Hand and Upper Extremity Function in Workers With Hand Dermatitis

Holness, D. Linn; Beaton, Dorcas; Harniman, Elaine; DeKoven, Joel G.; Skotnicki, Sandra; Nixon, Rosemary; Switzer-McIntyre, Sharon

doi:10.1097/der.0b013e3182910416

Cited by 16 publications

(11 citation statements)

References 24 publications

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“…3 The prevalence of OCD in the general population ranges from 2% to 15%, [4][5][6] whereas the prevalence in HCWs has been reported to be approximately 21% to 30%. [10][11][12][13][14][15][16][17][18] Primary prevention of OCD involves reduction of exposure, appropriate skin care, personal protective equipment, and training. [10][11][12][13][14][15][16][17][18] Primary prevention of OCD involves reduction of exposure, appropriate skin care, personal protective equipment, and training.…”

Section: Introductionmentioning

confidence: 99%

Screening for hand dermatitis in healthcare workers: Comparing workplace screening with dermatologist photo screening

et al. 2019

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Background: Healthcare workers are at increased risk for occupational contact dermatitis, owing to wet work exposure. Early detection and management improves outcomes. Although several diagnostic tools are available, none is appropriate for rapid screening.Objectives: To assess the validity and feasibility of the Hand Dermatitis Screening Tool in the acute healthcare sector.Methods: Screening of 508 employees at three hospitals in Ontario, Canada was performed with the Hand Dermatitis Screening Tool either by an occupational health nurse (N = 225) or by self-administration (N = 283). Two occupational dermatologists rated photographs of participants' hands.Results: Of the participants, 30.5% screened positive for hand dermatitis. A positive screen was associated with wet work, history of eczema, dermatitis, or other rash, and currently having a rash. Ninety-four per cent of participants reported that using the tool took <2 minutes, 99% indicated that the tool was easy to use, and 86% stated that workplace screening was very important. Workplace and dermatologist photo screening showed fair agreement. Conclusions:The prevalence of hand dermatitis and identified risk factors were consistent with the literature. These findings, along with positive feasibility results, support further testing of the tool despite only fair agreement between workplace and dermatologist screening.occupational contact dermatitis, wet work, workplace screening, occupational disease, healthcare workers, hand dermatitis, acute healthcare sector, prevention, RRID:SCR_001905

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Section: Introductionmentioning

confidence: 99%

Screening for hand dermatitis in healthcare workers: Comparing workplace screening with dermatologist photo screening

et al. 2019

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“…Disposable clothing is required for protection against allergens and irritant substances. Protective clothing may occasionally cause contact dermatitis rather than prevent it, through nonspecific irritation from sweat entrapment and friction of clothing against the skin (Holness et al, 2013). Occlusion of chemical allergen beneath the protective clothing enhances cutaneous absorption of the substance leading to ACD (e.g.…”

Section: Management Of Contact Dermatitismentioning

confidence: 99%

“…It includes covering the work surface with protective or absorbent towels or sheets, cleaning the work surface with appropriate industrial cleaner and sweeping or vacuuming of dust and particulate (Holness et al, 2013).…”

Section: Work Practicementioning

confidence: 99%

“…Gloves should always be worn over clean hands to avoid accidental occlusion of the allergen and irritants against the skin. Protective clothing should not be used unless engineering controls are feasible (Holness et al, 2013).…”

Section: Management Of Contact Dermatitismentioning

confidence: 99%

“…Sometimes ACD could be photoallergic that requires UV light after exposure to allergen. Atopic skin remains the single most important risk factor in an occupational setting (Holness, 2011;Holness et al, 2013;Diepgen, 2006;Keegel et al, 2009;Ibler et al, 2012;Luk et al, 2011;Lysdal et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of contact dermatitis

Al-Otaibi

Alqahtani

2015

Journal of Dermatology & Dermatologic Surgery

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Skin disorders compromise more than 35% of all occupationally related disorders. Most of these are contact dermatitis as a result from contact with a chemical substance. Contact dermatitis can be either irritant or allergic type. Each type has a different mechanism while the clinical presentation is the same. Management of contact dermatitis must include both medical treatment and workplace modifications as appropriate to reduce exposure to the causative agents. Physicians should be aware of this preventable medical condition. Ó 2015 The Authors. Production and hosting by Elsevier B.V. on behalf of King Saud University. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Epidemiology and Burden of Occupational Skin Diseases

Brans

2023

Updates in Clinical Dermatology

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Hand and Upper Extremity Function in Workers With Hand Dermatitis

Abstract: Patients with hand dermatitis demonstrate significant functional compromise of the hand and a decrease in ability to work.

Cited by 16 publications

References 24 publications

Screening for hand dermatitis in healthcare workers: Comparing workplace screening with dermatologist photo screening

Screening for hand dermatitis in healthcare workers: Comparing workplace screening with dermatologist photo screening

Management of contact dermatitis

Epidemiology and Burden of Occupational Skin Diseases

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