Literature DB >> 16109821

A randomised controlled intervention study on prevention of work related skin problems among gut cleaners in swine slaughterhouses.

M-A Flyvholm1, K Mygind, L Sell, A Jensen, K F Jepsen.   

Abstract

AIMS: To evaluate the effect of an intervention to reduce work related skin problems in gut cleaning departments in Danish swine slaughterhouses. The intervention consisted of an evidence based prevention programme and a documented method for implementation.
METHODS: Randomised controlled intervention study with a one year follow up. The intervention included educational activities and evidence based recommendations. The effect of the intervention was evaluated by telephone interviews using a standardised questionnaire based on the Nordic Occupational Skin Questionnaire (NOSQ-2002) with modified and additional questions on exposure, preventive measures, information, and discussions on prevention of skin problems, etc.
RESULTS: A total of 644 (87.5%) responded at the baseline interview and 622 (71.6%) at the one year follow up interview. A total of 495 participated in both interviews (67.3%). In the intervention departments the frequency of eczema on hands or forearms within the past three months at follow up was reduced significantly from 56.2% at baseline to 41.0% at follow up, while a slight non-significant increase was observed in the comparison departments (from 45.9% to 50.2%). The intervention activities resulted in more frequent use of protective gloves in general and the use of cotton gloves worn underneath rubber and plastic gloves. At follow up three times as many in the intervention departments used the recommended high fat skin care products introduced as part of the intervention activities. At follow up, discussion of skin problems was increased in the intervention group while no changes were observed in the comparison group.
CONCLUSIONS: A significant 27% relative reduction of occupational eczema in a high risk group was feasible through implementation of an evidence based prevention programme.

Entities:  

Mesh:

Year:  2005        PMID: 16109821      PMCID: PMC1741082          DOI: 10.1136/oem.2004.016576

Source DB:  PubMed          Journal:  Occup Environ Med        ISSN: 1351-0711            Impact factor:   4.402


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2.  Prevention of work-related skin problems in student auxiliary nurses: an intervention study.

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3.  Evaluation of a self-reported questionnaire on hand dermatosis in secondary school children.

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Review 5.  The transfer of safety training in work organizations: a systems perspective to continuous learning.

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6.  Occupational contact dermatitis has an appreciable impact on quality of life.

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7.  Ascertainment of hand dermatitis using a symptom-based questionnaire; applicability in an industrial population.

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8.  Health-related quality of life and hand eczema--a comparison of two instruments, including factor analysis.

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9.  Prognosis and work absence due to occupational contact dermatitis.

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10.  Dermatoses among poultry slaughterhouse workers.

Authors:  M Hayashi; M Saitoh; N Fujii; Y Suzuki; K Nishiyama; S Asano; H Hayashi
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Review 3.  Preventive occupational health interventions in the meat processing industry in upper-middle and high-income countries: a systematic review on their effectiveness.

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4.  The Hand Eczema Trial (HET): Design of a randomised clinical trial of the effect of classification and individual counselling versus no intervention among health-care workers with hand eczema.

Authors:  Kristina Sophie Ibler; Tove Agner; Jane Lindschou Hansen; Christian Gluud
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5.  Tertiary individual prevention of occupational skin diseases: a decade's experience with recalcitrant occupational dermatitis.

Authors:  C Skudlik; B Wulfhorst; G Gediga; M Bock; H Allmers; S M John
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6.  Chronic hand eczema--self-management and prognosis: a study protocol for a randomised clinical trial.

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7.  Skin care education and individual counselling versus treatment as usual in healthcare workers with hand eczema: randomised clinical trial.

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8.  Hands4U: a multifaceted strategy to implement guideline-based recommendations to prevent hand eczema in health care workers: design of a randomised controlled trial and (cost) effectiveness evaluation.

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Review 10.  Interventions for preventing occupational irritant hand dermatitis.

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