title: Pet shop workers: exposure, sensitization, and work-related symptoms.
abstract: BACKGROUND
  Allergy to laboratory animals is a well-known occupational hazard. The aim was to investigate the frequency of allergic sensitization and respiratory symptoms among pet shop staff and to document their work environment.
  
  
  METHODS
  Subjects (n = 59) from 24 pet shops were investigated with a questionnaire and lung function tests and skin prick tests against a panel of common inhalant and pet shop allergens. Blood samples were taken for immunoglobulin E (IgE) and IgE antibodies against Phadiatop and specific pet shop allergens. Personal airborne rodent allergen (n = 40) and endotoxin exposure (n = 40) was measured during work. Airborne rodent allergens were also collected using petri dishes at work (n = 40) and at home (n = 45).
  
  
  RESULTS
  Fifty-three percent reported nasal symptoms, 34% eye symptoms, and 22% had experienced symptoms indicating asthma. However, only four workers (7%) were previously diagnosed with asthma. One-third reported respiratory symptoms at work, mostly against rodents, birds, insects, and hay, and 29% were sensitized to work-related allergens, mainly rodents and fodder insects, e.g., Zophobas. Atopy and total IgE > 100 kU/l increased prevalence of pet shop sensitization [prevalence ratio (PR) 17 and 5.5, respectively], and atopy increased work-related symptoms (PR 3.2). Endotoxin levels were similar between shops with and without rodents. Exposure to animals outside of work was extensive.
  
  
  CONCLUSIONS
  A third of the pet shop workers reported airway symptoms at work or were sensitized, sometimes to unusual pet shop allergens, especially among atopics. The findings stress the importance of improving the knowledge of health risks and allergen avoidance measures among pet shop staff.
authors.affiliation: National Institute of Environmental Medicine, Lung and Allergy Research, Karolinska Institutet, Stockholm, Sweden. Anne.Renstrom@ki.se
authors.forename: A
authors.initials: A
authors.lastname: Renström
authors.forename: M
authors.initials: M
authors.lastname: Olsson
authors.forename: M
authors.initials: M
authors.lastname: Hedrén
authors.forename: S G O
authors.initials: SG
authors.lastname: Johansson
authors.forename: M
authors.initials: M
authors.lastname: van Hage
mesh_terms: D000485:Allergens; D000818:Animals; D006801:Humans; D009784:Occupational Diseases / Q000175:diagnosis / Q000276:immunology*; D016273:Occupational Exposure / Q000706:statistics & numerical data; D057805:Pets / Q000276:immunology*; D012129:Respiratory Function Tests; D012130:Respiratory Hypersensitivity / Q000209:etiology*; D012377:Rodentia / Q000276:immunology; D012882:Skin Tests; D011795:Surveys and Questionnaires
chemical_list: D000485:Allergens