Literature DB >> 17091305

Secondary individual prevention of occupational skin diseases in health care workers, cleaners and kitchen employees: aims, experiences and descriptive results.

Elke Weisshaar1, Magdalena Radulescu, Stefanie Soder, Christian J Apfelbacher, Michael Bock, Jens-Uwe Grundmann, Ursel Albrecht, Thomas L Diepgen.   

Abstract

OBJECTIVES: Due to increased occupational dermatoses in certain professions such as health care workers (HCW), cleaning and kitchen employees (CKE), measures of prevention and skin protection are of high significance. Skin protection courses focus on educational aims (e.g. improving skin care habits, influencing the participants' attitudes towards health) and medical aims (e.g. optimising diagnostic procedures, complementing individual therapy).
METHODS: Participants are patients who have been suspected to suffer from an occupational skin disease and are insured with the German Accident Prevention & Insurance Association (BGW). Teaching units of the skin protection courses focus on basics of skin functioning and important aspects of occupational skin diseases. Practical parts include information and instructions about the correct implementation of skin protection, skin care and skin cleansing. Every participant is seen by a dermatologist obtaining a precise patient's history and performing a skin examination. All this results in working out individually adapted and professional skin protection strategies.
RESULTS: In total, 791 participants (93 men and 698 women) completed the skin protections courses. Six hundred and sixty-seven patients (mean age: 36.9 years, SD = 11.6) were HCW and 124 patients (mean age: 40.4 years, SD = 10.8) were CKE. In HCW 82.5% (n = 550) and in CKE 86.3% (n = 107) suffered from hand eczema of the atopic, irritant or allergic type. Irritant contact dermatitis as a single diagnosis was the most frequent one in both groups (HCW: 34.5.%, n = 230; CKE: 49.2% n = 61). According to regularly performed evaluations, the participants rated the course as good to excellent. Nearly 80% of the participants had skin lesions while attending the course, in 27% the dermatosis was severe.
CONCLUSIONS: There is a high need for health education, advisory services, diagnostics and additional therapy in occupational dermatology. Prevention of occupational skin diseases and maintenance of health through educational programmes are important complementary measures for dermatological care but still missing in endangered professions.

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Year:  2006        PMID: 17091305     DOI: 10.1007/s00420-006-0154-z

Source DB:  PubMed          Journal:  Int Arch Occup Environ Health        ISSN: 0340-0131            Impact factor:   2.851


  18 in total

Review 1.  Contact dermatitis and quality of life: a structured review of the literature.

Authors:  R Skoet; R Zachariae; T Agner
Journal:  Br J Dermatol       Date:  2003-09       Impact factor: 9.302

2.  Impact of preventive strategies on trend of occupational skin disease in hairdressers: population based register study.

Authors:  Heinrich Dickel; Oliver Kuss; Anne Schmidt; Thomas L Diepgen
Journal:  BMJ       Date:  2002-06-15

3.  Early secondary prevention of occupational skin disease in Germany: the dermatologist's procedure in perspective.

Authors:  H Dickel; O Kuss; S M John; O Blome; K H Hagemann; H J Schwanitz
Journal:  Int Arch Occup Environ Health       Date:  2003-11-13       Impact factor: 3.015

4.  Age related, structured educational programmes for the management of atopic dermatitis in children and adolescents: multicentre, randomised controlled trial.

Authors:  Doris Staab; Thomas L Diepgen; Manigé Fartasch; Jörg Kupfer; Thomas Lob-Corzilius; Johannes Ring; Sibylle Scheewe; Reginald Scheidt; Gerhard Schmid-Ott; Christina Schnopp; Rüdiger Szczepanski; Thomas Werfel; Marita Wittenmeier; Ulrich Wahn; Uwe Gieler
Journal:  BMJ       Date:  2006-04-22

5.  Evaluation and relevance of atopic basic and minor features in patients with atopic dermatitis and in the general population.

Authors:  T L Diepgen; M Fartasch; O P Hornstein
Journal:  Acta Derm Venereol Suppl (Stockh)       Date:  1989

6.  Educational and dermatological aspects of secondary individual prevention in healthcare workers.

Authors:  Elke Weisshaar; Magdalena Radulescu; Michael Bock; Ursel Albrecht; Thomas L Diepgen
Journal:  Contact Dermatitis       Date:  2006-05       Impact factor: 6.600

7.  Occupational contact dermatitis in nurses with hand eczema.

Authors:  R M Strauss; D J Gawkrodger
Journal:  Contact Dermatitis       Date:  2001-05       Impact factor: 6.600

Review 8.  Occupational contact urticaria and protein contact dermatitis.

Authors:  Marie-Sylvie Doutre
Journal:  Eur J Dermatol       Date:  2005 Nov-Dec       Impact factor: 3.328

9.  Skin care management: educational aspects.

Authors:  Hans Joachim Schwanitz; Ulrike Riehl; Tanja Schlesinger; Meike Bock; Christoph Skudlik; Britta Wulfhorst
Journal:  Int Arch Occup Environ Health       Date:  2003-04-29       Impact factor: 3.015

10.  [Quality of life of patients with occupationally-induced hand eczema].

Authors:  P J Coenraads; J Bouma; T L Diepgen
Journal:  Hautarzt       Date:  2004-01       Impact factor: 0.751

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  10 in total

1.  [Individual in-patient and out-patient prevention in occupational skin diseases].

Authors:  C Skudlik; E Weisshaar
Journal:  Hautarzt       Date:  2015-03       Impact factor: 0.751

Review 2.  [Cooperation among clinics and practices. Integrated medical care in occupational dermatology].

Authors:  C Skudlik; M Jünger; K Palsherm; K Breuer; S Brandenburg; S M John
Journal:  Hautarzt       Date:  2009-09       Impact factor: 0.751

3.  Metalworking exposures and persistent skin symptoms in the ECRHS II and SAPALDIA 2 cohorts.

Authors:  Maria C Mirabelli; Jan-Paul Zock; Andreas J Bircher; Debbie Jarvis; Dirk Keidel; Hans Kromhout; Dan Norbäck; Mario Olivieri; Estel Plana; Katja Radon; Christian Schindler; Peter Schmid-Grendelmeier; Kjell Torén; Simona Villani; Manolis Kogevinas
Journal:  Contact Dermatitis       Date:  2009-05       Impact factor: 6.600

4.  Effects of a health-educational and psychological intervention on socio-cognitive determinants of skin protection behaviour in individuals with occupational dermatoses.

Authors:  Uwe Matterne; Thomas L Diepgen; Elke Weisshaar
Journal:  Int Arch Occup Environ Health       Date:  2009-07-30       Impact factor: 3.015

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

Authors:  Kristina Sophie Ibler; Gregor B E Jemec; Thomas L Diepgen; Christian Gluud; Jane Lindschou Hansen; Per Winkel; Simon Francis Thomsen; Tove Agner
Journal:  BMJ       Date:  2012-12-12

6.  Alterations in psychosocial health of people affected by asbestos poisoning.

Authors:  Miguel Clemente; Adela Reig-Botella; Juan Carlos Prados
Journal:  Rev Saude Publica       Date:  2015       Impact factor: 2.106

7.  Patch Testing as a Corroborative and Diagnostic Tool in Patients Suspected of Contact Allergen Induced Facial Melanosis.

Authors:  Vedant M Ghuse; Shylaja Someshwar
Journal:  Indian J Dermatol       Date:  2021 Jul-Aug       Impact factor: 1.494

8.  Prevalence and incidence of hand eczema in healthcare workers: protocol for a systematic review and meta-analysis.

Authors:  Cara Symanzik; Yasemin Topal Yüksel; Maria Oberlander Christensen; Jacob P Thyssen; Christoph Skudlik; Swen Malte John; Richard Brans; Tove Agner
Journal:  BMJ Open       Date:  2022-10-07       Impact factor: 3.006

9.  Integrated, multidisciplinary care for hand eczema: design of a randomized controlled trial and cost-effectiveness study.

Authors:  Robin F van Gils; Pieter G M van der Valk; Derk Bruynzeel; Pieter J Coenraads; Cécile R L Boot; Willem van Mechelen; Johannes R Anema
Journal:  BMC Public Health       Date:  2009-12-01       Impact factor: 3.295

10.  Protocol for a randomised trial on the effect of group education on skin-protective behaviour versus treatment as usual among individuals with newly notified occupational hand eczema - the Prevention of Hand Eczema (PREVEX) Trial.

Authors:  Maja Hvid Fisker; Tove Agner; Jane Lindschou; Jens Peter Bonde; Kristina Sophie Ibler; Christian Gluud; Per Winkel; Niels E Ebbehøj
Journal:  BMC Dermatol       Date:  2013-11-19
  10 in total

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