Effects of indoor swimming pools on the nasal cytology of pool workers

J Laryngol Otol. 2014 May;128(5):442-6. doi: 10.1017/S0022215114000784. Epub 2014 Apr 24.

Abstract

Objective: We aimed to evaluate the relationship between swimming pool pollutants and allergic rhinitis in swimming pool workers.

Materials and methods: Twenty-seven indoor pool workers (group 1) and 49 control subjects (group 2) were enrolled in the study. A skin prick test was performed and a nasal smear was obtained from each subject to evaluate rhinitis.

Results: When the groups were compared in terms of epithelial cells, group 1 had significantly more epithelial cells than group 2. When the groups were compared with regard to eosinophils, group 1 had significantly more eosinophils than group 2. The skin prick test results for both groups were not significantly different.

Conclusion: Indoor pool workers showed severe symptoms of rhinitis and eosinophilic nasal cytology, likely due to chlorine. Nasal cytology is an easy-to-administer diagnostic test and can be used to follow up rhinitis in indoor pool workers, along with nasal endoscopy, a detailed clinical history and a skin prick test.

MeSH terms

  • Adult
  • Chlorine / adverse effects
  • Eosinophilia / etiology*
  • Eosinophilia / pathology
  • Eosinophils / pathology
  • Epithelial Cells / pathology
  • Female
  • Humans
  • Hypochlorous Acid / adverse effects
  • Male
  • Middle Aged
  • Occupational Diseases / etiology*
  • Occupational Diseases / pathology
  • Paranasal Sinuses / pathology
  • Rhinitis, Allergic / etiology*
  • Rhinitis, Allergic / pathology
  • Skin Tests
  • Swimming Pools*
  • Water Pollutants / adverse effects*

Substances

  • Water Pollutants
  • Chlorine
  • Hypochlorous Acid