Kontaktallergien bei Altenpflegerinnen – eine Analyse von Daten des Informationsverbundes Dermatologischer Kliniken 1992 bis 1998

Occupational contact sensitization in female geriatric nurses: Data of the Information Network of Departments of Dermatology (IVDK) 2005–2014

“…Similar to IVDK observations from the 1990s, 10 we found an almost double increase in reactions to fragrance mix I among GN with OCD, compared to GN without OCD (11.6% vs. 5.9%). In addition, we found the same with fragrance mix II (8.2% vs. 4.0%) and HICC (6.2% vs. 2.9%), both of which had not been tested in the 1990s.…”

“…[5][6][7][8] Risk factors for occupational chronic irritant contact dermatitis are wet work during body care of seniors, frequent hand washing and disinfection, as well as contact with surface disinfectants. 2,9,10 Intense or frequent skin contact with body care products (e.g. moisturizers), topical drugs, systemic drugs (pill crushing), protective gloves, as well as surface disinfectants pose a risk for allergic contact dermatitis among GN.…”

“…moisturizers), topical drugs, systemic drugs (pill crushing), protective gloves, as well as surface disinfectants pose a risk for allergic contact dermatitis among GN. 1,5,10 Based on IVDK data of the years 1992-1998, we have analysed contact sensitization in 114 female GN with occupational dermatitis. 10 Compared to all other women tested in the same time period, they had significantly more allergic reactions to fragrance mix, thimerosal, thiuram mix, formaldehyde, methyldibromo glutaronitrile/phenoxyethanol (MDBGN/PE) and methylchloroisothiazolinone/methylisothiazolinone (MCI/MI).…”

“…1,5,10 Based on IVDK data of the years 1992-1998, we have analysed contact sensitization in 114 female GN with occupational dermatitis. 10 Compared to all other women tested in the same time period, they had significantly more allergic reactions to fragrance mix, thimerosal, thiuram mix, formaldehyde, methyldibromo glutaronitrile/phenoxyethanol (MDBGN/PE) and methylchloroisothiazolinone/methylisothiazolinone (MCI/MI). Sensitization to fragrances, MDBGN/PE and MCI/MI was attributed to occupationally used body care products, thimerosal to the occupationally obligatory hepatitis B vaccination, thiurams to rubber gloves, and formaldehyde to surface disinfectants.…”

“…Sensitization to fragrances, MDBGN/PE and MCI/MI was attributed to occupationally used body care products, thimerosal to the occupationally obligatory hepatitis B vaccination, thiurams to rubber gloves, and formaldehyde to surface disinfectants. 1,10 Based on these results and additional knowledge of the specific occupational exposure, the German Contact Dermatitis Research Group (Deutsche Kontaktallergie-Gruppe; DKG) recommended patch testing with the baseline, preservative, ointment base, rubber and disinfectant series as well as fragrances in GN with suspected OCD in 2005. 1 Meanwhile, the occupational exposure of GN on the one hand, as well as the patch test series on the other hand, has changed.…”