Department of Dermatology, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark.
Department of Occupational and Environmental Medicine, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark.
Contact Dermatitis. 2022 Feb;86(2):89-97. doi: 10.1111/cod.13990. Epub 2021 Oct 28.
Hand eczema (HE) is common in health care workers (HCWs). During the last decade, new recommendations have supported increased use of alcohol-based hand rub (ABHR) to partially replace hand washings to lower the prevalence of HE. However, newer data on this recommendation is lacking.
To assess current 1-year prevalence of HE in HCWs, to investigate exposure, and the extent of subjective discomfort to hand washings and ABHR.
A digital questionnaire was sent to 4876 HCWs from April to May 2020.
Of 2125 respondents (1779 women, 346 men), 14.7% reported HE within the last year. In total, 9.1% reported >20 hand washings per shift and 76.0% reported ABHR use >20 times per shift. HE was significantly associated with hand washings (adjusted odds ratio [OR] 1.73 [95% confidence interval [CI] 1.26-2.36]) and glove use on wet skin (adjusted OR 1.99 [95% CI 1.27-3.12]). Subjective discomfort to ABHR was reported significantly more often than to hand washings (P < .001) and significantly more often in HCWs with HE than in those without HE (P < .001).
The current 1-year HE prevalence in HCWs of 14.7% was lower than in previously reported Scandinavian data. HE was related to frequent hand washings, as previously reported, and to glove use on wet skin, which is a possible risk factor for HE that should be further explored.
手部湿疹（HE）在医护人员（HCWs）中很常见。在过去的十年中，新的建议支持增加使用酒精基洗手液（ABHR）来部分替代洗手，以降低 HE 的患病率。然而，关于这一建议的最新数据却很少。
评估 HCWs 中当前的 1 年手部湿疹患病率，调查接触情况，以及对手部清洗和 ABHR 的主观不适程度。
2020 年 4 月至 5 月，我们向 4876 名 HCWs 发送了一份数字问卷。
在 2125 名应答者中（1779 名女性，346 名男性），14.7%在过去一年中报告患有 HE。总共有 9.1%的人报告每班洗手超过 20 次，76.0%的人报告每班使用 ABHR 超过 20 次。HE 与洗手（调整后的优势比 [OR] 1.73 [95%置信区间 [CI] 1.26-2.36]）和湿皮肤使用手套（调整后的 OR 1.99 [95% CI 1.27-3.12]）显著相关。与手部清洗相比，ABHR 的主观不适报告频率明显更高（P<.001），且在患有 HE 的 HCWs 中明显高于未患有 HE 的 HCWs（P<.001）。
当前 HCWs 中 1 年 HE 患病率为 14.7%，低于之前报道的斯堪的纳维亚数据。HE 与之前报道的频繁洗手有关，也与湿皮肤使用手套有关，这是 HE 的一个可能的危险因素，需要进一步探讨。
