Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm) at the Osnabrück University, Osnabrück, Germany.
Department of Dermatology, Environmental Medicine and Health Theory, Osnabrück University, Osnabrück, Germany.
Contact Dermatitis. 2023 Oct;89(4):259-269. doi: 10.1111/cod.14400. Epub 2023 Aug 20.
Programmes for prevention of hand dermatoses in patients with work-related skin diseases (WRSD) are well established. Similar interventions for foot dermatoses (FD) are widely missing.
To evaluate the effectiveness of a programme for prevention of FD based on health education in patients with WRSD while investigating the impact and possible causative factors of FD.
In a prospective cohort study (OCCUPES), 231 patients with WRSD and FD participating in the programme were recruited. The skin was examined and questionnaires were completed, including assessment of footwear, FD severity, symptoms and health-related quality of life.
The baseline and some early results are presented. A work-related causation of FD was likely in 60 patients (26.0%) with irritant contact dermatitis being the most frequent diagnosis. Work-related FD were associated with male sex (p = 0.012), sweating in footwear (p = 0.004) and wearing of safety footwear (p = 0.013). FD were often long-lasting with a high degree of work-absenteeism, quality of life impairment, itch and pain, particularly in work-related FD.
Interventions are needed to reduce the burden of FD in patients with WRSD. The programme addresses current shortcomings in prevention of FD. A long-term evaluation of its effectiveness follows.
针对与工作相关的皮肤病（WRSD）患者手部皮肤病的预防计划已经成熟。而针对足部皮肤病（FD）的类似干预措施则广泛缺失。
评估基于健康教育的 WRSD 患者 FD 预防计划的有效性，同时调查 FD 的影响因素和可能的致病因素。
在一项前瞻性队列研究（OCCUPES）中，招募了 231 名患有 WRSD 和 FD 的患者参与该计划。对皮肤进行检查并完成问卷调查，包括对鞋类、FD 严重程度、症状和健康相关生活质量的评估。
呈现了基线和一些早期结果。60 名患者（26.0%）的 FD 可能与工作有关，其中刺激性接触性皮炎是最常见的诊断。工作相关 FD 与男性（p=0.012）、鞋内出汗（p=0.004）和穿安全鞋（p=0.013）有关。FD 往往持续时间长，工作缺勤率高，生活质量受损，瘙痒和疼痛明显，尤其是与工作相关的 FD。
需要采取干预措施来减轻 WRSD 患者 FD 的负担。该计划解决了 FD 预防的当前不足。随后将对其有效性进行长期评估。
