Department of Medical Informatics, Biometry and Epidemiology, University of Erlangen/Nürnberg, Erlangen, Germany.
Department of Dermatology, University Hospital Carl Gustav Carus, University Allergy Centre, Technical University of Dresden, Dresden, Germany.
Contact Dermatitis. 2018 Sep;79(3):168-174. doi: 10.1111/cod.13035. Epub 2018 May 30.
Irritant exposure may be a contributory cause or the sole cause of (occupational) hand dermatitis. However, the documentation of irritant exposures in clinical practice is not standardized.
To examine the feasibility and usefulness of a form with different items addressing both occupational and non-occupational irritant exposures in a semiquantitative way.
Between May 2016 and May 2017, successive patients with work-related hand dermatitis, irrespective of aetiology, were examined in 9 specialized European departments. Department-specific investigation was supplemented with the above proforma. The results were recorded by use of an anonymized secured online documentation system in a pilot study.
Altogether, 193 patients were included; 114 females and 79 males, with a mean age of 40 years (range 18-68 years). The most common occupational group comprised healthcare workers (n = 35); occupational exposure of the hands to gloves, dusts and water without detergents of >2 hours/day was seen in 54.5%, 24.4% and 24.3% of patients, respectively. Non-occupational exposures rarely exceeded 2 hours/day.
It is hoped that the set of descriptors will offer a basis for (clinical) epidemiological studies assessing the role of irritant exposures in occupational hand dermatitis, and to support a high level of quality and consistency in daily patient care.
刺激物暴露可能是（职业性）手部接触性皮炎的促成因素或唯一原因。然而，在临床实践中，刺激物暴露的记录并没有标准化。
检验一种表格的可行性和实用性，该表格用半定量的方式记录职业性和非职业性刺激物暴露的不同项目。
2016 年 5 月至 2017 年 5 月，在 9 个欧洲专业部门，对病因不明的职业性手部接触性皮炎患者进行连续检查。各部门的具体调查补充了上述表格。结果通过试点研究中使用匿名安全在线文档系统进行记录。
共纳入 193 例患者；女性 114 例，男性 79 例，平均年龄 40 岁（18-68 岁）。最常见的职业群体是医护人员（n=35）；分别有 54.5%、24.4%和 24.3%的患者每天接触手套、粉尘和水而无清洁剂超过 2 小时，每天接触手套、粉尘和水而无清洁剂超过 2 小时的患者分别占 24.4%和 24.3%。非职业性暴露很少超过 2 小时/天。
希望这组描述符将为评估刺激性暴露在职业性手部接触性皮炎中的作用的（临床）流行病学研究提供基础，并支持日常患者护理中的高质量和一致性。
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