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Wet work exposure and hand eczema among healthcare workers: a cross-sectional study.
Br J Dermatol 2018; 178(2):452-461BJ

Abstract

BACKGROUND

Hand eczema is more common in healthcare workers than in the general population. Hands are subject to changing occupational exposures as a result of mandatory hygiene regulations for healthcare workers.

OBJECTIVES

To describe exposure to hygiene procedures and investigate the associations between occupational hand washing, use of nonsterile gloves and hand disinfectant, and self-reported hand eczema.

METHODS

This was a cross-sectional study; an electronic questionnaire was distributed to 28 762 hospital employees in southern Sweden. Nurses, assistant nurses or physicians constituted the group of healthcare workers analysed. Adjustments were made for sex, age, wet work at home, lifestyle factors and atopic dermatitis.

RESULTS

In total, 12 288 (43%) responded, including 9051 healthcare workers. In this group the 1-year prevalence of self-reported hand eczema was 21%. On a daily basis, 30% reported hand washing with soap > 20 times at work, 45% used hand disinfectants > 50 times and 54% wore nonsterile gloves for > 2 h. After adjustment for confounding factors, a dose-dependent association with self-reported hand eczema was found for the daily number of hand washes with soap at work and time working with disposable gloves but not for alcoholic disinfectant use. Hand washing outside work was not associated with self-reported hand eczema in the adjusted multivariate analysis.

CONCLUSIONS

In this study, we found a higher 1-year prevalence of self-reported hand eczema among Swedish healthcare workers than reported in the general population. Hand washing with soap and use of disposable gloves were associated with the occurrence of self-reported hand eczema in a dose-dependent way. Use of hand disinfectant was not associated with self-reported hand eczema.

Authors+Show Affiliations

Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.Department of Occupational and Environmental Medicine, Lund University, Lund, Sweden. Clinical Studies Sweden, Forum South, Skåne University Hospital, Lund, Sweden.Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.Department of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

28722122

Citation

Hamnerius, N, et al. "Wet Work Exposure and Hand Eczema Among Healthcare Workers: a Cross-sectional Study." The British Journal of Dermatology, vol. 178, no. 2, 2018, pp. 452-461.
Hamnerius N, Svedman C, Bergendorff O, et al. Wet work exposure and hand eczema among healthcare workers: a cross-sectional study. Br J Dermatol. 2018;178(2):452-461.
Hamnerius, N., Svedman, C., Bergendorff, O., Björk, J., Bruze, M., & Pontén, A. (2018). Wet work exposure and hand eczema among healthcare workers: a cross-sectional study. The British Journal of Dermatology, 178(2), pp. 452-461. doi:10.1111/bjd.15813.
Hamnerius N, et al. Wet Work Exposure and Hand Eczema Among Healthcare Workers: a Cross-sectional Study. Br J Dermatol. 2018;178(2):452-461. PubMed PMID: 28722122.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Wet work exposure and hand eczema among healthcare workers: a cross-sectional study. AU - Hamnerius,N, AU - Svedman,C, AU - Bergendorff,O, AU - Björk,J, AU - Bruze,M, AU - Pontén,A, Y1 - 2017/12/22/ PY - 2017/07/11/accepted PY - 2017/7/20/pubmed PY - 2019/4/23/medline PY - 2017/7/20/entrez SP - 452 EP - 461 JF - The British journal of dermatology JO - Br. J. Dermatol. VL - 178 IS - 2 N2 - BACKGROUND: Hand eczema is more common in healthcare workers than in the general population. Hands are subject to changing occupational exposures as a result of mandatory hygiene regulations for healthcare workers. OBJECTIVES: To describe exposure to hygiene procedures and investigate the associations between occupational hand washing, use of nonsterile gloves and hand disinfectant, and self-reported hand eczema. METHODS: This was a cross-sectional study; an electronic questionnaire was distributed to 28 762 hospital employees in southern Sweden. Nurses, assistant nurses or physicians constituted the group of healthcare workers analysed. Adjustments were made for sex, age, wet work at home, lifestyle factors and atopic dermatitis. RESULTS: In total, 12 288 (43%) responded, including 9051 healthcare workers. In this group the 1-year prevalence of self-reported hand eczema was 21%. On a daily basis, 30% reported hand washing with soap > 20 times at work, 45% used hand disinfectants > 50 times and 54% wore nonsterile gloves for > 2 h. After adjustment for confounding factors, a dose-dependent association with self-reported hand eczema was found for the daily number of hand washes with soap at work and time working with disposable gloves but not for alcoholic disinfectant use. Hand washing outside work was not associated with self-reported hand eczema in the adjusted multivariate analysis. CONCLUSIONS: In this study, we found a higher 1-year prevalence of self-reported hand eczema among Swedish healthcare workers than reported in the general population. Hand washing with soap and use of disposable gloves were associated with the occurrence of self-reported hand eczema in a dose-dependent way. Use of hand disinfectant was not associated with self-reported hand eczema. SN - 1365-2133 UR - https://www.unboundmedicine.com/medline/citation/28722122/Wet_work_exposure_and_hand_eczema_among_healthcare_workers:_a_cross_sectional_study_ L2 - https://doi.org/10.1111/bjd.15813 DB - PRIME DP - Unbound Medicine ER -