Health surveillance for occupational hand dermatitis in healthcare workers

Source avec lien : Occupational Medicine, 72(1). 10.1093/occmed/kqab015

Il est bien établi que les travailleurs de la santé (TS) présentent un risque accru de développer une dermatite de contact irritante des mains en raison de la nature de leur travail (exposition à des pratiques de travail humides telles que le lavage fréquent des mains et le port prolongé de gants) [1]. D’autres facteurs de risque importants sont le fait d’être une femme et d’avoir des antécédents de maladie atopique. Malheureusement, une fois que la dermatite des mains est établie, elle a tendance à s’aggraver, surtout si l’exposition aux irritants des mains se poursuit, et peut conduire à une perte d’emploi précoce ou à un changement de carrière chez les travailleurs de santé de première ligne.

It is well established that healthcare workers (HCWs) are at increased risk of developing irritant contact hand dermatitis due to the nature of their work (exposure to wet work practices such as frequent hand-washing, and prolonged use of gloves) [1]. Other important risk factors include being female and having a history of atopic disease. Unfortunately, once hand dermatitis is established it tends to get worse, especially if exposure to hand irritants continues, and may lead to early job loss or career change among front-line HCWs. The point prevalence of hand dermatitis in HCWs has been estimated to range from 18 to 30% [2]. The variation in estimated rates is mostly attributable to the diversity of clinical roles among study participants (resulting in different exposures), study sampling frames and different research methodologies used (self-report versus symptom-based assessment versus clinical examinations). These rates among HCWs contrast with a 1-year prevalence of <10% in the general population [3]. Moreover, a recent survey of Royal College of Nursing members in the UK provides a revealing insight into the damaging effects of hand dermatitis on nurses. The survey found that the vast majority (93%; n = 1444/1531) of respondents had experienced common skin symptoms (dryness, erythema and itching) on their hands within the previous 12 months and almost half (43%; 709/1531) rated the condition of their hands as either ‘poor’ or ‘very poor’ [4]. Consultez la page de l’article

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