Double-blind, randomized trial of scheduled use of a novel barrier cream and an oil-containing lotion for protecting the hands of health care workers

McCormick, Rita D.; Buchman, Tracy L.; Maki, Dennis G.

doi:10.1067/mic.2000.107425

Cited by 103 publications

(88 citation statements)

References 28 publications

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“…Evidence of the efficacy of such products, however, is equivocal. 623,624,629 Furthermore, such products are expensive, so their use in health-care settings, particularly when resources are limited, cannot be recommended at present. Whether the use of basic, oil-containing products, not specifically manufactured for hand skin protection, would have similar efficacy as currently available manufactured agents remains to be determined.…”

Section: Use Of Moisturizing Skin Care Productsmentioning

confidence: 99%

“…576,622 Several controlled trials have shown that regular use of such products can help prevent and treat irritant contact dermatitis caused by hand hygiene products. [623][624][625][626][627] Importantly, in a trial by McCormick and colleagues, 624 improved skin condition resulting from the frequent and scheduled use of an oil-containing lotion led to a 50% increase in hand cleansing frequency among HCWs. These investigators emphasized the need to educate HCWs regarding the value of regular, frequent use of hand-care products.…”

Section: Use Of Moisturizing Skin Care Productsmentioning

confidence: 99%

“…In observational studies conducted in hospitals, HCWs cleaned their hands on average from 5 to as many as 42 times per shift and 1.7-15.2 times per hour (Table I.16.1). 79,137,[217][218][219]262,264,611,613,623,624,[647][648][649][650][651][652][653][654][655] The average frequency of hand hygiene episodes fluctuates with the method used for monitoring (see Part III, Section 1.1) and the setting where the observations were conducted; it ranges from 0.7 to 30 episodes per hour (Table I.16.1). On the other hand, the average number of opportunities for hand hygiene per HCW varies markedly between hospital wards; nurses in paediatric wards, for example, had an average of eight opportunities for hand hygiene per hour of patient care, compared with an average of 30 for nurses in ICUs.…”

Section: Hand Hygiene Practices Among Health-care Workersmentioning

confidence: 99%

“…Include information regarding hand-care practices designed to reduce the risk of irritant contact dermatitis and other skin damage in education programmes for HCWs (IB). 618,624 B. Provide alternative hand hygiene products for HCWs with confirmed allergies or adverse reactions to standard products used in the health-care setting (II).…”

Section: Skin Carementioning

confidence: 99%

“…Provide HCWs with hand lotions or creams to minimize the occurrence of irritant contact dermatitis associated with hand antisepsis or handwashing (IA). 549,607,[623][624][625][626] D. When alcohol-based handrub is available in the health-care facility for hygienic hand antisepsis, the use of antimicrobial soap is not recommended (II).…”

Section: Skin Carementioning

confidence: 99%

See 4 more Smart Citations

Hand Hygiene

Longtin¹,

Sax²,

Allegranzi³

et al. 2011

N Engl J Med

107

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Section: Use Of Moisturizing Skin Care Productsmentioning

confidence: 99%

Section: Use Of Moisturizing Skin Care Productsmentioning

confidence: 99%

Section: Hand Hygiene Practices Among Health-care Workersmentioning

confidence: 99%

Section: Skin Carementioning

confidence: 99%

Section: Skin Carementioning

confidence: 99%

See 3 more Smart Citations

Hand Hygiene

Longtin¹,

Sax²,

Allegranzi³

et al. 2011

N Engl J Med

107

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Interventions for preventing occupational irritant hand dermatitis

Bauer

Schmitt

Bennett

et al. 2010

Cochrane Database of Systematic Reviews

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Although the findings of this review were generally positive, no statistical significance was reached. We conclude that at present there is insufficient evidence for the effectiveness of most of the interventions used in the primary prevention of OIHD. This does not mean that current measures are necessarily ineffective, as the limited studies to date have been rather small and of poor quality. Larger well designed RCTs are now needed in different workplaces to establish the effectiveness of various preventative strategies.

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Interventions for preventing occupational irritant hand dermatitis

Bauer

Rönsch

Elsner

et al. 2018

Cochrane Database of Systematic Reviews

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Moisturisers used alone or in combination with barrier creams may result in a clinically important protective effect, either in the long- or short-term, for the primary prevention of OIHD. Barrier creams alone may have slight protective effect, but this does not appear to be clinically important. The results for all of these comparisons were imprecise, and the low quality of the evidence means that our confidence in the effect estimates is limited. For skin protection education, the results varied substantially across the trials, the effect was imprecise, and the pooled risk reduction was not large enough to be clinically important. The very low quality of the evidence means that we are unsure as to whether skin protection education reduces the risk of developing OIHD. The interventions probably cause few or no serious adverse effects.We conclude that at present there is insufficient evidence to confidently assess the effectiveness of interventions used in the primary prevention of OIHD. This does not necessarily mean that current measures are ineffective. Even though the update of this review included larger studies of reasonable quality, there is still a need for trials which apply standardised measures for the detection of OIHD in order to determine the effectiveness of the different prevention strategies.

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Double-blind, randomized trial of scheduled use of a novel barrier cream and an oil-containing lotion for protecting the hands of health care workers

Cited by 103 publications

References 28 publications

Hand Hygiene

Hand Hygiene

Interventions for preventing occupational irritant hand dermatitis

Interventions for preventing occupational irritant hand dermatitis

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