BRI can be specific or non-specific. The diagnosis is based on history of exposure and clinical findings. Treatment is usually symptomatic.
Building-related diseases (building-related illnesses, BRIs) are a heterogeneous group of disorders whose etiology is associated with the environment in modern air-tight buildings. These buildings are characterized by sealed windows and a dependent of heating, ventilation and air conditioning ventilation. Most cases occur in non-industrial office buildings, but can also occur in apartments, houses, schools, museums and libraries. BRI can be specific or non-specific. The diagnosis is based on history of exposure and clinical findings. Treatment is usually symptomatic. Specific BRI BRI As specific diseases in which the connection with a building-related exposure is proved valid. Examples are Legionella infections (Legionella) occupational asthma (occupational asthma) hypersensitivity pneumonitis (hypersensitivity) inhalation fever The inhalation fever is a febrile response that is elicited by exposure to organic suspended matter or dust. Terms used to describe this type of BRI are humidifier fever, grain fever, pig fever and Mycotoxicosis, depending on each triggering substance. Metal and polymer fumes can also trigger febrile diseases. The term “organic dust toxic syndrome (ODTS)” was used to cover the sub-acute febrile and respiratory response to organic dusts that are heavily contaminated usually with bacterial endotoxin. “Toxic pneumonitis” is a commonly used, but less specific term. The humidifier fever occurs in non-industrial buildings in connection with humidifiers or other ventilation devices that can serve as a growth reservoir of bacteria or fungi and distribute these contaminants as an aerosol. The disease usually manifests itself as a low-grade fever, malaise, cough, and dyspnea. Improvement after exposure waiting (z. B. weekend outside the office building) is often one of the first etiological instructions. The humidifier fever begins acutely and (usually 2 to 3 days) runs self-limiting. Physical symptoms may be absent or very subtle. Cases of illness usually occur frequently. A recent outbreak of interstitial lung disease in Korea, the use of toxic inhalants in humidifiers with disinfectants was attributed. Unlike immunologically mediated diseases (eg. As extrinsic allergic alveolitis, building-related asthma) requires the inhalation fever no prior sensitization. The disease can occur after the initial exposure. Apart from the administration of antipyretics and avoidance of disease-causing environment, acute episodes generally do not require medical. The symptoms persist longer studies may be necessary to rule out infections, an extrinsic allergic alveolitis or other diseases. Microbiological samples to discover occurring microbes in the air at the workplace can be costly and time consuming, but are sometimes necessary to uncover the source of air contamination. Inhalation fever from any cause of ventilation systems can usually be prevented by a good maintenance. Nonspecific BRI BRI as non-specific such diseases in which a connection with a building-related exposure is difficult to prove valid. The term “sick building syndrome” has been used for diseases that occur inside a building in clusters and cause the often non-specific symptoms, including itchy, irritated, dry or watery eyes rhinorrhea or nasal congestion sore throat or tightness dry itchy skin or unexplained rashes headache, lethargy or difficulty concentrating some with buildings associated factors seem to trigger symptoms in some cases. These include high building temperatures, high humidity and poor ventilation, typically in conjunction with the inability to supply sufficient fresh air from outside. The patient-related factors, including female gender, atopy, increased attention to your own body feel concern for the role of complaints, anxiety, depression and occasionally mass hysteria, the perception of symptoms also seem to influence.