Hand eczema among healthcare workers in Guangzhou City: a cross-sectional study

Huang, Danqi; Tang, Zengqi; Qiu, Xiaonan; Liu, Xiuting; Guo, Ziyue; Yang, Bin; Guo, Qing; Xiong, Hui

doi:10.21037/atm-20-7652

Cited by 7 publications

(5 citation statements)

References 40 publications

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“…Only one study was found eligible with respect to the incidence of HE. Although several studies have been published in the past years with data on the incidence of HE in HCWs, these were not included owing to missing data 44 or the use of symptom‐based diagnosis 34 . The Danish study included in this review reported an incidence of 34 cases per 1000 person years, 31 which is markedly higher than in the general population with an incidence of 7.3 cases per 1000 person years 1 .…”

Section: Discussionmentioning

confidence: 99%

Prevalence and incidence of hand eczema in healthcare workers: A systematic review and meta‐analysis

Yüksel,

Symanzik,

Christensen

et al. 2024

Contact Dermatitis

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Healthcare workers (HCWs) are considered a high‐risk group for developing hand eczema (HE), mainly owing to wet work and contact with allergens at work. To meta‐analyse the prevalence and incidence of HE in HCWs, as well as mapping the prevalence of atopic dermatitis (AD) and HE severity in HCWs. A systematic review and meta‐analysis was performed following the Preferred Reporting Items for Systematic Reviews and Meta‐analyses 2020 guidelines. Published literature from 2000 to 2022 was eligible based on predefined inclusion and exclusion criteria. A total of 18 studies were included. Pooled life‐time, 1‐year and point prevalence of self‐reported HE in HCWs was 33.4% (95% confidence interval [CI]: 28.3–38.6), 27.4% (95% CI: 19.3–36.5) and 13.5% (95% CI: 9.3–18.4), respectively. AD prevalence was 15.4% (95% CI: 11.3–19.9). Overall, the majority of HCWs reported mild HE. One included study assessed HE incidence reporting 34 cases/1000 person years. Most studies scored low‐moderate using the New Ottawa Scale and the pooled point prevalence data showed broad CIs. In conclusion, the high prevalence of HE in HCWs underlines the increased risk and need for preventive measures for this professional group. There is, however, a need of further standardized high‐quality studies.

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Section: Discussionmentioning

confidence: 99%

Prevalence and incidence of hand eczema in healthcare workers: A systematic review and meta‐analysis

Yüksel,

Symanzik,

Christensen

et al. 2024

Contact Dermatitis

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“…The sample size was calculated for an assumed prevalence of 19% with an absolute precision of 5% based on previous studies. [4][5][6] A minimum of 250 participants were required to find a statistically significant difference. The questionnaire was distributed to 400 HCWs of which 257 responded, hence the results are analyzed for 257 HCWs.…”

Section: Study Populationmentioning

confidence: 99%

“…Several studies worldwide have reported that occupational skin disease prevalence in HCWs is between 8 and 90%. [4][5][6] The symptoms of HD include itching, swelling, redness, burning, and scaling. Stringent hand hygiene measures result in the loss of surface lipids, leading to an increase in trans-epidermal water loss, and increasing the penetration of allergens and irritants resulting in HD.…”

Section: Introductionmentioning

confidence: 99%

A Study on the Occurrence of Hand Dermatitis in Healthcare Workers during the COVID-19 Pandemic due to Enhanced Hand Hygiene

BS,

2023

Pharmacology and Clinical Pharmacy Research (PCPR) is an intern

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Hand hygiene measures have increased in the general population and amongst the health care workers since the outbreak of the pandemic. However, enhanced hand hygiene can have an adverse effect on the skin barrier leading to the development of hand dermatitis. The aim of the study was to determine the occurrence of occupational-related contact dermatitis among the health care workers. An observational, questionnaire based cross-sectional study was conducted in 2021 amongst HCWs of a tertiary care hospital. The data were analysed using Microsoft Excel for Windows. The frequency of hand washing had increased to > 5 times in 42% of the HCWs while hand sanitizer usage had increased to >5 times in 95% of them during the pandemic. The duration of glove usage had increased from 3% pre-pandemic to 91 % during the pandemic and majority of them used latex gloves. Symptoms of hand dermatitis in HCWs had increased from 3% pre-pandemic to 84% during the pandemic. Less than 10 % of the study participants moisturised their hands after sanitization. The fact that over 84% of the HCWs developing HD during the pandemic can be attributed to preventive measures to reduce the transmission of the virus. Measures such as use of moisturizers should be recommended to prevent the onset of occupational hand eczema. It is thus imperative to raise awareness of HD in India and intensive measures should be provided.

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“…Research conducted by Huang et al reported that health workers who used latex gloves more than 10 hours per day mostly experienced hand eczema symptoms due to latex. 5,6 Hand eczema is a recurrent inflammatory skin disease characterized by red skin lesions, papules, vesicles, scales, itching, and pain. Recurrent hand eczema can interfere with daily activities and cause psychological disorders, which commonly occur in health workers.…”

Section: Introductionmentioning

confidence: 99%

“…Recurrent hand eczema can interfere with daily activities and cause psychological disorders, which commonly occur in health workers. 4,6 Based on this description, the purpose of this study was to determine the correlation between the frequency of handwashing and the duration of using latex gloves on the incidence of hand eczema. In addition, this study hopefully would provide beneficial information to prevent hand eczema, especially for health workers during the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

Hand Eczema in Nurses in COVID-19 Treatment Room: Frequency of Handwashing, Hand Sanitizer, Moisturizer, and Duration of Latex Gloves Use

Rosmarwati

Widhiati

Novriana

et al. 2022

BIKK

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Background: The COVID-19 pandemic causes health workers to use level 2 and level 3 personal protective equipment. Hand washing and the use of latex gloves are important in limiting the spread of COVID-19, but they can potentially induce hand eczema and skin pH disturbance if used too frequently. Purpose: Determine the correlation between the frequency of handwashing and duration of using hand sanitizer and moisturizer as well as skin pH level on the incidence of hand eczema in nurses in the COVID-19 treatment room at RSUD Dr. Moewardi Surakarta. Methods: This cross-sectional study was conducted in the COVID-19 treatment room at RSUD Dr. Moewardi Surakarta with 90 nurses as subjects. A validated questionnaire carried out the frequency of handwashing, hand sanitizer, moisturizer, duration of using latex gloves, and hand eczema complaints. The subject’s pH assessment was conducted after 4-5 hours in the COVID-19 treatment room. Data were analyzed bivariately with a Spearman rank correlation test. Result: There was a significant correlation with the incidence of hand eczema with the frequency of handwashing with soap (r=0.305 and p=0.003) and the duration of using latex gloves (r=0.328 and p=0.002) with a weak category correlation (r=0.200-0.399). The frequency of using hand sanitizer, moisturizer, and skin pH did not correlate with the incidence of hand eczema. Conclusion: Frequency of handwashing and the duration of using latex gloves correlated with the incidence of hand eczema, meanwhile frequency of using hand sanitizer, using moisturizer, and skin pH didn’t correlate with the incidence of hand eczema.

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Hand eczema among healthcare workers in Guangzhou City: a cross-sectional study

Cited by 7 publications

References 40 publications

Prevalence and incidence of hand eczema in healthcare workers: A systematic review and meta‐analysis

Prevalence and incidence of hand eczema in healthcare workers: A systematic review and meta‐analysis

A Study on the Occurrence of Hand Dermatitis in Healthcare Workers during the COVID-19 Pandemic due to Enhanced Hand Hygiene

Hand Eczema in Nurses in COVID-19 Treatment Room: Frequency of Handwashing, Hand Sanitizer, Moisturizer, and Duration of Latex Gloves Use

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