Prevalence of work-related skin symptoms and associated factors among tertiary hospital workers exposed to cleaning agents in Southern Africa.
Prevalence of work-related skin symptoms and associated factors among tertiary hospital workers exposed to cleaning agents in Southern Africa.
复制标题
南部非洲接触清洁剂的三级医院工作人员中与工作相关的皮肤症状的患病率及相关因素。
DOI：
10.1111/cod.14374
复制
发表时间：
2023
影响因子：
5.5
通讯作者：
Jeebhay,MohamedF
中科院分区：
文献类型：
--
作者：
Sonday,Zahida;Baatjies,Roslynn;Mwanga,HusseinH;Jeebhay,MohamedF
卫生工作者接触清洁产品与职业性接触性皮炎有关，但这些结果的预测因素的信息是有限的。目的本研究调查了工作相关皮肤症状（WRSS）的患病率和相关因素的工作人员暴露于清洁剂在两个南部非洲三级医院。MethodsA横断面研究的697工作人员使用了一个采访者管理的问卷和评估特应性结果HWs的中位年龄为42岁，77.0%为女性，42.5%为特应性。过去12个月WRSS的患病率为14.8%，12.3%有可能的接触性皮炎（PCD），3.2%有可能的接触性荨麻疹（PCU）。技术人员（ORadj3.91）和涉及皮肤伤口清洁和消毒的任务（ORadj1.98）在过去一年中与WRSS相关。与PCD相关的因素包括手术工具灭菌、手术前皮肤消毒和伤口粘合剂的使用。与PCU相关的因素包括使用福尔马林制备标本、医疗器械灭菌任务以及皮肤/伤口清洁和消毒。适当的手套使用时，进行患者的皮肤/伤口护理是保护WRSS.ConclusionsTasks，涉及清洁和消毒患者的皮肤和伤口与WRSS在HWS，特别是当没有手套进行。
IntroductionWorking with cleaning products is associated with occupational contact dermatitis in health workers (HWs), but information on predictors for these outcomes is limited.ObjectivesThis study investigated the prevalence of work‐related skin symptoms (WRSS) and associated factors in HWs exposed to cleaning agents in two Southern African tertiary hospitals.MethodsA cross‐sectional study of 697 HWs used an interviewer‐administered questionnaire and assessed for atopy using Phadiatop.ResultsHWs' median age was 42 years, 77.0% were female and 42.5% were atopic. The prevalence of WRSS in the last 12 months was 14.8%, 12.3% had probable contact dermatitis (PCD) and 3.2% had probable contact urticaria (PCU). Technicians (ORadj3.91) and tasks involving cleaning and disinfection of skin wounds (ORadj1.98) were associated with WRSS in the past year. Factors associated with PCD included sterilizing instruments, disinfecting skin before procedures and use of wound adhesives. Factors associated with PCU included specimen preparation using formalin, medical instrument sterilization tasks, and skin/wound cleaning and disinfection. Appropriate glove use when performing patients' skin/wound care was protective against WRSS.ConclusionsTasks involving cleaning and disinfecting patients' skin and wounds were associated with WRSS in HWs, especially when performed without gloves.