Allergy among veterinary medicine students in The Netherlands

Occup Environ Med. 2012 Jan;69(1):48-55. doi: 10.1136/oem.2010.064089. Epub 2011 May 31.

Abstract

Background: Veterinary medicine students who practice with animals are potentially exposed to many occupational agents, yet sensitisation and allergic symptoms among this group have not been studied extensively.

Objective: The objective of this study was to estimate the prevalence of sensitisation and allergic symptoms in veterinary medicine students in association with study specialisation over time.

Methods: A questionnaire-based cross-sectional study was conducted. Blood was collected and tested for total and specific serum IgE for 16 different common and study-specific allergens using enzyme immunoassay.

Results: New development of self-reported allergic symptoms to various allergens occurred in 8.7%, of which 44% was deducted against animals. Handling farm animals was strongly associated with self-reported allergies to various allergens (OR=6.9, 95% CI 1.9 to 25) and animal allergens (OR=12, 95% CI 1.4 to 103). Sensitisation to at least one allergen occurred in 33.1%. Sensitisation prevalence tended to be elevated in later years of the equine study program. In contrast to self-reported allergies, the prevalence of sensitisation to any allergen decreased with prolonged study duration for those specialising in farm animal health (years 3-5: OR=0.5, 95% CI 0.3 to 1.1; year 6: OR=0.2, 95% CI 0.1 to 0.5). This was independent of whether people were raised on a farm, which is in itself a protective factor for allergy and sensitisation.

Conclusion: This study provides evidence of an elevated prevalence of allergic symptoms with increasing years of veterinary study, suggesting that contact with animals, more specifically contact to farm animals, is a risk factor for the development of symptoms.

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Education, Veterinary / statistics & numerical data*
  • Female
  • Humans
  • Hypersensitivity / epidemiology*
  • Hypersensitivity / immunology
  • Immunoglobulin E / blood
  • Male
  • Middle Aged
  • Netherlands / epidemiology
  • Occupational Exposure / adverse effects*
  • Prevalence
  • Risk Factors
  • Students / statistics & numerical data*
  • Surveys and Questionnaires
  • Time Factors
  • Young Adult

Substances

  • Immunoglobulin E