Contact dermatitis is an unrecognized problem in the construction industry: Comparison of four different assessment methods

Timmerman, Johan G.; Heederik, Dick; Spee, Ton; Rooy, Frits G. van; Krop, Esmeralda; Rustemeyer, Thomas; Smit, Lidwien A M

doi:10.1002/ajim.22742

Cited by 5 publications

(8 citation statements)

References 18 publications

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“…Validity testing results of the tool between workplace screening and screening completed by a dermatologist showed only fair agreement between the two methods. Although no gold standard for dermatitis screening has been established, several studies are available that have employed similar approaches . Timmerman et al used a consensus method whereby experts collaborated in determining ratings.…”

Section: Discussionmentioning

confidence: 99%

“…Although no gold standard for dermatitis screening has been established, several studies are available that have employed similar approaches . Timmerman et al used a consensus method whereby experts collaborated in determining ratings. In this study, agreement between the expert diagnosis and self‐reported outcomes was low.…”

Section: Discussionmentioning

confidence: 99%

“…However, the approaches used in our study have been employed in other studies, 33,36,37 with varying results. Digital images of participants' hands collected in the first phase were sent by courier to two expert occupational dermatologists for independent assessment and review.…”

Section: Methodsmentioning

confidence: 99%

“…Given the scarcity of the literature on screening for OCD, a gold standard for screening has yet to be established. However, the approaches used in our study have been employed in other studies, with varying results.…”

Section: Methodsmentioning

confidence: 99%

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Screening for hand dermatitis in healthcare workers: Comparing workplace screening with dermatologist photo screening

et al. 2019

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Background: Healthcare workers are at increased risk for occupational contact dermatitis, owing to wet work exposure. Early detection and management improves outcomes. Although several diagnostic tools are available, none is appropriate for rapid screening.Objectives: To assess the validity and feasibility of the Hand Dermatitis Screening Tool in the acute healthcare sector.Methods: Screening of 508 employees at three hospitals in Ontario, Canada was performed with the Hand Dermatitis Screening Tool either by an occupational health nurse (N = 225) or by self-administration (N = 283). Two occupational dermatologists rated photographs of participants' hands.Results: Of the participants, 30.5% screened positive for hand dermatitis. A positive screen was associated with wet work, history of eczema, dermatitis, or other rash, and currently having a rash. Ninety-four per cent of participants reported that using the tool took <2 minutes, 99% indicated that the tool was easy to use, and 86% stated that workplace screening was very important. Workplace and dermatologist photo screening showed fair agreement. Conclusions:The prevalence of hand dermatitis and identified risk factors were consistent with the literature. These findings, along with positive feasibility results, support further testing of the tool despite only fair agreement between workplace and dermatologist screening.occupational contact dermatitis, wet work, workplace screening, occupational disease, healthcare workers, hand dermatitis, acute healthcare sector, prevention, RRID:SCR_001905

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Screening for hand dermatitis in healthcare workers: Comparing workplace screening with dermatologist photo screening

et al. 2019

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“…When skin reactions on the lower back are observed in construction workers, one should bear in mind the crouched working position, and exposure of the skin on the lower back to metal and leather materials. The prevalence of contact dermatitis among construction workers is high, and patients may not relate work materials and tools to their skin problems …”

Section: Discussionmentioning

confidence: 99%

Peculiar contact dermatitis in a construction worker

2018

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Occupational and Hand Dermatitis: a Practical Approach

Lampel¹,

Powell

2018

Clinic Rev Allerg Immunol

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Occupational skin disease is common. It affects workers more often than reported. Contact dermatitis, both irritant and allergic, accounts for the majority of occupational skin diagnoses. Occupational contact dermatitis (OCD) frequently affects the hands and may have a profound impact on an employee's ability to perform a job. Severe OCD can affect a worker's activities of daily living and can even lead to job loss. Numerous irritants have been described in the workplace, from the common (wet work) to the more obscure (warm, dry air). Several contact allergens may be work-related, and the majority of established occupational allergens are also known nonoccupational allergens. Emerging occupational allergens are continually described in the literature. Patch testing is the gold standard for the workup of allergic contact dermatitis. Patch testing in the setting of OCD may require extended or unique allergen trays, as well as a thorough occupational history and collection of workplace Material Safety Data Sheets (MSDS). These MSDS contain valuable information but may not be complete or accurate. Proof of occupational causation can be aided by employing the Mathias criteria. Certain industries and occupations are associated with higher rates of OCD, and as expected, the industries with direct contact with irritants and allergens are highly represented. The differential diagnosis for occupational dermatitis is broad and should be considered when evaluating an employee with suspected OCD. Some other diagnoses to consider include atopic dermatitis, psoriasis, and manifestations of internal disease, as well as an overlap syndrome of more than one diagnosis. OCD treatment should ideally follow the public health hazard controls' stepwise approach. Prevention and early intervention are key to promoting occupational health and preventing OCD. Multidisciplinary teams have been successful in the treatment of OCD, and newly described topical treatments may provide additional modalities for use in the occupational setting.

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Contact dermatitis is an unrecognized problem in the construction industry: Comparison of four different assessment methods

Abstract: Contact dermatitis prevalence among construction workers is high. Recognition of contact dermatitis by occupational physicians is poor but can be improved by training. Awareness of skin disorders should be raised.

Cited by 5 publications

References 18 publications

Screening for hand dermatitis in healthcare workers: Comparing workplace screening with dermatologist photo screening

Screening for hand dermatitis in healthcare workers: Comparing workplace screening with dermatologist photo screening

Peculiar contact dermatitis in a construction worker

Occupational and Hand Dermatitis: a Practical Approach

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