Veille documentaire MTPH

Médecine du travail du personnel hospitalier

Hand eczema: prevalence and risk factors of hand eczema in a population of 2274 healthcare workers

Auteur     Kristina S Ibler
Auteur     Gregor B E Jemec
Auteur     Mari-Ann Flyvholm
Auteur     Thomas L Diepgen
Auteur     Askel Jensen
Auteur     Tove Agner
Résumé     BACKGROUND Healthcare workers are at increased risk of developing hand eczema. OBJECTIVES To investigate the prevalence and severity of self-reported hand eczema, and to relate the findings to demographic data, occupation, medical speciality, wards, shifts, and working hours. PATIENTS/MATERIALS/METHODS A survey of 3181 healthcare workers was performed. Data were analysed with logistic regression. Data on sick leave and notification to the authorities were obtained. RESULTS The response rate was 71% (2274 of 3181). The 1-year prevalence of hand eczema was 21%, and was positively associated with atopic dermatitis, younger age, male sex (male doctors), and working hours. Eighty nine per cent of subjects reported mild/moderate lesions. Atopic dermatitis was the only factor significantly related to severity. Sick leave was reported by 8% of subjects, and notification to the authorities by 12%. CONCLUSIONS The 21% prevalence of hand eczema in healthcare workers is double the prevalence in the background population. Eleven per cent of hand eczema patients reported severe/very severe eczema. No significant differences were found between professions or medical specialities with respect to prevalence or severity, but cultural differences between professions with respect to coping with the eczema were significant. Atopic dermatitis was related to increased prevalence and severity, and preventive efforts should be made for healthcare workers with atopic dermatitis.
Publication     Contact dermatitis
Volume     67
Numéro     4
Pages     200-207
Date     Oct 2012

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