Sustainability of interdisciplinary secondary prevention in patients with occupational hand eczema: a 5‐year follow‐up survey

Abstract

The intervention showed sustainable long-term effects. Early detection and reporting of OHE in the initial stages of the disease is of utmost importance for the effectiveness of secondary prevention. In cases of severe OHE, inpatient programmes may be indicated.

The Prevalence of Hand Dermatitis in Nurses: A Narrative Review Highlighting the Importance of Prevention

“…Nurses with pre-existing atopic dermatitis are 5.3 times more likely to suffer from HD compared to nurses without this condition [6]. For the latter group, the early detection and reporting of OHE in the initial stages of the disease is of the utmost importance for the effectiveness of secondary prevention, as Wilke et al [3] point out in their follow-up study [3]. In these cases it is essential that the professionals turn to the occupational health service, so that the service can arrange a reasonable adjustment or redeployment and specific programmes in the case of severe OHE [3].…”

“…For the latter group, the early detection and reporting of OHE in the initial stages of the disease is of the utmost importance for the effectiveness of secondary prevention, as Wilke et al [3] point out in their follow-up study [3]. In these cases it is essential that the professionals turn to the occupational health service, so that the service can arrange a reasonable adjustment or redeployment and specific programmes in the case of severe OHE [3]. The occupational health service may recommend temporary restriction from clinical work with immuno-compromised patients after a risk assessment.…”

“…According to the literature, the prevalence of HD in nurses varies considerably around the world, with reports of 17.7% in mainland China [6], 20% in the United Kingdom [1], 22.1% in Hong Kong [7], 30% in Denmark [8], 31% in the Netherlands [9], 31% in South Korea [10], 40% in Germany [3], 46% in Poland [11], 50% in Australia [12], 53.3% in Japan [13] and 55% in the United States [14]. It also varies according to the way HD is detected (self-reported, appearance of symptoms or clinical observation, or formal diagnosis by a clinician).…”

“…Occupational hand eczema (OHE) is common in "wet work" occupations [3][4][5], the hands being the part of the body mainly affected in the majority of cases, especially in the nursing profession, and even more frequently in workplaces where employees are obliged to wash their hands continually in order to prevent infections. This occurs in workplaces such as intensive care units (ICUs) [4], emergency care, isolation wards, transplant wards, oncology, etc.,.…”

„Hätte ich das mal eher gewusst!“ – Prävention von Berufsdermatosen durch gesundheitspädagogische Schulung und Beratung

“…B. Veränderungen des Hautzustandes, der Lebensqualität und des Berufsverbleibes [3, 12 -14, 16 -20]. Es zeigt sich ferner unter den Schulungsteilnehmern eine ausgesprochen hohe Zufriedenheit mit den Maßnah-men, die sich für ambulante Hautschutzseminare des iDerm u. a. in einer weit über 90 %igen Weiterempfehlungsrate für andere Patienten mit berufsbedingten Hauterkrankungen ausdrückt [14].…”