Changes in water vapor loss from the skin of metal industry workers monitored during exposure to oils.

Coenraads, Pieter Jan; Lee, J; Pinnagoda, Jaliya

doi:10.5271/sjweh.2117

Cited by 32 publications

(20 citation statements)

References 13 publications

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“…Hence, monitoring of TEWL, only in the occupationally primarily exposed area (dorsum of hand) may become useful in the secondary prevention of occupational dermatitis (8, 20). While the subtle response of the cutaneous barrier as monitored with TEWL measurements is associated with the clinical course of hand dermatitis, baseline (pre‐exposure) TEWL was not a predictor for the development of contact dermatitis, similar to findings reported by other authors (7, 8, 21).…”

Section: Discussionmentioning

confidence: 99%

Transepidermal water loss and incidence of hand dermatitis in a prospectively followed cohort of apprentice nurses

Schmid¹,

Broding²,

Uter

et al. 2005

Contact Dermatitis

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The purpose of the study was to evaluate the incidence of hand dermatitis, the impact of potential risk factors and the efficacy of skin bioengineering in a prospectively followed cohort of apprentice nurses. 104 participants were prospectively followed for 3 years. Before the start of training, after about 1 year and in the third year of occupational exposure, a standardized questionnaire was distributed, and a clinical examination with skin bioengineering of the dorsum of hand and forearm was performed. The 12-month period prevalence of self-reported symptoms of hand dermatitis was 36.5%[95%-confidence interval (CI) 27.3-46.6] at intermediate follow-up and 43.3% (95%-CI 33.6-53.3) at the final examination. Apprentices with self-reported symptoms at the final examination showed a significant increase of transepidermal water loss (TEWL) at the dorsal hand from 10.15 g/m2h to 13.55 g/m2h. TEWL at this site did, at the initial examination, not differ significantly between persons who later reported symptoms of hand dermatitis at the final examination and those who did not (10.50 g/m2h versus 10.15 g/m2h, respectively). Our results do not support the notion that an increased basal TEWL is a good indicator for hand dermatitis risk.

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Section: Discussionmentioning

confidence: 99%

Transepidermal water loss and incidence of hand dermatitis in a prospectively followed cohort of apprentice nurses

Schmid¹,

Broding²,

Uter

et al. 2005

Contact Dermatitis

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“…TEWL, SCH and SSpH have been measured on a wide variety of anatomical positions in occupational settings (refer to Figure ). TEWL measurements have been made on the dorsum (back) of hand, volar forearm, extensor forearm, index finger, thumb, palm, wrist, neck and forehead…”

Section: Skin Parameter Measurement—skin Related and Other Aspectsmentioning

confidence: 99%

“…The measurement of water loss in occupational settings dates as far back as 1986, when skin vapour loss (SVL) was measured on the skin of metal industry workers exposed to mineral oil and water‐soluble oil . SVL is a measurement of the water loss from the skin, which includes TEWL, as well as a small quantity of water vapour from the sweat glands.…”

Section: Transepidermal Water Loss In Occupational Settingsmentioning

confidence: 99%

Measurement of transepidermal water loss, stratum corneum hydration and skin surface pH in occupational settings: A review

Rensburg

Franken

Plessis

2019

Skin Research and Technology

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Background The skin provides a permeable barrier which may be impaired in occupational settings. Transepidermal water loss (TEWL), stratum corneum hydration (SCH) and skin surface pH (SSpH) have been used in occupational settings to predict early onset of occupational skin diseases, to measure the effectiveness of prevention strategies for occupational skin diseases, and to assess skin condition during exposure. The aim was to compare the findings, identify shortcomings in the methodology and data reporting and furthermore, to make recommendations for future studies. Materials and Methods A literature study was conducted on studies published before December 2018 to provide a review on the measurement of TEWL, SCH and SSpH in occupational settings. Results TEWL, SCH and SSpH were previously measured in a wide variety of industries. Results between studies were highly variable, due to different study designs and different anatomical positions measured. Not all of the measurement conditions were reported and variations in study objectives led to data being reported and interpreted differently for most studies. Conclusion Incomplete reporting of methodology hinders comparison of bioengineering measurements. No bioengineering method has been proven useful as a predictive tool for occupational skin diseases, however, it is useful in the acute assessment of skin condition. It is recommended that future studies on TEWL, SCH and SSpH adhere to guidelines for occupational settings as far as possible to enable comparison between studies.

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“…Straight oils, mineral oil-based or ethanolamine-based fluids can be correlated with the development of a variety of cancers such as leukemia, laryngeal, rectal, esophageal, stomach and pancreas cancer.7-9 The route for chronic intoxication are mainly stained hands via ingestion and/or adsorption and with regard to early formulations of mineral oils we also see a direct carcinogenicity for the skin.8,10 In addition, Ormerod et al reports sensitization from polyamines in offshore workers handling drilling muds.11 Using the most important parameters for the injury of the epidermal skin barrier function, transepidermal water loss and vapor loss from non-sweating skin, Goh et al as well as Coenraads et al showed the high irritation potency of straight mineral oils and cutting fluids among workers in the metal industry. [12][13] No wonder, that both authors also report about the development of irritant contact dermatitis among their study populations, as the break down of the skin barrier initiates that kind of eczema.3 In the light of the literature, it is quite astonishing that neither publications exist defining the extent of occupational skin diseases within the mineral oil and petrol industry, nor were any standardized measures developed to protect workers from the multiple dangers of irritant hand dermatitis.…”

Section: Introductionmentioning

confidence: 99%

Development and Implementation of Process-Oriented Skin Safety Standards for the Mineral Oil Industry: A Pilot Study

Speiser-Rankine¹,

Unterberger²,

Taibl³

et al. 2006

SPE International Health, Safety &Amp; Environment Conference

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Texas 75083-3836 U.S.A., fax +1.972.952.9435. SummaryOccupational skin diseases are among the most frequent causes for disablement. Although workers in the oil, gas and petrol industry are especially exposed to a variety of skin toxic/irritating substances, no data exists on the extent of the problem and how to define/introduce adequate skin protection measures. As a pilot, a 3 phase skin disease prevention and safety program was created for the Austrian OMV location at Gaenserndorf. Phase 1 (examination phase) showed that workers who substantially lacked information on dermal risk factors and behavior presented with irritant contact dermatitis of the hands at a rate of 55.4%. In addition, the company offered 27 different skin cleaning, protection and care products which were not clearly in line with workplace specific patterns of chemical skin burden. To specifically target these problems, phase 2 (realization phase) introduced new workplace adapted skin products with defined location specific sets of dispensers labeled for the role of its products, introduced skin safety plans at workplaces and a series of teaching courses based an a standardized newly developed education slide kit. By re-assessing (phase 3, evaluation phase) the most objective phase 1 parameters for the quality of skin protection measures, we found a decrease of the rate of irritant hand dermatitis from 55.4% to 19.7% and the rate of uninformed workers got down from about 60% to 20%. Taken together, the process oriented, skin safety standards herein presented have shown to specifically identify, analyze, target and unravel the relevant company related features of occupational skin diseases. The basic structure and design of this programme might be suggestive for its health supportive role in the oil, gas and petrol industry as a whole.

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Changes in water vapor loss from the skin of metal industry workers monitored during exposure to oils.

Cited by 32 publications

References 13 publications

Transepidermal water loss and incidence of hand dermatitis in a prospectively followed cohort of apprentice nurses

Transepidermal water loss and incidence of hand dermatitis in a prospectively followed cohort of apprentice nurses

Measurement of transepidermal water loss, stratum corneum hydration and skin surface pH in occupational settings: A review

Development and Implementation of Process-Oriented Skin Safety Standards for the Mineral Oil Industry: A Pilot Study

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