Department of Diagnostic Imaging, Dental Allergology and Physiotherapy, Faculty of Dental Medicine, Medical University Plovdiv, Plovdiv, Bulgaria.
Contact Dermatitis. 2020 Jun;82(6):380-386. doi: 10.1111/cod.13523. Epub 2020 Apr 1.
Dentists are at high risk of developing skin symptoms due to occupational contact with irritants and/or allergens.
To assess the point prevalence of work-related skin symptoms and associated factors in Bulgarian dentists.
A cross-sectional study was performed using a self-report questionnaire.
A total of 4675 dentists filled the questionnaire (response 48.1%). The point prevalence of self-reported skin symptoms was 31.6%. According to logistic regression analysis, factors significantly associated with work-related skin symptoms included a personal history of atopic dermatitis (odds ratio [OR] 2.72, 95% confidence interval [CI]: 2.24-3.31), allergic rhinoconjunctivitis and/or asthma (OR 1.85, 95%CI: 1.56-2.19), work experience >30 years (OR 2.21, 95%CI: 1.78-2.74), personal history of contact allergy (OR 1.79, 95%CI: 1.48-2.17), female sex (OR 1.87, 95%CI: 1.59-2.19), hand washing >8 times a day (OR 1.32, 95%CI: 1.03-1.69), daily contact ≥4 hours with protective gloves (OR 2.09, 95%CI: 1.64-2.67), and use >10 pairs of gloves per day (OR 1.51, 95%CI: 1.11-2.04).
Bulgarian dentists have a high prevalence of work-related skin symptoms. History of atopic dermatitis, prolonged work experience, and protective gloves use were the strongest risk factors.
由于职业接触刺激物和/或变应原，牙医患皮肤症状的风险较高。
评估保加利亚牙医中与工作相关的皮肤症状的现患率及其相关因素。
采用自报式问卷进行横断面研究。
共有 4675 名牙医填写了问卷（应答率为 48.1%）。自我报告的皮肤症状现患率为 31.6%。根据逻辑回归分析，与工作相关的皮肤症状显著相关的因素包括特应性皮炎个人史（比值比 [OR] 2.72，95%置信区间 [CI]：2.24-3.31）、变应性鼻结膜炎和/或哮喘（OR 1.85，95%CI：1.56-2.19）、工作经验>30 年（OR 2.21，95%CI：1.78-2.74）、接触过敏个人史（OR 1.79，95%CI：1.48-2.17）、女性（OR 1.87，95%CI：1.59-2.19）、每天洗手>8 次（OR 1.32，95%CI：1.03-1.69）、每天与防护手套接触≥4 小时（OR 2.09，95%CI：1.64-2.67）和每天使用>10 副手套（OR 1.51，95%CI：1.11-2.04）。
保加利亚牙医与工作相关的皮肤症状患病率较高。特应性皮炎史、工作经验延长和防护手套使用是最强的危险因素。
