelli;Valentina; Moscato
2022

Abstract

Introduction: Alcohol use accounts for 11% of all workplace injuries and alcohol-related absenteeism amounts to $2 billion/year. Literature is lacking of information on potential association between occupational injuries among health care workers and alcohol use. This study aims to conduct a pilot study on alcohol induced injuries in health care workers and analyzes the use of Carbohydrate-Deficient Transferrin (CDT) in health surveillance programs in occupational settings. Materials and Methods: A retrospective study was conducted in a large Local Health Unit in Italy. The sample consisted in 75 cases defined as workers who sustained an occupational injury. We analyzed serum ALT, AST, γ GT, MCV and CDT levels. CDT refers to a temporary alteration in the glycosylation pattern of transferrin that occurs in sustained heavy alcohol consumption (50-80 g of alcohol/day for at least 2 weeks). Results: As for the type of occupational injury, biological injuries 36% are the most common ones, followed by slipping and falls 33%, commuting accidents 15%, musculoskeletal injuries caused by manual handling 9% and verbal/physical aggressions 7%. Globally the majority of samples had low or medium CDT levels but no one was positive (cut-off value equal to 2%); no gender difference was detected. Conclusions: In the health care sector, alcohol plays a minor role in the occurrence of occupational injuries. The use of CDT in health surveillance protocols could play a role, such as a specific biomarker, as well as a deterrent for operators who may incur in important work sanctions.
Inglese
33rd International Congress on Occupational Health 2022 (ICOH 2022)
Melbourne - Rome
Poster
6-feb-2022
10-feb-2022
Borrelli, I., Gualano, M. R., Santoro, P. E., Rossi, M. F., Amantea, C., Daniele, A., Capitanelli, I., Dolgetta, V., Moscato, U., Alcohol use and risk of work injuries among health care workers: a pilot study, Poster (Melbourne - Rome, 06-10 February 2022), <<SAFETY AND HEALTH AT WORK>>, 2022; 13 (N/A): S218-S2018.[doi: 10.1016/j.shaw.2021.12.1432] [http://hdl.handle.net/10807/196542]
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