Huang Danqi, Tang Zengqi, Qiu Xiaonan, Liu Xiuting, Guo Zhixuan, Yang Bin, Guo Qing, Xiong Hui
Department of Dermatology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Department of Dermatology, Dermatology Hospital of Southern Medical University, Southern Medical University, Guangzhou, China.
Ann Transl Med. 2020 Dec;8(24):1664. doi: 10.21037/atm-20-7652.
Healthcare workers are at high risk of developing hand eczema. This study aimed to investigate the association between occupational hygiene and self-reported hand eczema among nurses and doctors in Guangzhou.
A cross-sectional study using a self-administrated questionnaire sent to 740 health care workers in two tertiary hospitals between 1 April and 1 July 2019 was conducted.
In total, 521 healthcare workers responded (70.4%). The prevalence of self-reported hand eczema was 9.6% [95% confidence interval (CI): 7.1-12.1%], with 10.8% in nurses and 6.9% in doctors. According to multivariable logistic regression analysis, the prevalence was higher in those who were excessively exposed to hair dye (OR: 3.871, 95% CI: 1.106-13.549) and those having a history of food allergy were at 3.013 (95% CI: 1.314-6.907) times greater risk of having hand eczema than those who did not. The odds of having hand eczema were 4.863 (95% CI: 1.037-22.803) times greater in those who hand washed more than 50 times daily in comparison to those who washed hands less than 10 times per day. The symptoms of hand eczema were mild during the investigation period.
Hand eczema is common among healthcare workers in Guangzhou. The prevention of hand eczema by educational programs is needed for Chinese healthcare workers.
医护人员患手部湿疹的风险很高。本研究旨在调查广州护士和医生的职业卫生与自我报告的手部湿疹之间的关联。
于2019年4月1日至7月1日对两家三级医院的740名医护人员进行了一项横断面研究，采用自行填写的问卷。
共有521名医护人员做出回应（70.4%）。自我报告的手部湿疹患病率为9.6%[95%置信区间（CI）：7.1 - 12.1%]，护士为10.8%，医生为6.9%。根据多变量逻辑回归分析，过度接触染发剂的人患病率较高（比值比：3.871，95%CI：1.106 - 13.549），有食物过敏史的人患手部湿疹的风险是无食物过敏史者的3.013倍（95%CI：1.314 - 6.907）。与每天洗手少于10次的人相比，每天洗手超过50次的人患手部湿疹的几率高4.863倍（95%CI：1.037 - 22.803）。在调查期间，手部湿疹症状较轻。
手部湿疹在广州的医护人员中很常见。中国医护人员需要通过教育项目来预防手部湿疹。
