<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0465-546X</journal-id>
<journal-title><![CDATA[Medicina y Seguridad del Trabajo]]></journal-title>
<abbrev-journal-title><![CDATA[Med. segur. trab.]]></abbrev-journal-title>
<issn>0465-546X</issn>
<publisher>
<publisher-name><![CDATA[Escuela Nacional de Medicina del Trabajo. Instituto de Salud Carlos III]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0465-546X2022000400005</article-id>
<article-id pub-id-type="doi">10.4321/s0465-546x2022000400005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efectos adversos asociados al uso de desinfectantes en trabajadores con neumopatía obstructiva crónica: revisión sistemática]]></article-title>
<article-title xml:lang="en"><![CDATA[Adverse effects associated with the use of disinfectants in workers with chronic obstructive pulmonary disease: a systematic review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Cervantes]]></surname>
<given-names><![CDATA[Lianny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Otero-Vega]]></surname>
<given-names><![CDATA[Edgar Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santana-Cabrera]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-Mejias]]></surname>
<given-names><![CDATA[Marcos Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Turchi-Cima]]></surname>
<given-names><![CDATA[Nicolás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guillen-Subirán]]></surname>
<given-names><![CDATA[Clara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidad Docente de Medicina del Trabajo de Canarias  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidad Docente Multiprofesional de Salud Laboral de Ceuta  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,IBERMUTUA  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>68</volume>
<numero>269</numero>
<fpage>231</fpage>
<lpage>247</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0465-546X2022000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0465-546X2022000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0465-546X2022000400005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Existe evidencia del aumento progresivo de las enfermedades pulmonares crónicas en población trabajadora asociado al uso, cada vez más frecuente, de desinfectantes; pero se dispone de escasa información científica sobre sus efectos adversos en trabajadores con patología respiratoria de base. El objetivo de esta investigación fue conocer la evidencia científica existente sobre los efectos adversos derivados del uso de desinfectantes en trabajadores con neumopatía obstructiva crónica.  Métodos: Análisis crítico de artículos mediante revisión sistemática en MEDLINE (vía PubMed), EMBASE, Cochrane Library, Scopus, Web of Science, LILACS y MEDES. La búsqueda realizada se hizo desde la primera fecha disponible hasta el 20 de diciembre de 2022. Se seleccionaron, por nivel de evidencia y criterios de inclusión y exclusión, un total de 10 artículos.  Resultados: En los 10 estudios seleccionados, la exposición fue a los desinfectantes. Del total de artículos, se notificó la aparición de efectos adversos en 9 y un estudio no mostró relación del empeoramiento de su enfermedad respiratoria crónica con la exposición.  Conclusiones: Los resultados mostraron una asociación no concluyente entre la exposición a desinfectantes y la aparición de diferentes daños para la salud en trabajadores con enfermedad pulmonar obstructiva crónica (EPOC) en diversos ámbitos laborales. Por lo tanto, son necesarios más estudios, diferenciando entre los distintos desinfectantes utilizados y según las características de cada puesto de trabajo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: There is evidence of a progressive increase in chronic lung diseases in the working population associated with the increasingly frequent use of disinfectants, but there is limited scientific information on their adverse effects on workers with underlying respiratory pathology. The objective of this research was to review and understand the existing scientific evidence on the adverse effects of disinfectant use in workers with chronic obstructive pulmonary disease.  Methods: Critical analysis of articles through a systematic review in MEDLINE (via PubMed), EMBASE, Cochrane Library, Scopus, Web of Science, LILACS, and MEDES. The search was conducted from the earliest available date until December 20, 2022. A total of 10 articles were selected based on the level of evidence and inclusion and exclusion criteria.  Results: In the 10 selected studies, exposure was to disinfectants. Of the total articles, adverse effects were reported in 9, and one study showed no relationship between the worsening of their chronic respiratory disease and exposure.  Conclusions: The results showed inconclusive association between exposure to disinfectants and the appearance of different health damages in workers with chronic obstructive pulmonary disease in different work settings. Therefore, it is necessary to conduct more studies that differentiate the different disinfectants used in isolation and according to the characteristics of each job position.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neumopatía obstructiva crónica]]></kwd>
<kwd lng="es"><![CDATA[desinfectantes]]></kwd>
<kwd lng="es"><![CDATA[trabajadores]]></kwd>
<kwd lng="es"><![CDATA[efectos adversos]]></kwd>
<kwd lng="es"><![CDATA[limpieza]]></kwd>
<kwd lng="es"><![CDATA[agentes químicos]]></kwd>
<kwd lng="en"><![CDATA[chronic obstructive pulmonary disease]]></kwd>
<kwd lng="en"><![CDATA[disinfectants]]></kwd>
<kwd lng="en"><![CDATA[workers]]></kwd>
<kwd lng="en"><![CDATA[adverse effects]]></kwd>
<kwd lng="en"><![CDATA[cleaning]]></kwd>
<kwd lng="en"><![CDATA[chemical agents]]></kwd>
</kwd-group>
</article-meta>
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