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手套诱发的手部皮炎:印度尼西亚新冠疫情期间医护人员的一项研究

Glove-Induced Hand Dermatitis: A Study in Healthcare Workers during COVID-19 Pandemic in Indonesia.

作者信息

Prakoeswa Cita Rosita Sigit, Anggraeni Sylvia, Umborowati Menul Ayu, Waskito Fajar, Indrastuti Niken, Febriana Sri Awalia, Sari Agnes Rosarina Prita, Nababan Kristo Alberto, Hazlianda Cut Putri, Budianti Windy Keumala, Pangastuti Miranti, Ilyas Faridha, Kartini Agnes, Rusetiyanti Nurwestu, Anggraini Ika, Idrus Idrianti, Brahmanti Herwinda, Akhyar Gardenia

机构信息

Department of Dermatology and Venereology, Faculty of Medicine Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.

Department of Dermatology and Venereology, Dr. Sardjito General Hospital, Yogyakarta, Indonesia.

出版信息

Dermatol Res Pract. 2023 Aug 2;2023:6600382. doi: 10.1155/2023/6600382. eCollection 2023.

Abstract

Skin damage among healthcare workers has been reported by many centers around the world. Occupational hand dermatitis is one of the most commonly known occupational skin diseases and a socially significant health issue. The use of gloves is one of the risk factors for the occurrence and/or aggravation of hand dermatitis. This cross-sectional study involved healthcare workers in 14 referral hospitals for COVID-19 throughout Indonesia. Questionnaires were distributed to the participants, which consisted of the subject's characteristics, glove-related skin problems, history of glove use, and clinical history. This study involved a total of 845 healthcare workers. Approximately 156 healthcare workers (18.46%) had glove-induced hand dermatitis during the pandemic. Itchy skin was the most common symptom (44.23%), and the palm was the most frequently complained area (48.72%). There was a significant association between glove use and glove-induced hand dermatitis among healthcare workers. In particular, equal to or more than 2 hours per day of glove use was significantly associated with hand dermatitis. Glove-induced hand dermatitis also had a significant association with the subject's history of atopic dermatitis and previous history of hand dermatitis. The use of gloves by healthcare workers should be considered carefully, especially in individuals at increased risk, including those who use gloves for 2 hours or more per day and those who have a history of atopic or hand dermatitis, in order to prevent the incidence of glove-induced hand dermatitis among healthcare workers, as well as to provide a safe working environment.

摘要

世界各地的许多中心都报告了医护人员的皮肤损伤情况。职业性手部皮炎是最常见的职业性皮肤病之一,也是一个具有社会意义的健康问题。使用手套是手部皮炎发生和/或加重的风险因素之一。这项横断面研究涉及印度尼西亚各地14家新冠肺炎转诊医院的医护人员。向参与者发放了问卷,内容包括受试者的特征、与手套相关的皮肤问题、手套使用史和临床病史。这项研究共涉及845名医护人员。在疫情期间,约156名医护人员(18.46%)患有手套引起的手部皮炎。皮肤瘙痒是最常见的症状(44.23%),手掌是最常出现症状的部位(48.72%)。医护人员中手套使用与手套引起的手部皮炎之间存在显著关联。特别是,每天使用手套等于或超过2小时与手部皮炎显著相关。手套引起的手部皮炎也与受试者的特应性皮炎病史和既往手部皮炎病史存在显著关联。应谨慎考虑医护人员使用手套的情况,特别是对于风险增加的个体,包括那些每天使用手套2小时或更长时间以及有特应性或手部皮炎病史的个体,以预防医护人员中手套引起的手部皮炎的发生,并提供一个安全的工作环境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93ab/10412120/21cc08decd34/DRP2023-6600382.001.jpg

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