Department of Diagnostic Imaging, Dental Allergology and Physiotherapy, Faculty of Dental Medicine, Medical University Plovdiv, Plovdiv, Bulgaria.
Department of Imaging and Oral Diagnostics, Faculty of Dental Medicine, Medical University of Sofia, Sofia, Bulgaria.
Contact Dermatitis. 2019 Oct;81(4):274-279. doi: 10.1111/cod.13362. Epub 2019 Aug 5.
Dental students are at high risk of developing adverse skin reactions following practical work during the dentistry degree program. They encounter multiple irritants and allergens that may cause skin reactions on exposed parts of the body, notably the hands.
To estimate the prevalence of skin reactions related to the pre-clinical and clinical training courses of the dentistry program and associated risk factors in Bulgarian dental students.
A cross-sectional study was performed using a self-report questionnaire.
A total of 467 dental students completed the questionnaire (response 51.8%). The prevalence of self-reported skin symptoms was 21.2%. According to logistic regression analysis, the most important risk factors for work-related skin symptoms were a personal history of atopic dermatitis (odds ratio [OR] 3.92, 95% confidence interval [CI]: 1.99-7.72), allergic rhinoconjunctivitis and/or asthma (OR 1.94, 95%CI: 1.03-3.68), personal history of contact allergy (OR 2.19, 95%CI: 1.06-4.55), and hand washing >16 times a day (OR 2.42, 95%CI: 1.06-5.52).
The results of this study suggest that work-related skin symptoms are frequent among dental students and indicate the need to establish effective primary preventive programs for occupational skin disorders at a national level.
牙科学位课程的实践工作使牙科学学生面临发生不良皮肤反应的高风险。他们会接触到多种刺激物和过敏原，这些物质可能会导致身体暴露部位出现皮肤反应，尤其是手部。
评估保加利亚牙科学学生在口腔临床前和临床培训课程中与皮肤反应相关的患病率及相关危险因素。
采用横断面研究，使用自我报告问卷进行。
共有 467 名牙科学学生完成了问卷（应答率为 51.8%）。自我报告的皮肤症状患病率为 21.2%。根据逻辑回归分析，与工作相关的皮肤症状的最重要危险因素是特应性皮炎个人史（比值比 [OR] 3.92，95%置信区间 [CI]：1.99-7.72）、过敏性鼻结膜炎和/或哮喘（OR 1.94，95%CI：1.03-3.68）、个人接触过敏史（OR 2.19，95%CI：1.06-4.55）和每天洗手>16 次（OR 2.42，95%CI：1.06-5.52）。
本研究结果表明，工作相关的皮肤症状在牙科学学生中较为常见，这表明需要在国家层面上为职业性皮肤疾病制定有效的初级预防计划。
