Evidence map›Paper›PMID 35380026›Full record

ReviewJournal of Korean medical science2022

Review of Inhalation Health Risks Involving Chloromethylisothiazolinone (CMIT) and Methylisothiazolinone (MIT) Used as Disinfectants in Household Humidifiers.

Jiwon Kim, Soyoung Park, Kyung Ehi Zoh, Jihoon Park, Sangjun Choi, Sung Ho Hwang, So-Yeon Lee, Dong-Uk Park

Open access · goldAbstract readReview
In one paragraph

Review in Journal of Korean medical science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 3 countries.

Jiwon Kim *Department of Environmental Health, Korea National Open University, Seoul, Korea.ORCID https://orcid.org/0000-0001-9123-7596
Soyoung Park *Department of Occupational and Environmental Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-2163-5892
Kyung Ehi ZohDepartment of Environmental Health Sciences, Graduate School of Public Health, Seoul National University, Seoul, Korea.ORCID https://orcid.org/0000-0002-2821-070X
Jihoon ParkChemical Safety Management Department, Nakdong River Basin Environmental Office, Ministry of Environment, Changwon, Korea.ORCID https://orcid.org/0000-0002-4829-5587
Sangjun ChoiGraduate School of Public Health and Healthcare Management, The Catholic University of Korea, Seoul, Korea.ORCID https://orcid.org/0000-0001-8787-7216
Sung Ho HwangNational Cancer Control Institute, National Cancer Center, Goyang, Korea.ORCID https://orcid.org/0000-0001-7891-5989
So-Yeon LeeDepartment of Pediatrics, Childhood Asthma and Atopy Center, Humidifier Disinfectant Health Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-2499-0702
Dong-Uk ParkDepartment of Environmental Health, Korea National Open University, Seoul, Korea. pdw545@gmail.com.ORCID https://orcid.org/0000-0003-3847-7392
Korea National Open University · KRCatholic University of Korea · KRKangbuk Samsung Hospital · KRMinistry of Environment · CANational Cancer Center · KRSeoul National University · KRUniversity of Ulsan · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association between lung injury and exposure to humidifier disinfectant (HD) containing a mixture of chloromethylisothiazolinone (CMIT) and methylisothiazolinone (MIT) has been controversial in South Korea. This study conducts a literature review in order to evaluate the likelihood of CMIT/MIT reaching the lower part of the respiratory tract and causing lung injury. A literature review focused on the inhalation risk of HD containing a mixture of CMIT and MIT. The major contents included the physicochemical properties of CMIT and MIT contained in HDs and methodological reviews on substance analysis, toxicity tests and clinical cases. HD products marketed in South Korea have been reported to contain approximately 1-2% CMIT and 0.2-0.6% MIT along with magnesium nitrate (20-25%), magnesium chloride (0.2-1.0%), and water (70-75%). The types of CMIT and MIT dispersed into the air and deposited in the respiratory tract are assumed to be either gaseous substances or nanoparticles mixed with magnesium salts. The result of the literature review including clinical cases of lung injury among CMIT/MIT HD product users, demonstrated that these chemicals likely reach the lower respiratory tract and accordingly cause lung injury. A number of humidifier disinfectant-associated lung injury cases with clinical evidence should be prioritized in risk assessment of HD containing CMIT and MIT, even though there might be insufficient evidence in all related areas, including inhalation exposure assessment studies, animal testing, and epidemiological studies.

Indexed as

DisinfectantsLung InjuryAnimalsHumansHumidifiersRisk AssessmentThiazoles2-methyl-4-isothiazolin-3-oneDisinfectantsThiazolesCMITHumidifier Disinfectant-Associated Lung InjuryInhalationLung ToxicityMIT

Identifiers

PMID35380026
PMCPMC8980362
OpenAlexW4224021102

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.