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Evidence‐based training as primary prevention of hand eczema in a population of hospital cleaning workers
Author(s) -
Clemmensen Kim K. B.,
Randbøll Ingelise,
Ryborg Malene F.,
Ebbehøj Niels E.,
Agner Tove
Publication year - 2015
Publication title -
contact dermatitis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.524
H-Index - 96
eISSN - 1600-0536
pISSN - 0105-1873
DOI - 10.1111/cod.12304
Subject(s) - medicine , hand eczema , population , occupational exposure , primary prevention , contact dermatitis , dermatology , family medicine , environmental health , allergy , immunology , disease
Summary Background Skin disorders accounted for one third of all recognised occupational diseases in D enmark in 2010. Wet work is a risk factor for the development of occupational hand eczema. The consequences of occupational hand eczema include sick leave, loss of job and impaired quality of life. Objectives The aim of the present study was to investigate exposures related to cleaning and the effect of an evidence‐based educational intervention on the prevention of hand eczema among hospital cleaners. Patients/Materials/Methods The intervention consisted of a 1 hr course in hand protective behaviour. All full‐time cleaners working at B ispebjerg H ospital in J anuary 2013 were invited to participate. The outcome measures were self‐reported skin behaviour, exposures, knowledge of skin protection and hand eczema severity index ( HECSI ). Results One hundred and five cleaners were invited to participate, of these 86 (82%) were included. At follow‐up after 3 months there was a shift towards fewer daily hand washings and hand disinfections ( p  < 0.001 and p  = 0.001 respectively). The number of correct answers to the knowledge questions rose from 6.3 to 7.3 ( p  = 0.006). The mean HECSI score decreased from 2.8 to 1.8 at follow‐up ( p  = 0.002). Conclusions Data indicates a positive effect of a low‐cost on‐site educational intervention for hospital cleaners.

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