Hand dermatitis among nurses: the reasons and consequencies

Szepietowski, Jacek C.; Salomon, Joanna

doi:10.1111/j.0105-1873.2006.00568.x

Cited by 6 publications

(8 citation statements)

References 5 publications

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“…Healthy skin is a prerequisite for effective hand hygiene, since open wounds and damaged skin may impair disinfection [6]. The efficacy of skin protection and/or skin care products (SP/SC) has been demonstrated in various studies and is therefore recommended for daily use [7-10]. Skin protection (SP) creams shall be used at the beginning of the shift and typically a second time after the lunch break to avoid chemical substances to irritate and penetrate the skin [11].…”

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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“…CD is generally caused by frequent hand washing (in water), gloves, soaps, aggressive disinfectants or detergents, drugs, epoxies and resins and nickel, which is present in the metal parts of medical instruments [6,7,8,9,10,11].…”

Section: Introductionmentioning

confidence: 99%

A Survey of Work-Related Skin Diseases in Different Occupations in Poland

Kurpiewska

Liwkowicz

Benczek

et al. 2011

International Journal of Occupational Safety and Ergonomics

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“…Dorsal erythema increased during exposure and decreased during recovery in both seasons. Generated in a realistic workplace setting, the results indicate that HH leads to chronic, unresolved irritation in HCWs regardless of season [27,46,96,111,[115][116][117][118]. Erythema was particularly high in winter.…”

Section: Effect Of Repetitive Hand Hygienementioning

confidence: 91%

Hand hygiene compliance and irritant dermatitis: a juxtaposition of healthcare issues

Visscher

Wickett

2012

Intern J of Cosmetic Sci

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Synopsis Reduction and prevention of health care‐associated infections is a worldwide priority with emphasis on increasing hand hygiene compliance. Repetitive exposure to hand hygiene products and procedures is a significant factor in the development of occupational irritant hand dermatitis. Compliance has been difficult to achieve often due to skin irritation. The introduction of alcohol hand rubs has positively influenced compliance but rates remain lower than required. Genetic and environmental factors to the frequency and severity of irritant contact dermatitis have been identified. Because of the skin's role in innate immunity, maintenance of epidermal integrity is a key strategy for reducing health care‐associated infections. In this review, we examine the interdependence of the two issues and the challenges of simultaneously accomplishing both goals. We emphasize research conducted among healthcare workers in their clinical settings. The factors that influence skin integrity and the challenges in meeting both goals simultaneously are explored. Cosmetic scientists have played key roles in the development of improved skin care products, and the issues present an excellent opportunity for them to provide potentially life‐saving contributions to health care.

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Hand dermatitis among nurses: the reasons and consequencies

Cited by 6 publications

References 5 publications

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

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

A Survey of Work-Related Skin Diseases in Different Occupations in Poland

Hand hygiene compliance and irritant dermatitis: a juxtaposition of healthcare issues

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