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牙科医护人员职业性接触性皮炎的患病率:使用北欧职业性皮肤问卷-2002 的前瞻性横断面研究。

Prevalence of Occupational Contact Dermatitis Among Dental Personnel Using the Nordic Occupational Skin Questionnaire-2002: A Prospective Cross-Sectional Study.

机构信息

Department of Dermatology, Tel Aviv Sourasky Medical Center.

School of Medicine, Tel Aviv University.

出版信息

Workplace Health Saf. 2024 May;72(5):179-186. doi: 10.1177/21650799231221140. Epub 2024 Jan 19.

Abstract

BACKGROUND

Occupational skin disease (OSD), such as contact dermatitis, is widespread among dental professionals; however, reports regarding its prevalence have inconsistent findings and methodology. Therefore, we conducted a cross-sectional survey using a self-reported questionnaire to estimate the prevalence of work-related and occupational exposure-induced skin diseases.

METHODOLOGY

A self-administered questionnaire, based on the validated Nordic Occupational Skin Questionnaire-2002, was distributed to 15 dental clinics in Israel in the first half of 2022. The questionnaire included questions about the occupation, exposure, and history of atopic disease, dry skin, and hand/arm and wrist eczema, as well as participant demographics.

RESULTS

Overall, 312 dental professionals completed the questionnaires. Response rate was 80%. The lifetime prevalence of self-reported skin symptoms was 19.23%. Significant risk factors included exposure to metal objects, odds ratio (OR): 2.43, 95% confidence interval (CI): [1.02, 5.78];  < .05, dry skin (OR: 3.54, 95% CI: [1.93, 6.5];  < .001), itching when sweating (OR: 2.89, 95% CI: [1.39, 6];  < .05), contact urticaria (OR: 10.67, 95% CI: [4.46, 25.49];  < .001), hay fever (OR: 2.25, 95% CI: [1.14, 4.42];  < .05), allergic symptoms (OR; 2.33, 95% CI: [1.18, 4.58];  < .05), and asthma (OR: 4.8, 95% CI: [2.17, 10.36];  < .001).

CONCLUSIONS

This is the first study to use the NOSQ-2002 among dental professionals. Our study provides a better understanding of the prevalence and consequences of OSDs among dental personnel by utilizing the validated tool NOSQ-2002.

摘要

背景

职业性皮肤病(OSD),如接触性皮炎,在牙科专业人员中很常见;然而,有关其患病率的报告结果不一致,方法也不一致。因此,我们使用自我报告问卷进行了横断面调查,以估计与工作相关和职业性暴露引起的皮肤病的患病率。

方法

根据经过验证的北欧职业性皮肤病问卷-2002,在 2022 年上半年向以色列的 15 家牙科诊所分发了自我管理问卷。问卷包括关于职业、暴露和特应性疾病、皮肤干燥、手部/手臂和手腕湿疹的历史以及参与者人口统计学的问题。

结果

共有 312 名牙科专业人员完成了问卷。回复率为 80%。报告的终生皮肤症状患病率为 19.23%。显著的危险因素包括接触金属物体,比值比(OR):2.43,95%置信区间(CI):[1.02,5.78];<.05;皮肤干燥(OR:3.54,95%CI:[1.93,6.5];<.001),出汗时瘙痒(OR:2.89,95%CI:[1.39,6];<.05),接触性荨麻疹(OR:10.67,95%CI:[4.46,25.49];<.001),花粉热(OR:2.25,95%CI:[1.14,4.42];<.05),过敏症状(OR:2.33,95%CI:[1.18,4.58];<.05)和哮喘(OR:4.8,95%CI:[2.17,10.36];<.001)。

结论

这是第一项在牙科专业人员中使用 NOSQ-2002 的研究。我们的研究通过使用经过验证的 NOSQ-2002 工具,更好地了解了牙科人员中 OSD 的患病率和后果。

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