Respiratory irritation due to carpet shampoo: Two outbreaks

Abstract

Dried detergent residue left in carpets after they were shampooed with underdiluted carpet shampoo caused respiratory irritation among most employees in an office building and among all staff members and most children in a day-care center. Symptoms included cough, dry throat, difficulty in breathing, nasal congestion, and headache. Eye irritation was also noted by day-care center staff members. Symptoms persisted for many weeks until the carpets were wet extracted. The major ingredient of the three shampoo products implicated in these two outbreaks and in a third similar report in sodium dodecyl sulfate, a respiratory irritant in mice. Unpublished occupational investigations suggest that soap dust exposure may be associated pulmonary function abnormalities in some exposed workers. Detergent dust is a newly recognized example of indoor air pollution and should be considered when patients or employees complain of building-specific respiratory or eye irritation.