Interventions for preventing occupational irritant hand dermatitis

Bauer, Andrea; Rönsch, Henriette; Elsner, Peter; Dittmar, Daan; Bennett, Cathy; Schuttelaar, Marielouise; Lukács, Judit; John, Swen-Malte; Williams, Hywel C

doi:10.1002/14651858.cd004414.pub3

Cited by 55 publications

(37 citation statements)

References 107 publications

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“…Education and adherence behavior should begin in academic institutions because they are optimal environments to encourage good habits [4], since knowledge among nurses and students seems to be deficient [42], maybe due to some barriers such as allergic reactions, lack of staff, or lack of awareness [43,44,45,46]. Although traditional methods provide the necessary notions for the development of practical skills, they do not ensure the acquisition of knowledge [47].…”

Section: Discussionmentioning

confidence: 99%

Hand Hygiene Teaching Strategies among Nursing Staff: A Systematic Review

Martos-Cabrera

Mota-Romero

Martos-García

et al. 2019

IJERPH

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Background: Patient safety is a priority of any healthcare system, and one of the most effective measures is hand hygiene. For this, it is important that health staff have correct adherence and perform the technique properly. Otherwise, the incidence of nosocomial infections can increase, with consequent complications. The aim here was to analyze hand hygiene training and the effectiveness of different methods and educational strategies among nurses and whether they maintained correct adherence over time. Methods: A systematic review was conducted in the sources CINAHL (Cumulative Index to Nursing and Allied Health Literature), Dialnet, Lilacs (Latin American and Caribbean Health Sciences Literature), ProQuest (Proquest Health and Medical Complete), Medline, SciELO (Scientific Electronic Library Online), and Scopus. The search equation with Medical Subject Headings (MeSH) descriptors was “Nurs* AND (handwashing OR hand hygiene) AND clinical trial”. The review was performed following the recommendations of the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Results: n = 17 clinical trials were included, with a total of 5747 nurses and nursing students. Strategies such as reminder sounds, practical simulations, videos, and audiovisual media improved handwashing compliance. Adherence overtime increased by up to 60%. The greatest effectiveness was related to the use of povidone–iodine, which reduced colony formation compared Hand hygiene teaching strategies among nursing staff: a systematic review to soap. Conclusions: The strategies that go beyond teaching techniques such as lectures may be more effective at increasing hand hygiene compliance. Combined approaches to learning/instruction improve user satisfaction by enabling self-management, flexibility, and repetition.

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Section: Discussionmentioning

confidence: 99%

Hand Hygiene Teaching Strategies among Nursing Staff: A Systematic Review

Martos-Cabrera

Mota-Romero

Martos-García

et al. 2019

IJERPH

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“…Therefore, in addition to the use of protective wear and reduction in occupational irritancy and allergen exposure, increasing awareness on the importance of a competent skin barrier in the workplace and strategies aimed at avoidance of skin barrier damage is essential in the prevention of occupational skin diseases . A recent Cochrane review reported that moisturizers used alone or in combination with barrier creams may have a clinically important protective effect for the primary prevention of occupational CD . In line with the conclusions of that review, use of moisturizers has been recommended by the European Society of Contact Dermatitis in their recent guidelines for the prevention and therapy of occupational hand dermatitis .…”

Section: Impaired Skin Barrier As a Risk Factor For Contact Dermatitismentioning

confidence: 92%

The role of skin barrier in occupational contact dermatitis

Jakaša

Thyssen

Kežić

2018

Experimental Dermatology

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Skin diseases represent one of the most common work-related diseases and may have a detrimental effect on social, personal and occupational aspects of life. Contact dermatitis (CD), which comprises predominately irritant contact dermatitis (ICD) and allergic contact dermatitis (ACD), accounts for vast majority of occupational skin diseases, especially in occupations associated with frequent skin contact with irritants and contact allergens. Although ICD and ACD have similar clinical manifestation, their pathophysiology and the role of the skin barrier are different. In ICD, perturbation of the skin barrier is the primary event which sets into motion diverse metabolic processes and triggers activation of innate immunity without the involvement of adaptive immune system. In ACD, a type IV hypersensitivity reaction induced by contact allergens, the skin barrier impairment may evoke innate signalling pathways during the sensitization phase required for the activation of T-cell adaptive response. Thus, skin barrier impairment may increase the risk of ICD or ACD not only because of enhanced permeability and ingress of irritants and allergens but also by the generation of innate immune signal needed for the induction of allergic response. Hence, an efficient way to prevent CD is to avoid skin barrier damage in the workplace. This review focuses on the skin barrier, how it is affected by skin irritants and how its impairment contributes to the development of ICD and ACD.

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“…[33] • Apply an ointment-based emollient during work time after hand washing and after work, at home, to support the regeneration of the skin barrier. [35] • Consider wearing a cotton liner under gloves to prevent irritation from sweat if wearing for extended periods of time. [36] Face…”

Section: Author Contributionsmentioning

confidence: 99%

Personal protective equipment and adverse dermatological reactions among healthcare workers

et al. 2022

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The pandemic of the 2019 novel coronavirus disease has caused an unprecedented mobilization of the United States' healthcare workforce. In addition to working extended hours under increased duress, healthcare professionals (HCP) of all stations have been making use of various types of personal protective equipment (PPE) with greatly increased frequency and duration. Current data regarding adverse skin reactions as a possible consequence of PPE use are, particularly in the United States, largely insufficient for policy-makers to make informed decisions regarding daily PPE use among HCP.The research vehicle employed by this study is a cross-sectional 25-item survey distributed via email to workers currently employed by a five-hospital system in southcentral Kentucky. This survey was used to collect information from hospital workers of all professional roles about their experiences during the COVID-19 pandemic, focusing on reports of adverse dermatological reactions and associated risk factors.Out of 879 respondents, 54.4% reported some type of skin irritation reaction. Skin irritation was significantly more prevalent among medical and medical support staff than non-medical hospital workers, with the highest prevalence among Certified Nurse Assistant (CNAs). Among clinical workers, those in dedicated COVID-19 units reported the highest prevalence of adverse skin reaction. The most common complaint was dryness/scaling of the skin (306 out of 439, 69.7%), and the most common location was the facial cheeks (305 out of 516, 59.1%). Among those who reported skin irritation, the average self-reported severity of skin reaction (on a scale of 1-5) was 2.00 ± 0.05, and the mean total days of skin reaction per month was 11.70 ± 0.39 days. Total days of irritation per month was found to be significantly related to "total days of PPE use per month," "hours of PPE use per day," "frequency of hand washing," and "use of disinfecting UV irradiation." Severity of skin reaction was found to be significantly related to "hours per day of PPE use," "consecutive days of PPE use," and "female sex."Clinical workers that put in the most face-to-face time with patients, and those in dedicated COVID-19 units, had the highest risk of adverse skin reaction. Overall, skin reactions were found to be mild, even in those hospital workers with the heaviest PPE use. Because the widespread and consistent use of facial masks in public settings has become a key tool in our protracted struggle with SARS-CoV-2, these findings may help to ameliorate concerns that everyday facial mask and/or other PPE usage contributes to significant dermatologic morbidity among both medical professionals and public citizens.Abbreviations: CDC = centers for disease control and prevention, CNA = certified nurse assistant, COVID-19 = 2019 novel coronavirus disease, HCP = health care professionals, PPE = personal protective equipment, UVGI = ultraviolet germicidal irradiation.

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Interventions for preventing occupational irritant hand dermatitis

Cited by 55 publications

References 107 publications

Hand Hygiene Teaching Strategies among Nursing Staff: A Systematic Review

Hand Hygiene Teaching Strategies among Nursing Staff: A Systematic Review

The role of skin barrier in occupational contact dermatitis

Personal protective equipment and adverse dermatological reactions among healthcare workers

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