Screening for hand dermatitis in healthcare workers: Comparing workplace screening with dermatologist photo screening.
Adolescent
Adult
Cross-Sectional Studies
Dermatitis, Occupational
/ diagnosis
Dermatologists
Female
Hand Dermatoses
/ diagnosis
Health Personnel
Humans
Male
Mass Screening
/ methods
Middle Aged
Photography
Reproducibility of Results
Sensitivity and Specificity
Severity of Illness Index
Workplace
Young Adult
acute healthcare sector
hand dermatitis
healthcare workers
occupational contact dermatitis
occupational disease
prevention, RRID:SCR_001905
wet work
workplace screening
Journal
Contact dermatitis
ISSN: 1600-0536
Titre abrégé: Contact Dermatitis
Pays: England
ID NLM: 7604950
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
25
09
2018
revised:
31
12
2018
accepted:
21
01
2019
pubmed:
27
1
2019
medline:
4
12
2019
entrez:
26
1
2019
Statut:
ppublish
Résumé
Healthcare workers are at increased risk for occupational contact dermatitis, owing to wet work exposure. Early detection and management improves outcomes. Although several diagnostic tools are available, none is appropriate for rapid screening. To assess the validity and feasibility of the Hand Dermatitis Screening Tool in the acute healthcare sector. Screening of 508 employees at three hospitals in Ontario, Canada was performed with the Hand Dermatitis Screening Tool either by an occupational health nurse (N = 225) or by self-administration (N = 283). Two occupational dermatologists rated photographs of participants' hands. Of the participants, 30.5% screened positive for hand dermatitis. A positive screen was associated with wet work, history of eczema, dermatitis, or other rash, and currently having a rash. Ninety-four per cent of participants reported that using the tool took <2 minutes, 99% indicated that the tool was easy to use, and 86% stated that workplace screening was very important. Workplace and dermatologist photo screening showed fair agreement. The prevalence of hand dermatitis and identified risk factors were consistent with the literature. These findings, along with positive feasibility results, support further testing of the tool despite only fair agreement between workplace and dermatologist screening.
Sections du résumé
BACKGROUND
BACKGROUND
Healthcare workers are at increased risk for occupational contact dermatitis, owing to wet work exposure. Early detection and management improves outcomes. Although several diagnostic tools are available, none is appropriate for rapid screening.
OBJECTIVES
OBJECTIVE
To assess the validity and feasibility of the Hand Dermatitis Screening Tool in the acute healthcare sector.
METHODS
METHODS
Screening of 508 employees at three hospitals in Ontario, Canada was performed with the Hand Dermatitis Screening Tool either by an occupational health nurse (N = 225) or by self-administration (N = 283). Two occupational dermatologists rated photographs of participants' hands.
RESULTS
RESULTS
Of the participants, 30.5% screened positive for hand dermatitis. A positive screen was associated with wet work, history of eczema, dermatitis, or other rash, and currently having a rash. Ninety-four per cent of participants reported that using the tool took <2 minutes, 99% indicated that the tool was easy to use, and 86% stated that workplace screening was very important. Workplace and dermatologist photo screening showed fair agreement.
CONCLUSIONS
CONCLUSIONS
The prevalence of hand dermatitis and identified risk factors were consistent with the literature. These findings, along with positive feasibility results, support further testing of the tool despite only fair agreement between workplace and dermatologist screening.
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
374-381Subventions
Organisme : Ontario Ministry of Labour
ID : 13-R-042
Informations de copyright
© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.