Occupational-Related Contact Dermatitis: Prevalence and Risk Factors Among Healthcare Workers in the Al'Qassim Region, Saudi Arabia During the COVID-19 Pandemic.
Occupational-Related Contact Dermatitis: Prevalence and Risk Factors Among Healthcare Workers in the Al'Qassim Region, Saudi Arabia During the COVID-19 Pandemic.
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DOI：
10.7759/cureus.10975
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发表时间：
2020-10-15
期刊：
影响因子：
--
通讯作者：
Abu Hashem IA
中科院分区：
文献类型：
--
作者：
Alluhayyan OB;Alshahri BK;Farhat AM;Alsugair S;Siddiqui JJ;Alghabawy K;AlQefari GB;Alolayan WO;Abu Hashem IA
目的本研究旨在评估和调查COVID-19大流行期间沙特阿拉伯Al'Qassim地区医护人员接触性皮炎的患病率和相关危险因素。方法我们进行了一项横断面调查，在Al'Qassim地区的医院的医护人员。数据收集使用标准化和验证北欧职业皮肤问卷2002年版。我们在分析中纳入了408名参与者。结果调查对象以女性为主（66.7%）。参与者的平均年龄为34岁（SD：±9）。报告接触性皮炎的大多数参与者是护士（58.6%）。直接的病人护理角色占参与者的78%。每周工作40-50小时的受访者占样本的61.5%。最常见的症状是皮肤干燥（92.9%）、瘙痒（50%）和发红（46.4%）。以手最多，占93.5%。洗手液是最常见的物质涉及的皮肤变化的恶化（59.2%）。预防接触性皮炎的防护手套材料，如天然橡胶/乳胶，占76%的反应。在有过敏性眼部症状史的患者（33.3%）和无过敏性眼部症状史的患者（58%）中，接触性皮炎的发生率存在显著相关性（p=0.001）。平均年龄为26.47岁的参与者更容易发生接触性皮炎（CI：1.19-7.06; p=0.067）。药剂师和实习生患接触性皮炎的几率分别高出3.69和4.90倍（CI：0.95-7.33; CI：22.1; p=0.027; p=0.038）。在工作中参与患者教育和研究活动的人发生接触性皮炎的可能性分别为6.48（p=0.017）和20.51（p=0.024）倍（CI：1.38-30.31; CI：1.49-282.15）。结论我们探讨了沙特阿拉伯医护人员职业性接触性皮炎的患病率和危险因素。报告的大流行期间皮肤变化的患病率为46.4%。我们的研究还表明，发生接触性皮炎的危险因素包括女性性别，眼部过敏史和年轻年龄组。
Objective This study aimed to estimate and investigate the prevalence and the risk factors implicated in contact dermatitis among healthcare workers in the Al'Qassim region, Saudi Arabia, during the COVID-19 pandemic. Methodology We conducted a cross-sectional survey among healthcare workers at hospitals in the Al'Qassim region. Data was collected using a standardized and validated Nordic Occupational Skin Questionnaire version 2002. We included 408 participants in the analysis. Results The majority of the respondents (66.7%) were females. The mean age of participants was 34 (SD: ±9) years. Most of the participants who reported contact dermatitis were nurses (58.6%). Direct patient care roles represent 78% of participants. Respondents who work 40-50 hours per week represent 61.5% of the sample. The most commonly recorded symptoms were dryness (92.9%), itchiness (50%), and redness (46.4%) of the skin. The most affected site was hand 93.5%. Hand cleanser was the commonest substance implicated in the worsening of the skin changes (59.2%). Protective glove material that worsens contact dermatitis, such as natural rubber/latex, represents 76% of responses. A significant association (p=0.001)was seen in the occurrence of contact dermatitis in those with a history of allergic eye symptoms (33.3%) and those without (58%). Participants with a mean age of 26.47 years were more prone to develop contact dermatitis (CI: 1.19-7.06; p=0.067). Pharmacists and interns had 3.69 and 4.90 times higher odds of having contact dermatitis (CI: 0.95-7.33; CI: 22.1; p=0.027; p=0.038, respectively). Those involved in patient education and research activities at work were 6.48 (p=0.017) and 20.51 (p=0.024) times likely to develop contact dermatitis (CI: 1.38-30.31; CI: 1.49-282.15, respectively). Conclusions We explored the prevalence and risk factors for occupational contact dermatitis among healthcare workers in Saudi Arabia. The prevalence of reported skin changes during the pandemic was 46.4%. Our study also showed that the risk factors of developing contact dermatitis include female gender, history of eye allergies, and young age group.
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