Approaches to managing ototoxicity in the workplace
1Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, OH, USA.
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Summary
Protecting workers from hearing loss requires managing exposure to ototoxic chemicals. This guide outlines evidence-based practices for occupational health to identify risks and implement protective measures.
Area of Science:
- Occupational Health
- Toxicology
- Audiology
Background:
- Ototoxic chemicals in the workplace present significant risks to hearing and balance.
- Effective management strategies are crucial for protecting worker health.
Purpose of the Study:
- To identify evidence-based practices for managing ototoxicity in occupational health settings.
- To develop a practical, universally applicable approach for workplaces.
Main Methods:
- A comprehensive review of various data sources, including experimental, observational, and review studies.
- Convening an international panel of 32 interdisciplinary experts for document review and endorsement.
Main Results:
- A six-step ototoxicity management system was proposed.
- Key actions include identifying exposed workers, conducting auditory and vestibular assessments, and monitoring health outcomes.
- The system addresses workers exposed to ototoxic chemicals, with or without concurrent noise exposure.
Conclusions:
- Early identification strategies are vital, encompassing self-report questionnaires, auditory testing, and vestibular screening.
- Referrals, case management, and exposure monitoring are essential components of prevention.