Hand eczema in nurses, nursing auxiliaries and cleaners—A cross‐sectional study from a tertiary hospital in western India

Gupta, Sanjeev; Gupta, Aayush; Shah, Bhavika; Kothari, Preeti; Darall, Sweety; Boghara, Dhara; Sonkar, Sukhnandan; Deo, Kirti

doi:10.1111/cod.13009

Cited by 29 publications

(35 citation statements)

References 36 publications

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“…A Swedish study involving 12,288 physicians, nurses and auxiliary nurses reported a prevalence of 21% (response rate 43%) (16), which was higher than the 10.8% seen in our study (response rate 80.2%) and that seen in Indian nurses (6.8%) (29). The incidence of hand eczema among nurses of our study was also lower than that of other Chinese City, including Harbin (19), Zhenjiang (20) and Shijiazhuang ( 21) cities.…”

Section: Discussioncontrasting

confidence: 79%

Hand eczema among healthcare workers in Guangzhou City: a cross-sectional study

Huang¹,

Tang²,

Qiu³

et al. 2020

Ann Transl Med

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Background: Healthcare workers are at high risk of developing hand eczema. This study aimed to investigate the association between occupational hygiene and self-reported hand eczema among nurses and doctors in Guangzhou. Methods:A cross-sectional study using a self-administrated questionnaire sent to 740 health care workers in two tertiary hospitals between 1 st April and 1 st July 2019 was conducted.Results: In total, 521 healthcare workers responded (70.4%). The prevalence of self-reported hand eczema was 9.6% [95% confidence interval (CI): 7.1-12.1%], with 10.8% in nurses and 6.9% in doctors. According to multivariable logistic regression analysis, the prevalence was higher in those who were excessively exposed to hair dye (OR: 3.871, 95% CI: 1.106-13.549) and those having a history of food allergy were at 3.013 (95% CI: 1.314-6.907) times greater risk of having hand eczema than those who did not. The odds of having hand eczema were 4.863 (95% CI: 1.037-22.803) times greater in those who hand washed more than 50 times daily in comparison to those who washed hands less than 10 times per day. The symptoms of hand eczema were mild during the investigation period.Conclusions: Hand eczema is common among healthcare workers in Guangzhou. The prevention of hand eczema by educational programs is needed for Chinese healthcare workers.

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Section: Discussioncontrasting

confidence: 79%

Hand eczema among healthcare workers in Guangzhou City: a cross-sectional study

Huang¹,

Tang²,

Qiu³

et al. 2020

Ann Transl Med

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“…After treatment, there was a 43.5% improvement in DLQI scores in construction workers, 55.2% in farmers, 43.4% in housewives and 80.0% improvement in healthcare workers. There was a statistically significant greater impairment in QoL in cleaners compared to nurses and nursing auxiliaries 16 . There were higher mean DLQI scores (indicating greater QoL impairment) among operating nurses compared to female administrative employees 33 .…”

Section: Resultsmentioning

confidence: 88%

“…From the 369 articles identified in the literature search, 328 were excluded based on the exclusion criteria, leaving 41 publications for the final analysis 12‐52 . The list of included publications and their characteristics are given in Table .…”

Section: Resultsmentioning

confidence: 99%

Quality of life measurement in occupational skin diseases. Position paper of the European Academy of Dermatology and Venereology Task Forces on Quality of Life and Patient Oriented Outcomes and Occupational Skin Disease

Chernyshov

John

Aragonés

et al. 2020

Acad Dermatol Venereol

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The European Academy of Dermatology and Venereology (EADV) has started the ‘Healthy Skin @ Work’ campaign aimed to raise awareness among the public and EU authorities on the frequency and impact of occupational skin diseases (OSDs). The EADV Task Forces (TFs) on Quality of Life and Patient Oriented Outcomes (QoL/PO) and on OSD present their mutual position statement on QoL assessment in OSDs. The EADV TFs recommend the use of the DLQI as a dermatology‐specific instrument and SF‐36 as a generic instrument in health‐related (HR) QoL studies on OSDs. The OSD‐specific questionnaire, LIOD, is not recommended for general use in its present form because of its three months recall period. The EADV TFs discourage the use of non‐validated and of non‐validated modifications of previously validated HRQoL instruments. The EADV TFs wish to encourage research into: the HRQoL impact of OSDs other than occupational contact dermatitis and hand eczema; comparisons between the effects of different treatments and other interventions on HRQoL in OSDs; and into the HRQoL impairment of patients with OSDs from different countries, and with different provoking factors, to predict if the results of successful therapeutic and educational interventions may be generalized across countries and between occupations.

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“…Globally, the point prevalence of hand eczema in the general population has been estimated at 4.0%, with a 1‐year prevalence of 9.1% and a lifetime prevalence of 14.5% 4 . The incidence of hand eczema is 7.3 cases per 1000 person‐years, 4 with certain occupations having higher incidence rates, including nursing, hairdressing and others that involve exposure to moisture 1,11–13 . In Germany, the epidemiological burden of hand eczema among the general population shows a large variation.…”

Section: Introductionmentioning

confidence: 99%

Lifetime prevalence and determinants of hand eczema in an adolescent population in Germany: 15‐year follow‐up of the LISA cohort study

Wang

Tischer

Standl

et al. 2021

Acad Dermatol Venereol

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Background Hand eczema is a common inflammatory skin disorder in both adolescence and adulthood. Objectives We sought to assess the lifetime prevalence of hand eczema and associated exogenous and endogenous risk factors among adolescents in Germany. Methods This was a cross‐sectional study embedded into a prospective population‐based birth cohort in four regions of Germany, which recruited healthy neonates born between November 1997 and January 1999. We included 1736 participants who had completed the 15‐year follow‐up from birth cohort and 84.6% (1468/1736) had clearly reported whether they have ever had hand eczema. All the data were based on questionnaires and blood tests (immunoglobulin E). Multivariable logistic regression analysis was used to examine endogenous and exogenous factors in relation to the lifetime prevalence of hand eczema among adolescents. Results One thousand four hundred and sixty‐eight adolescents (715 girls, 48.7%) were included in the final analysis. The lifetime prevalence of hand eczema among adolescents at the age of 15 was 10.4% (95% confidence interval [CI]: 8.9%–12.1%), with a significantly higher lifetime prevalence among girls than boys (12.7% vs. 8.2%, P = 0.005). Multivariable logistic regression analysis indicated statistically significant associations between the lifetime prevalence of hand eczema and having ever been diagnosed with atopic dermatitis (aOR = 1.8, 95% CI: 1.1–2.8) or having ever had dry skin (aOR = 1.9, 95% CI: 1.1–3.1), respectively. No statistically significant independent associations were found between asthma, hay fever, allergy‐related clinical symptoms, immunoglobulin E positivity and other exogenous factors in relation to hand eczema. Conclusion Our study fills a research gap on the epidemiological burden of hand eczema among adolescents. One out of ten ever suffered from hand eczema until age 15 years indicating that hand eczema constitutes a significant burden in paediatric populations. The role of atopic dermatitis in hand eczema reinforces previous findings. Exogenous risk factors warrant further investigation.

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Hand eczema in nurses, nursing auxiliaries and cleaners—A cross‐sectional study from a tertiary hospital in western India

Abstract: Hand eczema was particularly common in hospital cleaners and staff with atopic dermatitis. Further studies are needed to address the burden of occupational hand eczema and develop guidelines for its management at a national level.

Cited by 29 publications

References 36 publications

Hand eczema among healthcare workers in Guangzhou City: a cross-sectional study

Hand eczema among healthcare workers in Guangzhou City: a cross-sectional study

Quality of life measurement in occupational skin diseases. Position paper of the European Academy of Dermatology and Venereology Task Forces on Quality of Life and Patient Oriented Outcomes and Occupational Skin Disease

Lifetime prevalence and determinants of hand eczema in an adolescent population in Germany: 15‐year follow‐up of the LISA cohort study

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