[Occupational allergic dermatitis: the role of the occupational physician in prevention]
Abstract
Occupational contact dermatitis are the second occupational diseases in industrialized countries and the preventive action and/or early diagnosis done by occupational physician (OP) is of paramount importance. OP in the process of risk evaluation must suggest products, detergents and personal protective equipment with low irritant or sensitization potential. During work, the use of skin creams has to be promoted to prevent irritation that is the first step towards impairment of the skin barrier and sensitization. During periodical medical surveillance OP can control skin conditions of workers looking for signs of irritant and contact dermatitis, can give advice about preventive measures and information about products used to permit an early and correct diagnosis. At the retour to work workers with a diagnosis of occupational dermatitis must avoid direct contact with irritant and sensitizing products.
References
- Agner T, Jungersted JM, Coenraads PJ, Diepgen T. Comparison of four methods for assessment of severity of hand eczema. Contact Dermatitis. 2013 Aug; 69(2): 107-11. DOI: https://doi.org/10.1111/cod.12039
- Aktas E, Esin MN. Skin disease symptoms and related risk factors among young workers in high-risk jobs. Contact Dermatitis. 2016; 75: 96-105. DOI: https://doi.org/10.1111/cod.12606
- Brans R, Skudlik C, Weisshaar E, Scheidt R, Ofenloch R, Elsner P, Wulfhorst B, Schönfeld M, John SM, Diepgen TL; ROQ Study Group. Multicentre cohort study Rehabilitation of Occupational Skin Diseases - Optimization and Quality Assurance of Inpatient Management (ROQ)': results from a 3-year follow-up. Contact Dermatitis. 2016; 75: 205-12. de Cracker W, Roskams N, de Beeck R O. Occupational Skin Diseases and DermalExposure in the European Union (EU-25): Policy and Practice Overview: Belgium, Office for Official Publications of the European Communities, 2008. DOI: https://doi.org/10.1111/cod.12614
- Diepgen T L. Occupational skin-disease data in Europe. Int Arch Occup Environ Health 2003; 76: 331-338. DOI: https://doi.org/10.1007/s00420-002-0418-1
- Held E, Skoet R, Johansen J D, Agner T.The hand eczema severity index (HECSI): a scoring system for clinical assessment ofhand eczema. A study of inter- andintraobserver reliability. Br J Dermatol 2005: 152: 302-307. DOI: https://doi.org/10.1111/j.1365-2133.2004.06305.x
- Hines J, Wilkinson SM, John SM, Diepgen TL, English J, Rustemeyer T, Wassilew S, Kezic S, Maibach HI. The three moments of skin cream application: an evidence-based proposal for use of skin creams in the prevention of irritant contact dermatitis in the workplace. J Eur Acad Dermatol Venereol 2017; 31: 53-64. DOI: https://doi.org/10.1111/jdv.13851
- Larese Filon F, Bochdanovits L, Capuzzo C, Cerchi R, Rui F. Ten years incidence of natural rubber latex sensitization and symptoms in a prospective cohort of health care workers using non-powdered latex gloves 2000-2009. Int Arch Occup Environ Health 2014 Jul; 87(5): 463-9. DOI: https://doi.org/10.1007/s00420-013-0885-6
- Malvestio A, Bovenzi M, Hoteit M, Belloni Fortina A, Peserico A, Corradin MT, Larese Filon F. p-Phenylenediamine sensitization and occupation. Contact Dermatitis 2011 Jan; 64(1): 37-42. DOI: https://doi.org/10.1111/j.1600-0536.2010.01814.x
- Mollerup A, Veien NK, Johansen JD. Effectiveness of the Healthy Skin Clinic—a randomized clinical trial of nurse-led patient counselling in hand eczema. Contact Dermatitis 2014 Oct; 71(4): 202-14. DOI: https://doi.org/10.1111/cod.12243
- Madan I, Parsons V, Cookson B, English J, Lavender T, McCrone P, Murphy C, Ntani G, Rushton L, Smedley J, Williams H, Wright A, Coggon D. A behavioural change package to prevent hand dermatitis in nurses working in the national health service (the SCIN trial): study protocol for a cluster randomised controlled trial. Trials 2016; 17: 145 Mauro M, De Giusti V, Bovenzi M, Larese Filon F. Effectiveness of a secondary prevention protocol for occupational contact dermatitis. J Eur Acad Dermatol Venereol 2017; 31: 656-663. DOI: https://doi.org/10.1186/s13063-016-1255-y
- Nichol K, Copes R, Spielmann S, Kersey K, Eriksson J, Holness DL. Workplace screening for hand dermatitis: a pilot study. Occup Med (Lond) 2016; 66: 46-9. DOI: https://doi.org/10.1093/occmed/kqv126
- Pedersen LK, Held E, Johansen JD, Agner T. Less skin irritation from alcohol-based disinfectant than from detergent used for hand disinfection. Br J Dermatol 2005 Dec; 153(6): 1142-6. DOI: https://doi.org/10.1111/j.1365-2133.2005.06875.x
- Pesonen M, Jolanki R, Larese Filon F, Wilkinson M, Krecisz B, KiécSwierezynska M, Bauer A, Mahler V, John SM, Schnuch A, Uter W; ESSCA network. Patch test results of the European baseline series among patients with occupational contact dermatitis across Europeanalyses of the European Surveillance System on Contact Allergy network, 2002-2010. Contact Dermatitis 2015 Mar; 72(3): 154-63 doi: 10.1111/cod. 12333. DOI: https://doi.org/10.1111/cod.12333
- Rui F, Bovenzi M, Prodi A, Belloni Fortina A, Romano I, Corradin MT, Larese Filon F. Nickel, chromium and cobalt sensitization in a patch test population in north-eastern Italy (1996-2010). Contact Dermatitis 2013 Jan; 68(1): 23-31. DOI: https://doi.org/10.1111/j.1600-0536.2012.02133.x
- Schuler M, Spanier K, Lukasczik M, Schwarze M, Musekamp G, Osborne RH, Faller H, Pohrt U. Individual prevention courses for occupational skin diseases: changes in and relationships between proximal and distal outcomes. Contact Dermatitis 2015; 72: 371-80. DOI: https://doi.org/10.1111/cod.12367
- Steengaard SS, Bregnhoj A, Johansen JD. Hand eczema among hairdressing apprentices in Denmark following a nationwide prospective intervention programme: 6-year follow-up. Contact Dermatitis 2016; 75: 32-40. UterW, Pfalberg A, Gefeller O, Schwanitz H J. Hand dermatitis in a prospectively-followed cohort of hairdressing apprentices: final results of the POSH study. Contact Dermatitis 1999: 41: 280-286. van der Meer EW, van der Gulden JW, van Dongen D, Boot CR, Anema JR. Barriers and facilitators in the implementation of recommendations for hand eczema prevention among healthcare workers. Contact Dermatitis 2015; 72: 325-36. DOI: https://doi.org/10.1111/cod.12588
- Weisshaar E. Saving the Barrier by Prevention. Curr Probl Dermatol 2016; 49: 152-8. DOI: https://doi.org/10.1159/000441592
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