Occupational allergic contact dermatitis and major allergens in France: temporal trends for the period 2001-2010

Bensefa‐Colas, Lynda; Telle-Lamberton, M.; Paris, Christophe; Faye, Serge; Stocks, Susan Jill; Luc, Amandine; Bourrain, J.L.; Crépy, M.-N.; Dupas, D.; Frimat, P.; Garnier, R.; Lehucher-Michel, Marie-Pascale; Pairon, Jean‐Claude; Soulat, Jean-Marc; Lasfargues, G.; Choudat, D.; Momas, Isabelle

doi:10.1111/bjd.13133

Cited by 44 publications

(68 citation statements)

References 40 publications

(101 reference statements)

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“…CD is generally caused by frequent hand washing (in water), gloves, soaps, aggressive disinfectants or detergents, pitch and adhesives, as well as nickel which is present in metal parts of medical instruments 6 . It is of special importance due to the fact that medical professionals such as dentists are engaged in so-called wet work, which is well known for increasing the tendency towards professional irritant CD, primarily because of the frequent and repeated exposure to water.…”

Section: Fig 1 Clinical Presentation Of Acute Contact Dermatitis Inmentioning

confidence: 99%

“…Development of occupational CD is caused by contact of the skin with various substances in occupational environment. Overall, CD depends on the nature of work, working environment, condition of the skin prior to development of skin lesions, nature of substance(s) used in the work process, usage of protective clothing and equipment, exacerbation of skin lesions during work and their remission during longer periods of abstinence from work, as well as the success of previous therapies 6 . Occupational etiologic factors for dental staff are fi rst and foremost reactions to gloves containing latex, followed by various dental materials, detergents, lubricants, solvents and chemicals 7 .…”

Section: Introductionmentioning

confidence: 99%

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Occupational Contact Dermatitis Amongst Dentists and Dental Technicians

Lugović-Mihić

Ferček

Duvančić

et al. 2016

ACC

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SUMMARY -Since the working medical personnel including dentists and dental technicians mainly use their hands, it is understandable that the most common occupational disease amongst medical personnel is contact dermatitis (CD) (80%-90% of cases). Development of occupational CD is caused by contact of the skin with various substances in occupational environment. Occupational etiologic factors for dental personnel are foremost reactions to gloves containing latex, followed by various dental materials (e.g., metals, acrylates), detergents, lubricants, solvents, chemicals, etc. Since occupational CD is relatively common in dental personnel, its timely recognition, treatment and taking preventive measures is needed. Achieving skin protection at exposed workplaces is of special importance, as well as implementing necessary measures consequently and suffi ciently, which is sometimes diffi cult to achieve. Various studies have shown the benefi t of applying preventive measures, such as numerous protocols for reducing and managing latex sensitivity and other forms of CD in dentistry. Active involvement of physicians within the health care system, primarily dermatologists, occupational medicine specialists and general medicine doctors is needed for establishing an accurate medical diagnosis and confi rmation of occupational skin disease.

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Section: Fig 1 Clinical Presentation Of Acute Contact Dermatitis Inmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Occupational Contact Dermatitis Amongst Dentists and Dental Technicians

Lugović-Mihić

Ferček

Duvančić

et al. 2016

ACC

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“…In France, there was a significantly decreasing trend in occupational asthma [17] and allergic rhinitis [12] reported to RNV3P from 2001 to 2009. There was very little change in the incidence of OACD [12,18], but a significant decline in the incidence of OCU of 6% per year from 2001 to 2010 [19 & ]. In Belgium, compensation claims with a definite, probable or possible diagnosis of occupational asthma were declining in incidence by an average of 2.9% per year between 1991 and 2003 [11], and in the Czech Republic there was a decline in recognized compensation claims for OACD from 1998 to 2009 [20].…”

Section: Trends In Occupational Allergy and Asthma Across All Exposuresmentioning

confidence: 99%

“…Only THOR (UK) and RNV3P (France) have reported OACD separately from OCD as described above [15 & ,18]. Analyzing the RNV3P data with the multilevel model showed a small but significant increasing trend in OACD (Table 1) [3 & ], but the analysis using reporting odds ratios found no significant change [18].…”

Section: Europementioning

confidence: 99%

Worldwide trends in incidence in occupational allergy and asthma

Stocks

Bensefa‐Colas

Berk

2016

Current Opinion in Allergy &Amp; Clinical Immunology

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“…Like in other studies, main occupational relevant allergens were the preservatives, 1,6,12,13,40 rubber chemicals, 12,13 topical drugs and lanolin. 1,12 High reactivity to preservatives, with 20 cases from isothiazolinones and 7 from formaldehyde and/or formaldehyde releasers, is very probably due to the cumulative personal and occupational exposure, as preservatives as well as fragrance allergens are common to hospital hand soaps, patient hygiene products and personal hygiene products.…”

Section: Discussionmentioning

confidence: 55%

Dermatite de Contacto Alérgica em Profissionais de Saúde

Pinheiro

Pestana

Marques

et al. 2017

SPDV

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RESUMO -Introdução: A dermatite de contacto alérgica (DCA) constitui patologia profissional particularmente frequente em profissionais de saúde. Os alergénios responsáveis podem variar ao longe do tempo, com a exposição ocupacional e com o tipo de trabalho. Objectivos e Métodos: Com o objetivo de avaliar a realidade local, foi feita uma análise retrospetiva dos profissionais de saúde que realizaram testes epicutâneos no Serviço de Dermatologia do Centro Hospitalar e Universitário de Coimbra (CHUC), num período de 6 anos (2010)(2011)(2012)(2013)(2014)(2015), por suspeita de dermatite de contacto alérgica. Os doentes foram todos testados com uma Série Básica e com séries complementares orientadas pela história clínica. Resultados: Dos 1858 doentes testados, 125 (6,7%) eram profissionais de saúde, 114 de género feminino/11 masculino, idade média de 39,26±12,5 anos, maioritariamente enfermeiras (56), assistentes técnicos (48) e médicos (21), 71 com dermatite das mãos (56.8%), 22 com dermatite atópica e/ou outros sinais de atopia (17,6%). Noventa (72%) revelaram pelo menos um patch test (PT) positivo, 47 dos quais (52,2%) com relevância profissional. Doentes com dermatite das mãos tiveram mais frequentemente PT positivo (76,1%). Os metais causaram maior número de PT positivos (total 51; Ni-41, maioritariamente com relevância passada, Co-8; Cr-2), seguidos das fragrâncias (total 30; mistura de fragrâncias (FM)-I-10; Myroxylon pereirae-8; lyral-5; FM-II-4; citronellol-3), conservantes (total 29, dos quais 20 à metilisotiazolinona (MI) e/ou clorometilisotiazolinona/MI (MCI/MI)), borrachas (24; P-fenilenodiamina (PPD)/Isopropil-PPD-9) e medicamentos tópicos (total 14; iodopovidona 5). As principais causas da DCA profissional foram os desinfetantes/sabonetes líquidos e produtos de higiene dos doentes (15), borracha das luvas/calçado (12) e medicamentos sistémicos ou tópicos (8 antissépticos e 3 antibióticos parentéricos). Os principais alergénios com relevância profissional foram a MI e/ou MCI/MI (15), lanolina (9), formaldeído e/ou libertadores (7), iodopovidona (5), carbamatos (4), FM-I (3), cefalosporinas (3) e acrilatos (3 dentistas e/ou assistentes dentários). Em 37 dos 42 casos avaliados, houve uma melhoria franca ou resolução da DCA, após evicção do alergénio causal, nomeadamente o conservante MCI/ MI contido num sabonete líquido sob a designação de "Acticide ® MV". Conclusões: A dermatite das mãos, a principal apresentação da DCA em profissionais de saúde, não mostrou relação com atopia e foi mais frequentemente associada a PT positivos. PT positivos a isotiazolinonas e libertadores de formaldeído foram mais frequentes entre profissionais de saúde do que na população geral estudada, muito provavelmente devido à exposição cumulativa, pessoal e profissional, a estes conservantes em sabonetes líquidos de uso pessoal e hospitalar. O PT foi crucial para orientar individualmente os doentes e para alertar a comunidade hospitalar para a presença de alergénios no local de trabalho e estabelecer medidas preventivas mais ade...

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Occupational allergic contact dermatitis and major allergens in France: temporal trends for the period 2001-2010

Abstract: Trends in OACD depend on the nature of exposure. Observed decreases were consistent with prevention measures taken during the study period, and the increases observed serve to highlight those areas where preventative efforts need to be made to reduce skin allergies in the workplace.

Cited by 44 publications

References 40 publications

Occupational Contact Dermatitis Amongst Dentists and Dental Technicians

Occupational Contact Dermatitis Amongst Dentists and Dental Technicians

Worldwide trends in incidence in occupational allergy and asthma

Dermatite de Contacto Alérgica em Profissionais de Saúde

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