Gambaran Kadar Hidrasi Kulit Dan Kejadian Dermatitis Kontak Iritan Pada Petugas Kebersihan Di Universitas Tarumanagara

Abstract

Irritant contact dermatitis (DKI) is a non-immunologic skin inflammation reaction caused by contact with irritants. A janitor is a worker who does a lot of wet work that will repeatedly contact with irritants such as acids, bases, detergents, soap, water, solvents, etc., so that there will be damage to the skin barrier function that starts with loss of the lipid layer and Natural Moisturizing Factor (NMF) so it will reduce skin hydration levels and increase TransEpidermal Water Loss (TEWL). This makes the skin condition becomes dry and the skin defense decreases so that it is easier for DKI. The purpose of this study was to determine the description of skin hydration levels and the incidence of irritant contact dermatitis in janitors at Tarumanagara University. This research is descriptive with a cross-sectional design. A total of 60 people from the janitor became the subject of research. The level of skin hydration is measured by a chronometer. The incidence of DKI in the cleaning staff at Tarumanagara University was 10%, the level of skin hydration in the janitor at Tarumanagara University found hydration levels of dry skin on the right palm (76.7%), left palm (76.7%), back of the hand right (56.7%), and back of the left hand (56.7%). In subjects who experience DKI, levels of hydration of very dry skin on the palm (left-right) and hydration of dry skin on the back of the hand (left-right), and the factors that influence the occurrence of DKI are: gender (female), frequency of washing hands with soap per day, frequency and duration of contact with toilet and floor cleaning products per day and the use of personal protective equipment (PPE), and so it is recommended that cleaners always use PPE when working to prevent DKI and use moisturizers on dry skinABSTRAK:Dermatisis kontak iritan (DKI) adalah suatu reaksi peradangan kulit non-imunologik yang disebabkan oleh kontak dengan bahan iritan. Petugas kebersihan merupakan pekerja yang banyak melakukan pekerjaan basah yang akan kontak berulang dengan bahan iritan seperti asam, basa, detergen, sabun, air, pelarut, dll, sehingga akan terjadi kerusakan fungsi sawar kulit yang dimulai dengan kehilangan lapisan lipid dan Natural Moisturizing Factor (NMF) sehingga akan menurunkan kadar hidrasi kulit dan meningkatkan TransEpidermal Water Loss (TEWL). Hal tersebut membuat kondisi kulit menjadi kering dan pertahanan kulit menurun sehingga lebih mudah terjadi DKI. Tujuan penelitian ini untuk mengetahui gambaran kadar hidrasi kulit dan kejadian dermatitis kontak iritan pada petugas kebersihan di Universitas Tarumanagara. Penelitian ini bersifat deskriptif dengan desain cross sectional. Sejumlah 60 orang dari petugas kebersihan menjadi subjek penelitian. Kadar hidrasi kulit diukur dengan alat korneometer. Angka kejadian DKI pada petugas kebesihan di Universitas Tarumanagara sebesar 10 %, Kadar hidrasi kulit pada petugas kebersihan di Universitas Tarumanagara didapatkan kadar hidrasi kulit kering pada telapak tangan kanan (76,7%), telapak tangan kiri (76,7%), punggung tangan kanan (56,7%), dan punggung tangan kiri (56,7%). Pada subjek yang mengalami DKI didapatkan kadar hidrasi kulit sangat kering pada telapak tangan(kiri-kanan) dan hidrasi kulit kering pada punggung tangan (kiri-kanan), dan faktor-faktor yang mempengaruhi kejadian DKI adalah: jenis kelamin (perempuan), frekuensi cuci tangan dengan sabun per hari, frekuensi dan lama kontak dengan produk pembersih toilet maupun lantai per hari dan penggunaan alat pelindung diri (APD), dan sehingga disarankan agar petugas kebersihan selalu memakai APD dengan lengkap saat bekerja untuk mencegah DKI dan menggunakan pelembab pada kulit yang kering

The Effects of Handwashing Habits on Health Protocols on Skin Hydration Levels and Incidence of Irritant Contact Dermatitis

“…The result of this study indicates that there is a significant relationship between the habit of washing hands and the level of skin hydration in the community in the Banyumas Regency area. The result of this study is supported by research conducted by Chairunnisa et al, (2020) which states that frequent exposure to soap and water can cause damage to the stratum corneum which can increase TEWL and decrease skin hydration-levels. 6, the result of the chi-square analysis shows that the p value between the habit of washing hands and the incidence of irritant contact dermatitis is 0.394> 0.05.…”

Contact Dermatitis in Tertiary Hospital: A 2-year Retrospective Study

“…Repeated and extended cleanser use can cause dry skin due to lipid erosion, increasing transepidermal water loss, losing its skin barrier function, and making it prone to irritation. 11 We found that 43 (11%) of 367 patients had food allergies. We found different results from the concept of risk factors for dermatitis.…”

Penatalaksanaan Holistik Dermatitis Atopik dan Asma Bronkial

“…Sebagai pemicu gatal, bahan iritan mampu mencetuskan dermatitis atopik. Sabun yang bersifat iritan adalah sabun dengan sifat alkalis, untuk itu pada pasien ini dianjurkan menggunakan sabun bayi karena memilik pH netral sehingga tidak iritatif (Chairunnisa et al, 2020). Kriteria terbanyak yang dimiliki oleh penderita adalah kriteria dengan kelompok dewasa dan jenis kelamin perempuan (Gunawan, 2022).…”