Hand dermatitis among female nursing students in tropical Australia

Smith, Derek; Leggat, Peter A.

doi:10.1111/j.1442-2018.2004.00181.x

Cited by 15 publications

(25 citation statements)

References 19 publications

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“…During the working day and at the end the usage of skin care (SC) products support skin regeneration by replenishing lipids. The consequent application of effective products preserves unimpaired skin, reduces the incidence of skin irritations and dryness and ensures effective hand hygiene [12]. However, there are concerns that SP or SC products may interfere with alcohol-based hand rub formulations, and hence, reduce the efficacy of hand disinfection before surgical procedures [13].…”

Section: Introductionmentioning

confidence: 99%

Practice of skin protection and skin care among German surgeons and influence on the efficacy of surgical hand disinfection and surgical glove perforation

Harnoss

Brune

Ansorg³

et al. 2014

BMC Infect Dis

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BackgroundSurgical hand rub and healthy skin are basic requirements to prevent surgical site infections. Nevertheless, there is little knowledge about the current practice of skin protection and/or skin care products (SP/SC) using among surgeons as well as a lack of data pertaining to the influence of SP/SC on the antimicrobial efficacy of surgical hand rub.MethodsA 10 weeks-survey among German surgeons as well as an experimental crossover study involving 26 participants were conducted. The immediate and sustainable efficacy (IE/SE) of surgical hand rub and participants’ hand moisture were measured after an 8-day usage of SP/SC, as well as the influence on micro-perforations on surgical gloves.ResultsThe questionnaire was available to 16,000 German surgeons. Thereof, 1,771 surgeons accessed the questionnaire, representing a total participation rate of 11%. As 19% (n = 338) of questionnaires were incomplete, a total of 1,433 completed questionnaires were available for further analysis. More than 75% of the participants stated not to use any SP/SC, yet, almost 50% suffered from skin irritation or discomfort. Only 5% used SP/SC at the beginning of their shift. 10% refused to use SP/SC because of concerns that SP/SC may reduce the antimicrobial efficacy of surgical hand rub.After usage of SP/SC over 8-days, skin moisture was significantly higher (P < 0.001), whereas no significant influence on the antimicrobial efficacy of surgical hand rub was observed (IE: P = 0.135; SP: P = 0.681). Micro-perforations were detected in 8/52 surgical gloves (15%), with no statistical significant difference between SP/SC users (n = 2/26; 8%) and non-users (n = 6/26; 23%; P = 0.249).ConclusionsFollowing the results of this largest questionnaire base survey among German surgeons on skin care, there is a need to educate and inform surgeons on the correct application and the concept of SP/SC strategies. In the present study, the combination of selected SP/SC products and one alcohol-based hand rub formulation did not show a negative interaction with surgical hand rub or surgical glove perforation. However, it is advisable to ascertain the compatibility of SP/SC products with the used hand disinfectant prior to purchase.

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Section: Introductionmentioning

confidence: 99%

Practice of skin protection and skin care among German surgeons and influence on the efficacy of surgical hand disinfection and surgical glove perforation

Harnoss

Brune

Ansorg³

et al. 2014

BMC Infect Dis

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“…Hand dermatitis (HD) is an important occupational concern in nursing practice, and one that usually occurs at very high rates 1–3 . It is also known to affect nursing students in various parts of the world, such as Australia, Germany, Denmark and the Netherlands 4–7 . Although some investigations have been conducted in Japanese and Chinese nursing schools, 8,9 HD epidemiology has never been elucidated among their Korean counterparts.…”

Section: Introductionmentioning

confidence: 99%

“…In this regard, the validity of self‐reported HD surveys has already been established, 13,14 whereas self‐assessment of skin diseases might yield supplementary information when the condition is below a clinically detectable level 15 . The feasibility of large cross‐sectional HD investigations has also been demonstrated among university students, 4,8 , 9 hospital staff 1–3 and the general population 16 . For these reasons, we considered it necessary and appropriate to conduct the first epidemiological study of HD among Korean nursing students.…”

Section: Introductionmentioning

confidence: 99%

Hand dermatitis among Korean nursing students

Smith¹,

Choe

Jeong

et al. 2006

Int J of Nursing Practice

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We used a previously validated questionnaire survey, which was translated into Korean and given to 270 students from a university-based nursing school in Seoul. A total of 202 questionnaires were received. The students' hand dermatitis prevalence ranged from 6.9% in the first year to 22.9% in the fourth year. Logistic regression indicated that students with systemic allergies were 4.2 times as likely to suffer from hand dermatitis. Year of study and living arrangements were also shown to have statistically significant correlations with hand dermatitis. Overall, this study suggests that hand dermatitis might be less prevalent among Korean nursing students when compared with their international counterparts. However, the identification of systemic allergies as a significant risk factor was consistent with previous reports from other countries.

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“…During professional training prevalence of hand dermatitis increased from 7% in the first year to 23% in the fourth year among Korean nursing students [8]. Similar results were found in Australia among nursing students [9]. …”

Section: Introductionmentioning

confidence: 62%

“…Although the relevance and great effectiveness of target orientated teaching campaigns is of no doubt [11], also regular use of hand creams can reduce the risk for dermatitis by almost 50% [9], [12]. Despite this encouraging result, the advantage of barrier creams compared to bland emollients for skin protection is not clearly demonstrated and only scant literature exists on this issue [12], [13], [14], [15], [16], [17].…”

Section: Introductionmentioning

confidence: 99%