Health effectsQuaternary ammonium compounds can display a range of health effects, amongst which are mild skin and respiratory irritation  up to severe caustic burns on skin and gastrointestinal lining (depending on concentration), gastrointestinal symptoms (e.g., nausea and vomiting), coma, convulsions, hypotension and death. Analysis of data from the U.S. Nurses Health Study II (NHS II) show that nurses, and other cleaning personnel, who frequently clean surfaces and instruments with QUATZ and other disinfectants have increased incidence of COPD.
- Bello, Anila; Quinn, Margaret M.; Perry, Melissa J.; Milton, Donald K. (2009). "Characterization of occupational exposures to cleaning products used for common cleaning tasks-a pilot study of hospital cleaners". Environmental Health 8: 11. Error: Bad DOI specified. PMC 2678109. PMID 19327131. //www.ncbi.nlm.nih.gov/pmc/articles/PMC2678109/.
- Quaternary ammonium (PIM G022)
- Ed Susman (September 11, 2017). "ERS: Disinfectant Use Tied to COPD Incidence in Nurses 'Novel hypothesis merits further investigation,' researchers say". Medpage Today. https://www.medpagetoday.com/mastery-of-medicine/pulmonology-mastery-in-copd/67810?. Retrieved September 12, 2017.