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How to Manage Hand Eczema in a Wet Work Setting

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Book cover Textbook of Hand Eczema

Abstract

Studies from several countries indicate that preventive interventions for hand eczema (HE) in different settings and wet-work professions have proven to be significantly effective. In this context, early dermatological intervention, as well as specific education programs for primary prevention and for affected individuals (secondary and tertiary prevention), has been demonstrated as mandatory. Further improvement of education programs and multidisciplinary approaches is a challenge for the future.

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References

  1. Agner T, Held E. Skin protection programs. Contact Dermatitis. 2002;47:253–6.

    Article  PubMed  Google Scholar 

  2. Brown T. Strategies for prevention: occupational contact dermatitis. Occup Med (Lond). 2004;54:450–7.

    Article  CAS  Google Scholar 

  3. Moberg C, Alderling M, Meding B. Hand eczema and quality of life: a population-based study. Br J Dermatol. 2009;161:397–403.

    Article  CAS  PubMed  Google Scholar 

  4. Skudlik C, Wulfhorst B, Gediga G, Bock M, Allmers H, John SM. Tertiary individual prevention of occupational skin diseases: a decade’s experience with recalcitrant occupational dermatitis. Int Arch Occup Environ Health. 2008;81:1059–64.

    Article  CAS  PubMed  Google Scholar 

  5. Diepgen TL, Andersen KE, Brandao FM, Bruze M, Bruynzeel DP, Frosch P, et al. Hand eczema classification: a cross-sectional, multicentre study of the aetiology and morphology of hand eczema. Br J Dermatol. 2009;160:353–8.

    Article  CAS  PubMed  Google Scholar 

  6. De Craecker W, Roskams N, Op de Beek R (European Agency for Safety and Health at Work). Occupational skin diseases and dermal exposure in the European Union (EU-25): policy and practice overview. Belgium: European Risk Observatory Report; 2008. Available from: http://osha.europa.eu/en/publications/reports/TE7007049ENC_skin_diseases (March 2013)

  7. Wulfhorst B, Bock M, Skudlik C, Wigger-Alberti W, John SM. Prevention of hand eczema: gloves, barrier creams and workers’ education. In: Johansen JD, Frosch PJ, Lepoittevin J-P, editors. Contact dermatitis. Berlin/Heidelberg: Springer; 2011. p. 985–1011.

    Chapter  Google Scholar 

  8. European Agency for Safety and Health at Work. European Risk Observatory Report EN8; 2009. http://osha.europa.eu/en/publications/reports/TE3008390ENC_chemical_risks

  9. National Occupational Research Agenda. Developing dermal policy based on laboratory and field studies. A new National institute for occupational safety and health (NIOSH) research program in response to the National occupational research agenda (NORA). DHHS (NIOSH) Publication No. 2000–142. [www.cdc.gov/niosh/topics/skin/pdfs/NORADermal-2.pdf. Accessed 10 Aug 2009].

  10. Deutsche Gesetzliche Unfallversicherung (DGUV) 2013. Available from: http://www.dguv.de

  11. Smedley J, Williams S, Peel P, Pederssen K. Management of occupational dermatitis in healthcare workers: a systematic review. Occup Environ Med. 2012;69:276–9.

    Article  CAS  PubMed  Google Scholar 

  12. English J, Aldrigde R, Gawkrodger DJ, Kownacki S, Statham B, White JML, et al. Consensus statement on the management of chronic hand eczema. Clin Exp Dermatol. 2009;34:761–9.

    Article  CAS  PubMed  Google Scholar 

  13. Nicholson PJ, Llewellyn D, English JS. Evidence-based guidelines for the prevention, identification and management of occupational contact dermatitis and urticaria. Contact Dermatitis. 2010;63:177–86.

    Article  PubMed  Google Scholar 

  14. Held E, Mygind K, Wolff C, Gyntelberg F, Agner T. Prevention of work related skin problems: an intervention study in wet work employees. Occup Environ Med. 2002;59:556–61.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  15. Flyvholm MA, Lindberg M. OEESC-2005 – summing up on the theme irritants and wet work. Contact Dermatitis. 2006;55:317–21.

    Article  PubMed  Google Scholar 

  16. TRGS 401 Gefährdung durch Hautkontakt Ermittlung – Beurteilung – Massnahmen Ausgabe: Juni 2008 zuletzt berichtigt GMBl. 2011 S. 172–175 (Nr. 9) [Joint Ministerial Gazette of the Federal Government Commissioner for Culture and Media, the Federal Ministry of Labour and Social Affairs, the Foreign Office, the Federal Ministry of the Interior, the Ministry of Finance, the Federal Ministry of Economics and Technology, the Federal Ministry of Food, Agriculture and Consumer Protection of the Federal Ministry for Family Affairs, Senior Citizens, Women and Youth, the Federal Ministry of Health, the Ministry of Transport, Building and Urban Development, the Federal Ministry for Environment, Nature Conservation and Nuclear Safety, the Federal Ministry of Education and Research, the Federal Ministry for Economic Cooperation and Development].

    Google Scholar 

  17. Wetzky U, Bock M, Wulfhorst B, John SM. Short- and long-term effects of single and repetitive glove occlusion on the epidermal barrier. Arch Dermatol Res. 2009;301:595–602.

    Article  PubMed  Google Scholar 

  18. Skudlik C, Weisshaar E, Scheidt R, Elsner P, Wulfhorst B, Schoenfeld M, et al. First results from the multicentre study “Rehabilitation of Occupational Skin Diseases – Optimisation and Quality Assurance of Inpatient Management (ROQ)”. Contact Dermatitis. 2012;66:140–7.

    Article  PubMed  Google Scholar 

  19. Held E, Wolff C, Gyntelberg F, Agner T. Prevention of work-related skin problems in student auxiliary nurses: an intervention study. Contact Dermatitis. 2001;44:297–303.

    Article  CAS  PubMed  Google Scholar 

  20. Allmers H, Schmengler J, John SM. Decreasing incidence of occupational contact urticaria caused by natural rubber latex allergy in German healthcare workers. J Allergy Clin Immunol. 2004;114:347–51.

    Article  PubMed  Google Scholar 

  21. Schwanitz HJ, Riehl U, Schlesinger T, Bock M, Skudlik C, Wulfhorst B. Skin care management: educational aspects. Int Arch Occup Environ Health. 2003;76:374–81.

    Article  PubMed  Google Scholar 

  22. Löffler H, Bruckner T, Diepgen TL, Effendy I. Primary prevention in health care employees: a prospective intervention study with a 3-year training period. Contact Dermatitis. 2006;54:202–9.

    Article  PubMed  Google Scholar 

  23. Mygind K, Borg V, Flyvholm MA, Sell L, Jepsen KF. A study of the implementation process of an intervention to prevent work-related skin problems in wet-work occupations. Int Arch Occup Environ Health. 2006;79:66–74.

    Article  PubMed  Google Scholar 

  24. Schurer NY, Klippel U, Schwanitz HJ. Secondary individual prevention of hand dermatitis in geriatric nurses. Int Arch Occup Environ Health. 2005;78:149–57.

    Article  PubMed  Google Scholar 

  25. Held E, Agner T. The Danish experience: prevention of skin problems in wet work employees. In: Frosch PJ, Menné T, Lepoittevin J-P, editors. Contact dermatitis. Berlin/Heidelberg: Springer; 2006. p. 864–7.

    Google Scholar 

  26. Brown TP, Rushton L, Williams HC, English JS. Intervention implementation research: an exploratory study of reduction strategies for occupational contact dermatitis in the printing industry. Contact Dermatitis. 2007;56:16–20.

    Article  PubMed  Google Scholar 

  27. Bauer A, Kelterer D, Bartsch R, Stadeler M, Elsner P. Skin protection in the food industry. Curr Probl Dermatol. 2007;34:138–50.

    Article  CAS  PubMed  Google Scholar 

  28. Kaatz M, Ladermann R, Stadeler M, Fluhr JW, Elsner P, Bauer A. Recruitment strategies for a hand dermatitis prevention program in the food industry. Contact Dermatitis. 2008;59:165–70.

    Article  PubMed  Google Scholar 

  29. Weisshaar E, Radulescu M, Soder S, Apfelbacher CJ, Bock M, Grundmann JU, et al. Secondary individual prevention of occupational skin diseases in health care workers, cleaners and kitchen employees: aims, experiences and descriptive results. Int Arch Occup Environ Health. 2007;80:477–84.

    Article  PubMed  Google Scholar 

  30. Weisshaar E, Skudlik C, Scheidt R, Matterne U, Wulfhorst B, Schönfeld M, et al. Multicentre study “Rehabilitation of Occupational Skin Diseases – Optimisation and Quality Assurance of Inpatient Management (ROQ)” – results from 12-months follow-up. Contact Dermatitis. 2013;68:169–74.

    Article  PubMed  Google Scholar 

  31. Skudlik C, Dulon M, Wendeler D, John SM, Nienhaus A. Hand eczema in geriatric nurses in Germany – prevalence and risk factors. Contact Dermatitis. 2009;60:136–43.

    Article  PubMed  Google Scholar 

  32. Kütting B, Weistenhöfer W, Baumeister T, Uter W, Drexler H. Current acceptance and implementation of preventive strategies for occupational hand eczema in 1355 metalworkers in Germany. Br J Dermatol. 2009;161:390–6.

    Article  PubMed  Google Scholar 

  33. Attwa E, el-Laithy N. Contact dermatitis in car repair workers. J Eur Acad Dermatol Venereol. 2009;23:138–45.

    Article  CAS  PubMed  Google Scholar 

  34. Winker R, Salameh B, Stolkovich S, Nikl M, Barth A, Ponocny E, et al. Effectiveness of skin protection creams in the prevention of occupational dermatitis: results of a randomized, controlled trial. Int Arch Occup Environ Health. 2009;82:653–62.

    Article  CAS  PubMed  Google Scholar 

  35. van Gils RF, Boot CL, van Gils PF, Bruynzeel D, Coenraads PJ, van Mechelen W, et al. Effectiveness of prevention programs for hand dermatitis: a systematic review of the literature. Contact Dermatitis. 2011;64:63–72.

    Article  PubMed  Google Scholar 

  36. Ibler KI, Agner T, Hansen JL, Gluud C. The hand eczema trial (HET): design of a randomised clinical trial of the effect of classification and individual counselling versus no intervention among health-care workers with hand eczema. BMC Dermatol. 2010;10:1–10.

    Article  Google Scholar 

  37. English JS. Current concepts of irritant contact dermatitis. Occup Environ Med. 2004;61:722–6.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  38. Bourke J, Coulson I, English J. Guidelines for the management of contact dermatitis: an update. Br J Dermatol. 2009;160:946–54.

    Article  CAS  PubMed  Google Scholar 

  39. Harris M, Smith BJ, Veale A. Patient education programs – can they improve outcomes in COPD? Int J Chron Obstruct Pulmon Dis. 2008;3:109–12.

    PubMed Central  PubMed  Google Scholar 

  40. Uter W, Geier J, Lessmann H, Schnuch A. Is contact allergy to glyceryl monothioglycolate still a problem in Germany? Contact Dermatitis. 2006;55:54–6.

    Article  PubMed  Google Scholar 

  41. de Jongh CM, John SM, Bruynzeel DP, Calkoen F, van Dijk FJH, Khrenova L, et al. Cytokine gene polymorphisms and susceptibility to chronic irritant contact dermatitis. Contact Dermatitis. 2008;58:269–77.

    Article  PubMed  Google Scholar 

  42. Li H, Dai Y, Huang H, Li L, Leng S, Cheng J, et al. HLA-B*1301 as a biomarker for genetic susceptibility to hypersensitivity dermatitis induced by trichloroethylene among workers in China. Environ Health Perspect. 2007;115:1553–6.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  43. John SM. Occupational skin diseases: options for multidisciplinary networking in preventive medicine. GMS Ger Med Sci. 2008;6:Doc07. Available from: www.egms.de/en/gms/2008-6/000052.shtml

  44. Skudlik C, Breuer K, Junger M, Allmers H, Brandenburg S, John SM. Optimal care of patients with occupational hand dermatitis: considerations of German occupational health insurance. Hautarzt. 2008;59:690–5.

    Article  CAS  PubMed  Google Scholar 

  45. Slodownik D, Lee A, Nixon R. Irritant contact dermatitis: a review. Australas J Dermatol. 2008;49:1–11.

    Article  PubMed  Google Scholar 

  46. Kuss O, Schmidt A, Diepgen TL. Impact of preventive strategies on trend of occupational skin disease in hairdressers: population based register study. BMJ. 2002;324:1422–3.

    Article  PubMed Central  PubMed  Google Scholar 

  47. Nienhaus A, Rojahn K, Skudlik C, Wulfhorst B, Dulon M, Brandenburg S. Secondary individual prevention and rehabilitation in female hairdressers suffering from skin diseases. Gesundheitswesen. 2004;66:759–4.

    Article  CAS  PubMed  Google Scholar 

  48. John SM, Skudlik C, Römer W, Blome O, Brandenburg S, Diepgen TL, et al. Recommendation: dermatologist’s procedure. Recommendations for quality assurance of the German Society of Dermatology (DDG) and the Task Force on Occupational and Environmental Dermatology (ABD). JDDG. 2007;5:1146–8.

    Article  PubMed  Google Scholar 

  49. Voss H, Gediga G, Gediga K, Maier B, Mentzel F, Skudlik C, John SM. Secondary prevention of occupational dermatoses: first systematic evaluation of optimized dermatologist’s procedure and hierarchical multi-step-intervention. Accepted JDDG; 2013.

    Google Scholar 

  50. Wilke A, Gediga K, Weinhöppel U, John SM, Wulfhorst B. Long-term effectiveness of secondary prevention in geriatric nurses with occupational hand eczema: the challenge of a controlled study design. Contact Dermatitis. 2012;66:79–86.

    Article  PubMed  Google Scholar 

  51. Wilke A, Gediga G, Schlesinger T, John SM, Wulfhorst B. Sustainability of interdisciplinary secondary prevention in patients with occupational hand eczema: a 5-year follow-up survey. Contact Dermatitis. 2012;67:208–16.

    Article  PubMed  Google Scholar 

  52. Wulfhorst B, Bock M, Gediga G, Skudlik C, Allmers H, John SM. Sustainability of an interdisciplinary secondary prevention program for hair dressers. Int Arch Occup Environ Health. 2010;83:165–71.

    Article  CAS  PubMed  Google Scholar 

  53. Bregnhøj A, Menne T, Johansen JD, Soested H. Prevention of hand eczema among Danish hairdressing apprentices: an intervention study. Occup Environ Med. 2012;69:310–6.

    Article  PubMed  Google Scholar 

  54. Saary J, Qureshi R, Eng M, Palda V, DeKoven J, Pratt M, et al. A systematic review of contact dermatitis treatment and prevention. J Am Acad Dermatol. 2005;53:845–55.

    Article  PubMed  Google Scholar 

  55. Moore E, Williams A, Manias E, Varigos G. Nurse-led clinics reduce severity of childhood atopic eczema: a review of the literature. Br J Dermatol. 2006;155:1242–48.

    Article  CAS  PubMed  Google Scholar 

  56. Cahill J, Keegel T, Nixon R. The prognosis of occupational contact dermatitis in 2004. Contact Dermatitis. 2004;51:219–26.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Faculty of Human Sciences, Department of Educational Sciences, MSH Medical School Hamburg University of Applied Sciences and Medical, Am Kaiserkai 1, 20457, Hamburg, Germany

    Britta Wulfhorst Ph.D.

  2. Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrueck, Sedanstr 115, Osnabrueck, 49090, Germany

    Annika Wilke, Christoph Skudlik M.D. & Swen Malte John M.D.

Authors
  1. Britta Wulfhorst Ph.D.
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  2. Annika Wilke
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  3. Christoph Skudlik M.D.
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  4. Swen Malte John M.D.
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Corresponding author

Correspondence to Swen Malte John M.D. .

Editor information

Editors and Affiliations

  1. Department of Dermatology, Mayo Clinic, Rochester, Minnesota, USA

    Ali Alikhan

  2. Department of Dermatology, Catholic University of Louvain, Brussels, Belgium

    Jean-Marie Lachapelle

  3. Department of Dermatology, University of California, San Francisco, California, USA

    Howard I. Maibach

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Wulfhorst, B., Wilke, A., Skudlik, C., John, S.M. (2014). How to Manage Hand Eczema in a Wet Work Setting. In: Alikhan, A., Lachapelle, JM., Maibach, H. (eds) Textbook of Hand Eczema. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39546-8_29

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  • DOI: https://doi.org/10.1007/978-3-642-39546-8_29

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