Department of Dermatology and Allergy, Copenhagen University Hospital, Herlev and Gentofte, Hellerup, Denmark.
Contact Dermatitis. 2021 Mar;84(3):144-152. doi: 10.1111/cod.13727. Epub 2020 Nov 5.
During the first wave of the COVID-19 pandemic of Spring 2020, Denmark was one of the first countries to introduce lockdown measures, including closing of all daycare centers. Following the reopening of daycare centers, Danish Health Authorities implemented a mandatory intensive hand hygiene regimen.
To examine the occurrence and point prevalence of hand eczema as a consequence of more intensive hand hygiene among Danish children attending daycare.
The heads of 1667 daycare centers in Denmark were contacted and asked to forward a link to a questionnaire to parents of the children attending the daycare center.
Among 6858 children, 12.1% had hand eczema before reopening of daycare centers, whereas 38.3% reported hand eczema after the children returned to daycare. Of the children who never had hand eczema, 28.6% developed hand eczema after returning to daycare. The risk of hand eczema was significantly associated with atopic dermatitis, female gender, higher age, and frequency of handwashing.
Following the implemented hygiene regimen, a high proportion of young children rapidly developed hand eczema. Well-established prophylactic skin care might have spared a proportion of the children from developing hand eczema.
在 2020 年春季 COVID-19 大流行的第一波期间，丹麦是最早实施封锁措施的国家之一，包括关闭所有日托中心。在日托中心重新开放后，丹麦卫生当局实施了强制性的集中手部卫生方案。
调查由于丹麦日托儿童更密集的手部卫生而导致手部湿疹的发生和现患率。
联系了丹麦 1667 家日托中心的负责人，并要求他们向日托中心的儿童家长转发一份调查问卷的链接。
在 6858 名儿童中，有 12.1%的儿童在日托中心重新开放前患有手部湿疹，而有 38.3%的儿童在返回日托中心后报告患有手部湿疹。从未患有手部湿疹的儿童中，有 28.6%在返回日托中心后出现手部湿疹。手部湿疹的风险与特应性皮炎、女性性别、较高年龄和洗手频率显著相关。
在实施卫生方案后，相当一部分幼儿迅速出现手部湿疹。既定的预防性皮肤护理可能使一部分儿童免于发生手部湿疹。
