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Submitted
July 19, 2021
Accepted
July 18, 2022
Published
August 31, 2022
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Abstract

Healthcare workers (HCWs) embody the principles of hand hygiene and protective attire to support self- and patient safety, but the materials involved in this process are found to be offending agents. The incidence of occupational contact dermatitis (OCD) among HCWs keeps increasing. This review aimed to evaluate the effectiveness, investigate the outcome and clinical skin condition improvement with the implementation of primary preventive measures (PPM), specifically: barrier cream, emollient, moisturiser, gloves use, and education. All relevant literature about PPM against OCD among HCWs published between 1995 to 2020 was searched. The data search was performed using the PUBMED, Cochrane Library, and ScienceDirect databases. There were 16 studies comprised of 8 randomised controlled trials (RCTs), 7 clinical trials, and one comparative study. The study results showed that using barrier cream, moisturiser or emollient, gloves, and education were effective tools in reducing the number of clinical symptoms in cases of OCD. There was no significant difference in the effect between barrier cream use and moisturiser or emollient. The gloves were advised to be used non-latex gloves or powder-free latex gloves. Education was also observed to improve preventive behaviour among workers. The use of barrier cream, emollient, moisturiser, and gloves is recommended to be educated to ascertain the proper use of preventive measures, increase knowledge and awareness, and promote positive preventive behaviour.

Keywords

Primary prevention primary preventive measure occupational contact dermatitis healthcare worker hand hygiene

Article Details

Author Biographies

Khansa Maria Salsabila, Medicine Study Program, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

Medicine Study Program, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta

Sri Awalia Febriana, Department of Dermatology and Venereology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta

Department of Dermatology and Venereology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta

Retna Siwi Padmawati, Department of Health Behaviour, Environment, and Social Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta

Department of Health Behaviour, Environment, and Social Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta

Retno Danarti, Department of Dermatology and Venereology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta

Department of Dermatology and Venereology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta

How to Cite
Salsabila, K. M., Febriana, S. A., Padmawati, R. S., & Danarti, R. (2022). The effectiveness of personal preventive measures against occupational contact dermatitis in healthcare workers: A systematic review. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 13(2), 192–212. https://doi.org/10.20885/JKKI.Vol13.Iss2art12
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References

  1. Schlarbaum JP, Hylwa SA. Allergic contact dermatitis to operating room scrubs and disinfectants. Dermatitis. 2019;30:363-70.
  2. Warshaw EM, Schram SE, Maibach HI, Belsito D V., Marks JG, Fowler JF, et al. Occupation-related contact dermatitis in North American health care workers referred for patch testing: cross-sectional data, 1998 to 2004. Dermatitis. 2008;19:261-74.
  3. Malik M, English J. Irritant hand dermatitis in health care workers. Occupational Medicine (Chic Ill). 2015;65:474-6.
  4. Sasseville D. Occupational contact dermatitis. Allergy, Asthma & Clinical Immunology. 2008;4:59-65.
  5. Holness DL. Occupational dermatoses. Current Allergy and Asthma Reports. 2019;19:42.
  6. Hamnerius N, Svedman C, Bergendorff O, Björk J, Bruze M, Engfeldt M, et al. Hand eczema and occupational contact allergies in healthcare workers with a focus on rubber additives. Contact Dermatitis. 2018;79:149-56.
  7. Nettis E, Colanardi MC, Soccio AL, Ferrannini A, Tursi A. Occupational irritant and allergic contact dermatitis among healthcare workers. Contact Dermatitis. 2002;46:101-7.
  8. Al-Otaibi ST. Prevention of occupational contact dermatitis. Journal of Ergonomics. 2016;6:9-11.
  9. Löffler H, Bruckner T, Diepgen T, Effendy I. Primary prevention in health care employees: a prospective intervention study with a 3-year training period. Contact Dermatitis. 2006;54:202-9.
  10. Purnamawati S, Indrastuti N, Danarti R, Saefudin T. The role of moisturizers in addressing various kinds of dermatitis: a review. Clinical Medicine & Research. 2017;15:75-87.
  11. Kersh AE, Helms S, De La Feld S. Glove-related allergic contact dermatitis. Dermatitis. 2018;29:13-21.
  12. Alvarez MS, Brown LH, Brancaccio RR. Are barrier creams actually effective? Current Allergy and Asthma Reports. 2001;1:337-41.
  13. Baur X, Chen Z, Allmers H, Raulf-Heimsoth M. Results of wearing test with two different latex gloves with and without the use of skin-protection cream. Allergy. 1998;53:441-3.
  14. Frosch PJ, Peiler D, Grunert V, Grunenberg B. Wirksamkeit von hautschutzprodukten im vergleich zu hautpflegeprodukten bei zahntechnikern - Eine kontrollierte feldstudie. JDDG - Journal of The German Society of Dermatology. 2003;1:547-57.
  15. McCormick RD, Buchman TL, Maki DG. Double-blind, randomized trial of scheduled use of a novel barrier cream and an oil-containing lotion for protecting the hands of health care workers. American Journal of Infection Control. 2000;28:302-10.
  16. Berndt U, Wigger-Alberti W, Gabard B, Elsner P. Efficacy of a barrier cream and its vehicle as protective measures against occupational irritant contact dermatitis. Contact Dermatitis. 2000;42:77-80.
  17. Andersson T, Bruze M, Björkner B. In vivo testing of the protection of gloves against acrylates in dentin-bonding systems on patients with known contact allergy to acrylates. Contact Dermatitis. 1999;41:254-9.
  18. Andersson T, Bruze M, Gruvberger B, Björkner B. In vivo testing of the protection provided by non-latex gloves against a 2-hydroxyethyl methacrylate-containing acetone-based dentin-bonding product. Acta Dermato-Venereologica. 2000;80:435-7.
  19. Held E, Wolff C, Gyntelberg F, Agner T. Prevention of work-related skin problems in student auxiliary nurses: an intervention study. Contact Dermatitis. 2001;44:297-303.
  20. Tarlo SM, Easty A, Eubanks K, Parsons CR, Min F, Juvet S, et al. Outcomes of a natural rubber latex control program in an Ontario teaching hospital. Journal of Allergy and Clinical Immunology. 2001;108:628-33.
  21. Allmers H, Schmengler J, Skudlik C. Primary prevention of natural rubber latex allergy in the German health care system through education and intervention. Journal of Allergy and Clinical Immunology. 2002;110: 318-23.
  22. Davis DD, Harper RA. Using gloves coated with a dermal therapy formula to improve skin condition. AORN Journal. 2005;81:157-62.
  23. Dulon M, Pohrt U, Skudlik C, Nienhaus A. Prevention of occupational skin disease: a workplace intervention study in geriatric nurses. British Journal of Dermatology. 2009;161:337-44.
  24. Turner S, McNamee R, Agius R, Wilkinson SM, Carder M, Stocks SJ. Evaluating interventions aimed at reducing occupational exposure to latex and rubber glove allergens. Occupational and Environmental Medicine. 2012;69:925-31.
  25. Van Der Meer EWC, Boot CRL, Twisk JWR, Coenraads PJ, Jungbauer FHW, Van Der Gulden JWJ, et al. Hands4U: The effectiveness of a multifaceted implementation strategy on behaviour related to the prevention of hand eczema: a randomised controlled trial among healthcare workers. Occupational and Environmental Medicine. 2014;71:492-99.
  26. Soltanipoor M, Kezic S, Sluiter JK, de Wit F, Bosma AL, van Asperen R, et al. Effectiveness of a skin care programme for the prevention of contact dermatitis in healthcare workers (the Healthy Hands Project): a single-centre, cluster randomized controlled trial. Contact Dermatitis. 2019;80:365-73.
  27. Madan I, Parsons V, Ntani G, Wright A, English J, Coggon D, et al. A behaviour change package to prevent hand dermatitis in nurses working in health care: the SCIN cluster RCT. Health Technology Assessment. 2019;23:1-92.
  28. Mostosi C, Simonart T. Effectiveness of barrier creams against irritant contact dermatitis. Dermatology. 2016;232:353-62.
  29. Mahler V. Skin protection in the healthcare setting. Current Problems in Dermatology. 2007;34:120-32.
  30. Schalock PC, Zug KA. Protection from occupational allergens. Current Problems in Dermatology. 2007;34:58-75.
  31. Personal Protective Equipment - Eyes and Face Protection. https://www.ppe.org/osha/#gsc.tab=0.
  32. Wilke A, Brans R, Nordheider K, Braumann A, Hübner A, Sonsmann FK, et al. Skin protection seminars to prevent occupational skin diseases: results of a prospective longitudinal study in apprentices of high-risk professions. Safety and Health at Work. 2018;9:398-407.
  33. Brown TP. Strategies for prevention: occupational contact dermatitis. Occupational Medicine (Chic Ill). 2004;54:450-57.
  34. Van Gils RF, Boot CRL, Van Gils PF, Bruynzeel D, Coenraads PJ, Van Mechelen W, et al. Effectiveness of prevention programmes for hand dermatitis: a systematic review of the literature. Contact Dermatitis. 2011;64:63-72.
  35. Filon FL, 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. International Archive of Occupational and Environmental Health. 2013;87:463-9.