Occupational skin diseases – Development and Implementation of European Standards on Prevention of Occupational Skin Diseases

John, Swen Malte; Kežić, Sanja

doi:10.1111/jdv.14276

Cited by 10 publications

(7 citation statements)

References 3 publications

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“…The identification of individuals at risk would allow for an appropriate early start of primary prevention, including pre-employment counselling and implementation of technical and organisational measures to prevent the development of the disease [30], or give them a chance to re-consider their choice and possibly opt for another, safer vocation. The long-term effectiveness of such preventive measures is difficult to quantify and more research is needed in this field [7].…”

Section: Discussionmentioning

confidence: 99%

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Risk factors for work-related eczema and urticaria among vocational students of agriculture

Śpiewak¹,

Góra-Florek²,

Horoch³

et al. 2017

Ann Agric Environ Med.

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Introduction and objective. Farmers are at high risk of occupational skin diseases which may start already during vocational training. This study was aimed at identification of risk factors for work-related skin diseases among vocational students of agriculture. Materials and method. The study involved 440 students (245 males, 195 females aged 17-21 years) in 11 vocational schools which were at least 100 km from each other. The protocol included a physician-managed questionnaire and medical examination, skin prick tests, patch tests, total IgE and Phadiatop. Logistic regression model was used for the identification of relevant risk factors. Results. Work-related dermatoses were diagnosed in 29 study participants (6.6%, 95%CI: 4.3-8.9%): eczema in 22, urticaria in 14, and co-existence of both in 7 students. Significant risk factors for work-related eczema were: history of respiratory allergy (OR=10.10; p<0.001), history of eczema (itchy rash) provoked by wet work and detergents before entering the school (OR=5.85; p<0.001), as well as history of contact dermatitis to metals, rubber or cosmetics prior to inscription (OR=2.84; p=0.016), and family history of any skin disease (OR=2.99; p=0.013). Significant risk factors for work-related urticaria were: history of allergic rhinitis and asthma prior to inscription (OR=7.29; p=0.006), positive skin prick tests to work place allergens (OR=4.65; p=0.002) and to environmental allergens (OR=3.79; p=0.009), and positive Phadiatop test (OR=3.61; p=0.013). Conclusions. Work-related skin diseases are common among vocational students of agriculture. Atopy, past history of asthma, allergic rhinitis, and eczema (either atopic, allergic or irritant) are relevant risk factors for work-related eczema and urticaria in young farmers, along with family history of any skin disease. Positive skin prick tests seem relevant, especially in the case of urticaria. Asking simple, aimed questions during health checks while enrolling students into agricultural schools would suffice to identify students at risk for work-related eczema and urticaria, giving them the chance for selecting a safer profession, and hopefully avoiding an occupational disease in the future.

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Section: Discussionmentioning

confidence: 99%

“…Largescale intervention, a pre-employment medical assessment, should consist of no more questions and tests than necessary and relevant to the specific occupation [4]. Unfortunately, evidence for the effectiveness of a pre-employment health check is still lacking for most occupations [5,6,7].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for work-related eczema and urticaria among vocational students of agriculture

Śpiewak¹,

Góra-Florek²,

Horoch³

et al. 2017

Ann Agric Environ Med.

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“…The prevention of hand dermatitis (HD) in the healthcare sector is critical for healthcare workers (HCWs) and for the safety of patients. National guidelines for the prevention of occupational skin diseases have been established in various countries, with the following common hierarchal structure for prevention: elimination, reduction of exposure to the hazard or replacement of a hazardous substance by the use of organizational or technical measures, and, when this is not sufficient, also applying personal protection and behavioural measures . In many healthcare settings, avoidance of irritants is difficult, owing to specific patient care workflows and hygienic requirements.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the effect of electronic monitoring and feedback on hand cream use in healthcare workers: Healthy Hands Project

et al. 2018

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Background Healthcare workers (HCWs) are at high risk of developing hand dermatitis (HD). Current guidelines on HD prevention recommend the use of emollients; however, in practice, adherence is poor. Objective To assess whether the provision of creams, electronic monitoring and feedback on cream consumption can improve skin care in HCWs. Methods A cluster randomized controlled trial was conducted on 19 academic hospital wards, including 501 HCWs, for 12 months. The intervention wards ( n = 9; 285 HCWs) were provided with hand cream dispensers equipped with an electronic system to monitor use, which was regularly communicated to the HCWs by the use of posters. The process outcomes were self‐reported cream consumption in both groups, and electronically measured consumption per ward in the intervention group (IG) vs the control group (CG). Results Self‐reported cream use at follow‐up was significantly higher in the IG than in the CG, before (odds ratio [OR] 2.27; 95%CI: 1.29‐3.97; P = 0.004) and during (OR 3.30; 95%CI: 1.80‐6.06, P < 0.001) the shift, whereas at baseline there was no difference between the groups. In the IG, electronically measured cream use was, on average, 0.4 events per shift per HCW. Conclusion The intervention improved hand cream use, and may therefore be considered as a practical strategy to promote skin care in HCWs. Notwithstanding this, the application frequency remained lower than recommended in the present study and current guidelines.

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“…Leitlinien geben Empfehlungen zur Prävention berufsbedingter Hauterkrankungen. Darüber hinaus konnten Experten der Berufsdermatologie im Jahr 2017 europaweit einen Konsens über die Festlegung von evidenzbasierten Mindestnormen für die Prävention und das Management von berufsbedingten Hauterkrankungen erzielen [25,26].…”

Section: Empfehlungen Und Evidenzbasierte Mindestnormen Für Die Präveunclassified

SIP: Berufsdermatologische Präventions-Seminare

Weißhaar

Weseloh

2019

Akt Dermatol

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ZusammenfassungBerufliche Hautkrankheiten zählen zu den häufigsten Berufskrankheiten, insbesondere in den Industrieländern. Das Gesundheitswesen, die Metallbearbeitung, das Friseurhandwerk, das Baugewerbe und die Lebensmittelindustrie sind dabei besonders betroffen. In diesen Berufen ist die Haut der Beschäftigten oft Wasser, arbeitsspezifischen Reizstoffen und Allergenen ausgesetzt und es besteht ein hohes Risiko, ein Kontaktekzem, am häufigsten an den Händen, zu entwickeln. Die Folgen auf individueller und gesellschaftlicher Ebene sind enorm. Berufliche Hauterkrankungen verursachen hohe Kosten. Fehlzeiten und mangelnde Produktivität belasten insbesondere kleine und mittlere Betriebe. Der Prävention berufsbedingter Hauterkrankungen kommt daher seit Jahren eine wichtige Bedeutung zu. Auf ambulanter Versorgungsebene spielt die sekundäre Individualprävention (SIP) eine wesentliche Rolle. Sie beinhaltet ein ambulantes dermatologisches Heilverfahren sowie das Angebot von interdisziplinären Hautschutzseminaren. Frühzeitig eingeleitete Präventions- und Therapiemaßnahmen können der Manifestation einer Berufserkrankung nach BK 5101 entgegenwirken und Kosten sparen.

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Occupational skin diseases – Development and Implementation of European Standards on Prevention of Occupational Skin Diseases

Cited by 10 publications

References 3 publications

Risk factors for work-related eczema and urticaria among vocational students of agriculture

Risk factors for work-related eczema and urticaria among vocational students of agriculture

Evaluating the effect of electronic monitoring and feedback on hand cream use in healthcare workers: Healthy Hands Project

SIP: Berufsdermatologische Präventions-Seminare

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