Volume 25, Issue 2 (June & July 2022)
J Arak Uni Med Sci 2022, 25(2): 270-281 |
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Attarchi M S, Nejatifar F, Mohammadi Kojidi H, Atrkar Roushan Z, Faraji N, Joshan M, et al . Clinical and Biochemical Characteristics of Male Workers in a Pesticide Production Factory in Guilan Province, Iran. J Arak Uni Med Sci 2022; 25 (2) :270-281
URL: http://jams.arakmu.ac.ir/article-1-7160-en.html
URL: http://jams.arakmu.ac.ir/article-1-7160-en.html
Mir Saeed Attarchi 
1, Fatemeh Nejatifar2 , Hamid Mohammadi Kojidi1 , Zahra Atrkar Roushan3 , Niloofar Faraji4 , Maryam Joshan4 , Fatemeh Rahattalab4 , Roholah Amini5
1, Fatemeh Nejatifar2 , Hamid Mohammadi Kojidi1 , Zahra Atrkar Roushan3 , Niloofar Faraji4 , Maryam Joshan4 , Fatemeh Rahattalab4 , Roholah Amini5
1- Department of Forensic Medicine, School of Medicine Inflammatory Lung Diseases Research Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran.
2- Department of Internal Medicine, School of Medicine, Razi Hospital Guilan University of Medical Sciences, Rasht, Iran.
3- Department of Community Medicine, School of Medicine, Otorhinolaryngology Research Center, Guilan University of Medical Sciences, Rasht, Iran.
4- Razi Clinical Research Development Unit, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran.
5- Department of Occupational Health, Rasht Health Center, Guilan University of Medical Sciences, Rasht, Iran.
2- Department of Internal Medicine, School of Medicine, Razi Hospital Guilan University of Medical Sciences, Rasht, Iran.
3- Department of Community Medicine, School of Medicine, Otorhinolaryngology Research Center, Guilan University of Medical Sciences, Rasht, Iran.
4- Razi Clinical Research Development Unit, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran.
5- Department of Occupational Health, Rasht Health Center, Guilan University of Medical Sciences, Rasht, Iran.
Abstract: (749 Views)
Background and Aim The high use of pesticides has increased the concern about its possible harm to individual and environment health. Chronic exposure to pesticides has serious effects on different body organs even before the onset of clinical symptoms. In this study, we aim to evaluate clinical and biochemical characteristics of male workers in a pesticide production factory in Guilan province, Iran.
Methods & Materials This cross-sectional study was conducted on 99 male workers exposed to pesticide and 107 people without exposure who were employed in a pesticide production factory in Guilan and selected using a convenience sampling method in 2020. Their demographical data as well as clinical characteristics such as respiratory symptoms (cough, shortness of breath, etc.), neurological symptoms (fatigue, tremors, cramps, muscle weakness, etc.), psychological symptoms (sleep disorders, anxiety, etc.) and skin symptoms (redness, itching, etc.) were collected from the occupational health records of the workers. Finally, the biochemical parameters were compared between the two groups. Statistical analysis was performed in SPSS software, version 16.
Ethical Considerations This study was approved by the Research Ethics committee of Guilan University of Medical Science, Rasht, Iran (Code: IR.GUMS.REC.1399.632). Informed consent was obtained from all participants in this study.
Results The frequency of symptoms such as headache, itchy skin, cough, and sleep disorders was higher in the exposed group (P<0.05). Based on the biochemical findings, blood urea level, creatinine level, alkaline phosphatase, and fasting blood sugar level were significantly higher in the exposed group (P<0.05). Thrombocytosis was observed in 9.09% of exposed workers, which was higher in those with more than 11 years of work experience.
Conclusion Chronic exposure to pesticide can cause thrombosis, changes in biochemical parameters, and clinical symptoms. It is recommended that biological monitoring should be conducted in exposed workers at a shorter interval.
Methods & Materials This cross-sectional study was conducted on 99 male workers exposed to pesticide and 107 people without exposure who were employed in a pesticide production factory in Guilan and selected using a convenience sampling method in 2020. Their demographical data as well as clinical characteristics such as respiratory symptoms (cough, shortness of breath, etc.), neurological symptoms (fatigue, tremors, cramps, muscle weakness, etc.), psychological symptoms (sleep disorders, anxiety, etc.) and skin symptoms (redness, itching, etc.) were collected from the occupational health records of the workers. Finally, the biochemical parameters were compared between the two groups. Statistical analysis was performed in SPSS software, version 16.
Ethical Considerations This study was approved by the Research Ethics committee of Guilan University of Medical Science, Rasht, Iran (Code: IR.GUMS.REC.1399.632). Informed consent was obtained from all participants in this study.
Results The frequency of symptoms such as headache, itchy skin, cough, and sleep disorders was higher in the exposed group (P<0.05). Based on the biochemical findings, blood urea level, creatinine level, alkaline phosphatase, and fasting blood sugar level were significantly higher in the exposed group (P<0.05). Thrombocytosis was observed in 9.09% of exposed workers, which was higher in those with more than 11 years of work experience.
Conclusion Chronic exposure to pesticide can cause thrombosis, changes in biochemical parameters, and clinical symptoms. It is recommended that biological monitoring should be conducted in exposed workers at a shorter interval.
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