{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:32:17Z","timestamp":1787067137052,"version":"build-2736575974"},"reference-count":18,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2003,8]]},"abstract":"<jats:p>OBJETIVO: Avaliar as altera\u00e7\u00f5es auditivas perif\u00e9ricas em um grupo de trabalhadores exposto a inseticidas, organofosforados e piretr\u00f3ides, utilizados em campanhas de controle de vetores. M\u00c9TODOS: Estudo de preval\u00eancia de uma popula\u00e7\u00e3o de 98 indiv\u00edduos que pulverizavam venenos nas campanhas de preven\u00e7\u00e3o do dengue, da febre amarela e da doen\u00e7a de Chagas. A amostra foi de tipo final\u00edstica, considerando o universo dos trabalhadores de um distrito sanit\u00e1rio, em Pernambuco, no ano de 2000. Utilizou-se question\u00e1rio contendo quest\u00f5es de identifica\u00e7\u00e3o de riscos ocupacional e n\u00e3o ocupacional, medidas de seguran\u00e7a utilizadas, antecedentes de problemas auditivos e sintomas referidos. Foi investigada a historia pregressa de exposi\u00e7\u00e3o ao ru\u00eddo, por ser um fator de confus\u00e3o para a perda auditiva. Todos os indiv\u00edduos foram avaliados pelo teste de audiometria tonal. RESULTADOS: Dos expostos apenas aos inseticidas, 63,8% apresentaram perda auditiva. Para o grupo com exposi\u00e7\u00e3o concomitantemente aos inseticidas e ao ru\u00eddo, a perda auditiva foi de 66,7%. O tempo mediano para o desenvolvimento de altera\u00e7\u00f5es auditivas nas freq\u00fc\u00eancias m\u00e9dias altas, para as exposi\u00e7\u00f5es combinadas de inseticidas e ru\u00eddo, foi de 3,4 anos e para as exposi\u00e7\u00f5es apenas aos inseticidas foi de 7,3 anos. A perda auditiva para as exposi\u00e7\u00f5es concomitantes aos dois fatores foi de maior intensidade nessas freq\u00fc\u00eancias, do que o observado na exposi\u00e7\u00e3o apenas aos inseticidas. CONCLUS\u00d5ES: H\u00e1 evid\u00eancia de que a exposi\u00e7\u00e3o aos inseticidas induz dano auditivo perif\u00e9rico e que o ru\u00eddo \u00e9 um fator que interage com os inseticidas, potencializando seus efeitos otot\u00f3xicos. Faz-se necess\u00e1rio avaliar essa poss\u00edvel associa\u00e7\u00e3o atrav\u00e9s de estudos epidemiol\u00f3gicos de car\u00e1ter anal\u00edtico.<\/jats:p>","DOI":"10.1590\/s0034-89102003000400005","type":"journal-article","created":{"date-parts":[[2005,4,27]],"date-time":"2005-04-27T10:25:51Z","timestamp":1114597551000},"page":"417-423","source":"Crossref","is-referenced-by-count":36,"title":["Sa\u00fade auditiva de trabalhadores expostos a ru\u00eddo e inseticidas"],"prefix":"10.1590","volume":"37","author":[{"given":"Cleide Fernandes","family":"Teixeira","sequence":"first","affiliation":[{"name":"Faculdade Integrada do Recife, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lia Giraldo da Silva","family":"Augusto","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Osvaldo Cruz, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thais C","family":"Morata","sequence":"additional","affiliation":[{"name":"National Institute for Occupational Safety and Health, EUA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"574","DOI":"10.5271\/sjweh.2100","article-title":"Impaired odor perception in tank cleaners","volume":"12","author":"Ahlstr\u00f6m R","year":"1986","journal-title":"Scand J Work Health"},{"key":"ref2","series-title":"Enc of occup health and safety","volume-title":"Chemical neurotoxic agents","author":"Arlien-Soborg P","year":"1998","edition":"4"},{"key":"ref3","first-page":"11","article-title":"Equivalent continuous noise level as a measure of injury from impact noise","volume":"14","author":"Atherley GR","year":"1971","journal-title":"Ann Occup Hyg","ISSN":"https:\/\/id.crossref.org\/issn\/0003-4878","issn-type":"print"},{"key":"ref4","series-title":"Exposi\u00e7\u00e3o ocupacional a organofosforado em industria qu\u00edmica de Cubat\u00e3o: avalia\u00e7\u00e3o do efeito clastog\u00eanico pelo testes de micron\u00facleos","author":"Augusto LSG","year":"1995"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1097\/00043764-200008000-00008","article-title":"A hearing conservation for farmers: source apportionment of occupational and environment factors contributing to hearing loss","volume":"42","author":"Beckett W","year":"2000","journal-title":"J Occup Environ Med","ISSN":"https:\/\/id.crossref.org\/issn\/1076-2752","issn-type":"print"},{"key":"ref6","first-page":"81","article-title":"Delayed effects of exposure to organphosphorus compound","volume":"101","author":"Ernest k","year":"1995","journal-title":"Ind J Med Res"},{"key":"ref7","series-title":"Scientific basis of noise-induce hearing loss","first-page":"437","volume-title":"Ototoxic effects of chemical alone or in concert with noise: a review of human studies","author":"Franks KSJR","year":"1996"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1348","DOI":"10.1288\/00005537-197808000-00018","article-title":"Bilateral sudden deafness following combined insecticide poisoning","volume":"88","author":"Harell M","year":"1987","journal-title":"Laryn"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1093\/occmed\/43.4.180","article-title":"Mixed solvent exposure and hearing impairment: an epidemiological study of 3284 men. 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