Tertiary prevention of occupational skin diseases: Prevalence of allergic contact dermatitis and pattern of patch test results.
Adult
Beauty Culture
Cohort Studies
Construction Industry
Dermatitis, Allergic Contact
/ epidemiology
Dermatitis, Occupational
/ epidemiology
Facial Dermatoses
/ epidemiology
Female
Gardening
Germany
/ epidemiology
Hand Dermatoses
/ epidemiology
Humans
Male
Metallurgy
Middle Aged
Paintings
Patch Tests
Prevalence
Retrospective Studies
Tertiary Prevention
Young Adult
contact allergy
contact dermatitis
hand eczema
occupational skin diseases
patch test
work-related
Journal
Contact dermatitis
ISSN: 1600-0536
Titre abrégé: Contact Dermatitis
Pays: England
ID NLM: 7604950
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
26
04
2018
revised:
11
07
2018
accepted:
16
07
2018
entrez:
4
12
2018
pubmed:
7
12
2018
medline:
7
5
2019
Statut:
ppublish
Résumé
Allergic contact dermatitis (ACD) is one of the most common occupational skin diseases (OSDs). Its prevalence and the causative allergens differ between occupations. To evaluate the prevalence of ACD and the pattern of patch test results of patients taking part in a tertiary individual prevention programme (TIP) for OSD in Germany. In a retrospective cohort study, the data of 3411 TIP patients patch tested between 2007 and 2016 were analysed. In 2687 (78.8%) patients, work-related skin disease was diagnosed, mostly hand dermatitis. The highest proportion of face dermatitis was seen in painters (8.1%). ACD was most common in painters (56.8%), hairdressers (45.8%), construction workers (31.5%), gardeners/florists (26.7%), and metalworkers (26.5%). On average, hairdressers had the youngest age (31.4 ± 12.6 years, P < 0.0001) and the shortest time in the profession prior to the TIP (mean 13.7 years). The pattern of patch test reactivity showed occupation-specific differences related to work exposures. Identification of occupational groups at risk for ACD and relevant allergens may help in the development and implementation of targeted prevention strategies. Our data suggest that there should be a particular focus on hairdressers and painters.
Sections du résumé
BACKGROUND
BACKGROUND
Allergic contact dermatitis (ACD) is one of the most common occupational skin diseases (OSDs). Its prevalence and the causative allergens differ between occupations.
OBJECTIVES
OBJECTIVE
To evaluate the prevalence of ACD and the pattern of patch test results of patients taking part in a tertiary individual prevention programme (TIP) for OSD in Germany.
PATIENTS AND METHODS
METHODS
In a retrospective cohort study, the data of 3411 TIP patients patch tested between 2007 and 2016 were analysed.
RESULTS
RESULTS
In 2687 (78.8%) patients, work-related skin disease was diagnosed, mostly hand dermatitis. The highest proportion of face dermatitis was seen in painters (8.1%). ACD was most common in painters (56.8%), hairdressers (45.8%), construction workers (31.5%), gardeners/florists (26.7%), and metalworkers (26.5%). On average, hairdressers had the youngest age (31.4 ± 12.6 years, P < 0.0001) and the shortest time in the profession prior to the TIP (mean 13.7 years). The pattern of patch test reactivity showed occupation-specific differences related to work exposures.
CONCLUSIONS
CONCLUSIONS
Identification of occupational groups at risk for ACD and relevant allergens may help in the development and implementation of targeted prevention strategies. Our data suggest that there should be a particular focus on hairdressers and painters.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
35-44Informations de copyright
© 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.