Hand eczema, wet work exposure, and quality of life in health care workers in Denmark during the COVID-19 pandemic

Yüksel, Yasemin Topal; Nørreslet, Line Brok; Flachs, Esben Meulengracht; Ebbehøj, Niels Erik; Agner, Tove

doi:10.1016/j.jdin.2022.02.009

Cited by 14 publications

(34 citation statements)

References 25 publications

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“…HD is one of the main factors that can reduce the quality of life and productivity of HCWs, and may cause physical discomfort and increase their absenteeism either. 42-43 Therefore, the results of our study may help prevent HD among HCWs, especially those who are at higher risk.…”

Section: Discussionmentioning

confidence: 84%

Hand Dermatitis among Health Care Workers during the COVID-19 Pandemic: Prevalence, and Risk Factors

Motamedrezaei

Sharifzadeh

Rajabipour

et al. 2022

Preprint

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Background: Health care workers (HCWs) need to perform new preventive measures to protect themselves and patients against ongoing COVID-19 transmission, which can increase the occurrence of hand dermatitis (HD) among them. Objectives: This study aimed to investigate the prevalence of HD among HCWs and its possible risk factors in IRAN. Methods: A survey of 159 HCWS working in university hospitals was performed between August to September 2020. Research data were collected via the standardized Nordic Occupational Skin Questionnaire (NOSQ-2002). Results: The prevalence of HD in the study population was 51.6%. Females had a 3.84 fold higher risk of HD than males (confidence interval (CI): 1.85-8). HCWs older than 40 years and those who aged 30-39 years had a 9.6 and 1.72 fold higher risk of HD than HCWs aged 20-29 years (CI: 2.6-35.7; CI: 0.87-3.4, respectively). A significant association was found between the prevalence of HD among HCWs and working hours per week, and wearing gloves (P<0.05). Conclusion: Possible risk factors for developing HD among HCWs are female gender and older age. Preventive measures for HD are needed for HCWs, especially during the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 84%

Hand Dermatitis among Health Care Workers during the COVID-19 Pandemic: Prevalence, and Risk Factors

Motamedrezaei

Sharifzadeh

Rajabipour

et al. 2022

Preprint

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“…Six studies utilized a cohort study design, 5 , 12 , 19 , 20 , 21 , 22 three studies were case–control studies, 23 , 24 , 25 while the other studies ( n = 36) employed a cross‐sectional study design. There were 17 studies performed in Asia, and 28 were from non‐Asia countries.…”

Section: Resultsmentioning

confidence: 99%

“…Fourteen studies examined the risks of hand eczema with the use of alcohol hand rub; however, two studies 22 , 43 were not included in final meta‐analysis as the frequency of alcohol hand rub reported was different from the rest of the other studies (Table S5a,b ). The remaining 12 studies were analysed as three groups based on frequency of alcohol disinfectant use: use of alcohol disinfectant versus no use of alcohol disinfectant, more than 10 times daily versus ≤10 times daily and more than 20 times daily versus ≤20 times daily.…”

Section: Resultsmentioning

confidence: 99%

“…In the studies that were only included in qualitative analysis, Lan et al 43 found that there was no statistically significant risk of hand eczema with use of alcohol hand rub more than nine times within 4 h versus ≤9 times ( p = 0.2886). A prospective cohort study by Yüksel et al 22 described that increased use of alcohol‐based hand rubs on wet skin by healthcare workers during the COVID‐19 pandemic was associated with increased 1‐year prevalence of hand eczema at follow up (RR: 1.78; 95% CI: 1.11–2.87).…”

Section: Resultsmentioning

confidence: 99%

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Hand hygiene and hand eczema: A systematic review and meta‐analysis

Loh

Yew

2022

Contact Dermatitis

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Hand eczema is a common inflammatory condition of the skin that has been linked to hand hygiene. This systematic review and meta‐analysis aims to determine the risks of hand eczema associated with hand hygiene, including frequency of handwashing, wet‐work and use of alcohol hand rub. A comprehensive search of MEDLINE, EMBASE and Cochrane Library was performed for cohort, case–control or cross‐sectional studies that analysed the association between hand hygiene and risk of hand eczema. Results of individual studies were presented in respective forest plots and pooled summary relative risks were estimated using a random‐effects model. Forty‐five studies were included in analysis. Handwashing at least 8–10 times daily significantly increased risk of hand eczema (relative risk [RR] 1.51; 95% confidence interval [CI]: 1.35–1.68; p < 0.001). The risk was related to handwashing frequency, with higher pooled RR of 1.66 (95% CI: 1.51–1.83; p < 0.001) with increased handwashing at least 15–20 times daily. However, use of alcohol‐based hand sanitizer was not significantly associated with risk of hand eczema. Given the widespread implementation of hand hygiene practices during the COVID‐19 pandemic, there is a pertinent need to understand skin care habits specific to the hands to avoid a greater incidence of hand eczema.

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“…Between July 2020 and June 2021, 77 HCWs with HE were consecutively included together with age‐ and sex‐matched controls, i.e. HCWs without HE identified from the surveys 3,4 . All HCWs underwent clinical examination comprising assessment of HE severity using the HE Severity Index (HECSI) 5 and sampling of bacteria using ESwabs™ (COPAN, Brescia, Italy).…”

Section: Hcws With He (N = 77) Controls (N = 77)mentioning

confidence: 99%

Colonization with Staphylococcus aureus in healthcare workers: consequences of hand eczema

Yüksel

Edslev

Janstrup

et al. 2022

British Journal of Dermatology

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Conflicts of interest: S.G.K. is an advisory board member/consultant for AbbVie, Celldex Therapeutics, Galderma, Incyte, Pfizer, Regeneron Pharmaceuticals and Kiniksa Pharmaceuticals, and has served as an investigator for Galderma, Kiniksa Pharmaceuticals, Pfizer Inc. and Sanofi; the other authors declare they have no conflicts of interest.Data availability: further information regarding the data and its purchase are available through the Healthcare Cost and Utilization Project (Agency for Healthcare Research and Quality), available at https://www.hcup-us.ahrq.gov/nisoverview. jsp (last accessed 27 May 2022).Ethics statement: this study utilized deidentified data and was deemed exempt by the Johns Hopkins Institutional Review Board.

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Hand eczema, wet work exposure, and quality of life in health care workers in Denmark during the COVID-19 pandemic

Cited by 14 publications

References 25 publications

Hand Dermatitis among Health Care Workers during the COVID-19 Pandemic: Prevalence, and Risk Factors

Hand Dermatitis among Health Care Workers during the COVID-19 Pandemic: Prevalence, and Risk Factors

Hand hygiene and hand eczema: A systematic review and meta‐analysis

Colonization with Staphylococcus aureus in healthcare workers: consequences of hand eczema

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