Flyvholm Mari-Ann, Bach Bodil, Rose Marcel, Jepsen Karen Frydendall
National Research Centre for the Working Environment, Lersø Parkallé 105, DK-2100 Copenhagen, Denmark.
Contact Dermatitis. 2007 Aug;57(2):110-5. doi: 10.1111/j.1600-0536.2007.01134.x.
Occupational skin diseases are frequent in the healthcare sector. The objective of this study was to obtain baseline data on hand eczema and risk factors for hand eczema in an unselected hospital population. A questionnaire study on hand eczema and risk factors for hand eczema was performed among hospital employees at a middle-size Danish hospital. A total of 1909 employees from all job groups and all departments were included. Response rate was 65.3%. The overall frequency of self-reported hand eczema within the past 12 months was 23%. Divided into job groups, the frequencies varied from 8% to 32% and were significantly higher among assistant nurses (32%), nurses (30%), and nursing aids (27%). For the individual departments, the hand eczema frequencies varied from 7% to 50%, with the highest frequencies reported at medical and surgical wards. Occupational risk factors for hand eczema such as use of protective gloves and hand washing were significantly more frequent among respondents with hand eczema within the past year, which suggests a potential for prevention through workplace interventions. In conclusion, high frequencies of hand eczema were observed among assistant nurses, nurses, and nursing aids. Hand eczema was more frequent among women and in the younger age groups.
职业性皮肤病在医疗保健行业很常见。本研究的目的是获取一家未经过筛选的医院人群中手部湿疹及手部湿疹危险因素的基线数据。在丹麦一家中型医院的员工中开展了一项关于手部湿疹及手部湿疹危险因素的问卷调查研究。纳入了来自所有工作岗位和所有科室的1909名员工。应答率为65.3%。过去12个月内自我报告的手部湿疹总体发生率为23%。按工作岗位划分,发生率从8%到32%不等,助理护士(32%)、护士(30%)和护理辅助人员(27%)的发生率显著更高。对于各个科室,手部湿疹发生率从7%到50%不等,内科和外科病房报告的发生率最高。过去一年患有手部湿疹的受访者中,使用防护手套和洗手等手部湿疹的职业危险因素明显更常见,这表明通过工作场所干预措施有预防的潜力。总之,助理护士、护士和护理辅助人员中手部湿疹的发生率较高。女性和较年轻年龄组中手部湿疹更为常见。