P-286 Impact of systemic diseases on medical ability to work

IntroductionSystemic diseases are inflammatory diseases involving multi-organic damage that may affect the patient’s socio-professional life. The occupational physician plays a crucial role in the fit assessment of the worker with the aim of keeping him active for as long as possible while preservin...

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Published in:Occupational and environmental medicine (London, England) England), 2023-03, Vol.80 (Suppl 1), p.A96-A96
Main Authors: Baraketi, Emna, Ismail, Saloua, Annabi, Amira, Hsinet, Jihen, Khouja, Nihel, Benzarti, Aida, Jemaa, Abdelmajid Ben
Format: Article
Language:English
Subjects:
Abstracts
Behcet's syndrome
Chronic conditions
Inflammatory diseases
Medical materials
Medical personnel
Occupational diseases
Patients
Physicians
Scleroderma
Sjogren's syndrome
Systemic diseases
Systemic lupus erythematosus
Systemic sclerosis
Work stations
Workstations
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Summary:IntroductionSystemic diseases are inflammatory diseases involving multi-organic damage that may affect the patient’s socio-professional life. The occupational physician plays a crucial role in the fit assessment of the worker with the aim of keeping him active for as long as possible while preserving the prognosis of his pathology. Our aims were to describe the socio-professional, clinical and paraclinical characteristics of patients with a systemic disease in a professional environment and to assess the impact of these pathologies on medical fitness to work.Material and MethodsRetrospective and descriptive study of patients with systemic diseases, conducted in the department of occupational medicine and occupational diseases of UHC La Rabta between 2000 and 2020.ResultsOur population included 36 cases mostly female with a mean age of 42 years. The most shown activity sector was that of health care (36%). Half of the patients were hand workers. The most commonly observed systemic diseases were Behcet’s disease (32%), Sjögren’s syndrome (17%), systemic sclerosis (14%) and systemic lupus erythematosus (14%). The systemic lesions were dominated by the mucocutaneos involvment (77%), the osteo articular involvment (48%) and the ocular involvement (34%). These pathologies had compromised the medical ability to work indicating a layout of the workstation (48%), a transfer to another workstation (11%) and a disability (19%).ConclusionBecause of their multiorgan impairment, systemic diseases have significant impact on medical fitness to work. Collaboration between the internist doctor and the occupational physician is highly recommended in the management of these pathologies.
ISSN:1351-0711
1470-7926
DOI:10.1136/OEM-2023-EPICOH.236