Occupational Dermatitis in Health Care Workers Evaluated for Suspected Allergic Contact Dermatitis
Occupational Dermatitis in Health Care Workers Evaluated for Suspected Allergic Contact Dermatitis
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DOI：
10.1097/der.0000000000000124
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发表时间：
2015-07-01
期刊：
影响因子：
5.2
通讯作者：
Belsito, Donald V.
中科院分区：
文献类型：
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作者：
Kadivar, Salmon;Belsito, Donald V.
背景接触性皮炎在医护人员中常见目的比较医护人员与非医护人员皮肤病的特应性状态、发病率、部位和最终诊断。在被诊断为ACD的人群中，比较HCWs与NHCWs中过敏原的发生率和职业相关性。方法1994年7月1日至2014年5月30日，2611例患者接受了资深作者的斑贴试验。其中，165人根据其主要职业被归类为医务工作者。结果卫生保健工作者比非卫生保健工作者更可能是女性，更有可能患手部皮炎。女性，而不是男性，HCW遭受更多的刺激性接触性皮炎。卫生保健工作者有显着更多的工作相关的ACD，特别是甲醛，季戊四醇-15，2-溴-2-硝基丙烷-1，3-二醇，椰油酰胺二乙醇胺（DEA），秋兰姆混合物，卡巴混合物，硫柳汞，苯扎氯铵，戊二醛，和bacitracin.Limitations只有怀疑患有ACD的患者进行了测试。我们的人口在地理上仅限于大都市堪萨斯城，密苏里州和大都市纽约，NY.Conclusions卫生保健工作者遭受更多的职业ACD，特别是手，比NHCWs，包括过敏原不存在可用的标准过敏原系列。
Background Contact dermatitides occur commonly among health care workers (HCWs).Objective To contrast the atopic status and incidence, location, and final diagnosis of skin diseases afflicting HCWs versus non-HCWs (NHCWs) evaluated for suspicion of allergic contact dermatitis (ACD); and among the population diagnosed with ACD, to compare the incidence and occupational relatedness of allergens found in HCWs with the rates observed in NHCWs.Methods Between July 1, 1994, and May 30, 2014, 2611 patients underwent patch testing by the senior author. Of these, 165 were classified as HCWs based on their primary occupation. Statistical analysis was done using a (2) test.Results Health care workers were more likely than NHCWs to be women and to have hand dermatitis. Women, but not men, HCWs suffered more irritant contact dermatitis. Health care workers had significantly more work-related ACD, especially to formaldehyde, quaternium-15, 2-bromo-2-nitropropane-1,3-diol, cocamide diethanolamine (DEA), thiuram mix, carba mix, thimerosal, benzalkonium chloride, glutaraldehyde, and bacitracin.Limitations Only patients suspected of having ACD were tested. Our population was geographically limited to metropolitan Kansas City, MO and metropolitan New York, NY.Conclusions Health care workers suffer more from occupational ACD, especially of the hands, than do NHCWs, including to allergens not present on available standard allergen series.