Prevalence and Risk Factors of Occupational Contact Dermatitis in Healthcare Workers
DOI:
https://doi.org/10.19166/med.v13i3.8886Keywords:
Occupational contact dermatitis, healthcare workers, risk factor, prevalenceAbstract
Background: Occupational contact dermatitis (OCD) is prevalent among healthcare workers, especially during the COVID-19 pandemic. Symptoms include dryness, itchiness, and redness, with hands being the most affected. Risk factors include frequent hand washing, increased glove use, allergies, and lack of health and safety training. This review emphasizes the need for targeted prevention strategies and awareness programs.
Methods: We conducted a systematic review using PubMed, focusing on studies involving healthcare workers and OCD. Keywords included "occupational contact dermatitis," "contact dermatitis," "healthcare workers," and "risk factors for OCD." Data were collected using a structured, interviewer-administered questionnaire, including the Nordic Occupational Skin Questionnaire (NOSQ-2002).
Result: The review included 2,706 healthcare workers. Hand dermatitis was the most common, affecting 22% of participants. Key risk factors were a personal history of allergies, frequent hand washing, high glove usage, and insufficient health and safety training.
Conclusions: This review identifies significant risk factors for OCD among healthcare workers, highlighting the need for interventions focused on reducing hand washing frequency, managing glove use, and improving health and safety training.
References
1. Hollins LC, Flamm A. Occupational Contact Dermatitis: Evaluation and Management Considerations. Dermatol Clin. 2020 Jul 1;38(3):329-38. https://doi.org/10.1016/j.det.2020.02.001
2. Yuindartanto A, Sawitri, Astindari, Sigit Prakoeswa CR, Damayanti, Anggraen S, et al. Occupational Contact Dermatitis Risk Factors on Healthcare Workers Isolation Ward During the COVID-19 Pandemic. Berkala Ilmu Kesehatan Kulit dan Kelamin. 2023 Mar 31;35(1):27- 39. https://doi.org/10.20473/bikk.V35.1.2023.27-39
3. Alluhayyan OB, Alshahri BK, Farhat A, Alsugair S, Siddiqui JJ, Alghabawy K, et al. Occupational-Related Contact Dermatitis: Prevalence and Risk Factors Among Healthcare Workers in the Al’Qassim Region, Saudi Arabia During the COVID-19 Pandemic. Cureus. 2020; 12(10):e10975. https://doi.org/10.7759/cureus.10975
4. Mekonnen TH, Yenealem DG, Tolosa BM. Self-report occupational-related contact dermatitis: Prevalence and risk factors among healthcare workers in Gondar town, Northwest Ethiopia, 2018 - A cross-sectional study. Environ Health Prev Med. 2019 Feb 14;24(1):11. https://doi.org/10.1186/s12199-019-0765-0
5. Djuanda A, Hamzah M, Aisah S. 2007. Skin disease -- Venereal disease (5th ed.). Jakarta: Balai Penerbit Fakultas Kedokteran Universitas Indonesia. Fitzpatrick’s Dermatology.
6. Guertler A, Moellhoff N, Schenck TL, Hagen CS, Kendziora B, Giunta RE, et al. Onset of occupational hand eczema among healthcare workers during the SARS-CoV-2 pandemic: Comparing a single surgical site with a COVID-19 intensive care unit. Contact Dermatitis. 2020;83(2):108-14. https://doi.org/10.1111%2Fcod.13618
7. Schwensen JF, Menné T, Sommerlund M, Andersen KE, Mortz CG, Zachariae C, et al. Contact allergy in danish healthcare workers: A retrospective matched case-control study. Acta Derm Venereol. 2016;96(2):237-40. https://doi.org/10.2340/00015555-2202
8. Hamnerius N, Svedman C, Bergendorff O, Björk J, Bruze M, Engfeldt M, et al. Hand eczema and occupational contact allergies in healthcare workers with a focus on rubber additives. Contact Dermatitis. 2018;79(3):149-56. https://doi.org/10.1111/cod.13042
9. Guertler A, Moellhoff N, Schenck TL, Hagen CS, Kendziora B, Giunta RE, et al. Onset of occupational hand eczema among healthcare workers during the SARS-CoV-2 pandemic: Comparing a single surgical site with a COVID-19 intensive care unit. Contact Dermatitis. 2020;83(2):108-14. https://doi.org/10.1111%2Fcod.13618
10. Beiu C, Mihai M, Popa L, Cima L, Popescu MN. Frequent Hand Washing for COVID-19 Prevention Can Cause Hand Dermatitis: Management Tips. Cureus. 2020; 12(4):E7506. https://doi.org/10.7759%2Fcureus.7506
11. Warner RR, Boissy YL, Lilly NA, Spears MJ, McKillop K, Marshall JL, et al. Water disrupts stratum corneum lipid lamellae: Damage is similar to surfactants. Journal of Investigative Dermatology. 1999;113(6):960-6. https://doi.org/10.1046/j.1523-1747.1999.00774.x
12. Khosrowpour Z, Ahmad Nasrollahi S, Ayatollahi A, Samadi A, Firooz A. Effects of four soaps on skin trans-epidermal water loss and erythema index. J Cosmet Dermatol. 2019;18(3):857-61. https://doi.org/10.1111/jocd.12758
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