Rudzki E
Derm Beruf Umwelt. 1979;27(4):112-5.
Health service workers in the number of 152 suffering of dermatitis were examined. They included 43 physicians, 25 stomatologists, 59 nurses, 14 hospital-wards and 12 other persons working in hospitals, clinics and pharmacies. In physicians occupational contact dermatitis occured in ten patients, exclusively among those performing operations, most frequently surgeons and ginecologists. Rubber gloves (5 patients) disinfectants and chromic catgut were the sensitizing objects. Moreover, a woman gynecologist positive to nickel observed that also the use of a speculum exacerbated her lesions. A laryngologist with seborrhoic dermatitis, strongly positive to formaldehyde, had exacerbations when using--during surgery--a microscope disinfected with formalin solution. Allergic occupational contact dermatitis was diagnosed in 12 stomatologists; they were positive to eugenol, mercury, novocaine or formaldehyde. Among 24 nurses with allergic occupational contact dermatitis, those positive to antibiotics (specially to semisynthetic penicillins) or to disinfectants (most of them to formaldehyde) were most numerous. Some nurses were sensitive to such drugs as Propranolol, Aminophyllinum or chlorpromazine hydrochloride. To the latter drug also a ward attendant was positive.
对152名患皮炎的卫生服务工作者进行了检查。他们包括43名医生、25名口腔医生、59名护士、14名医院病房工作人员以及12名在医院、诊所和药房工作的其他人员。在医生中，10名患者发生了职业性接触性皮炎，仅发生在进行手术的人员中，最常见的是外科医生和妇科医生。橡胶手套（5名患者）、消毒剂和铬制肠线是致敏原。此外，一名对镍呈阳性反应的女妇科医生发现，使用窥器也会加重她的皮损。一名患有脂溢性皮炎且对甲醛呈强阳性反应的耳鼻喉科医生，在手术期间使用用福尔马林溶液消毒的显微镜时病情加重。12名口腔医生被诊断为过敏性职业性接触性皮炎；他们对丁香酚、汞、奴夫卡因或甲醛呈阳性反应。在24名患有过敏性职业性接触性皮炎的护士中，对抗生素（特别是半合成青霉素）或消毒剂（大多数对甲醛）呈阳性反应的人数最多。一些护士对普萘洛尔、氨茶碱或盐酸氯丙嗪等药物敏感。一名病房护理员对后一种药物也呈阳性反应。
