Investigating hand dermatitis among nurses in Iran during the outbreak of COVID-19: Comparison of COVID and non-COVID wards

Background & Aim: Hand dermatitis is one of the occupational skin diseases among nurses. Due to the prevalence of COVID-19, nurses' exposure to disinfectant solutions has increased, which can increase the incidence of dermatitis among them. The purpose of this study was to determine the prevalence of hand dermatitis among nurses in COVID and non-COVID wards and its related factors during the outbreak of COVID-19 in Iran. Methods & Materials: This descriptive-correlational study was performed by available sampling on 287 nurses. Data were collected using a self-administered questionnaire on hand dermatitis. Data were analysed using SPSS software version 22. Results: The prevalence of hand dermatitis among COVID wards nurses was 65.7% and among non-COVID wards nurses was 36.2%. However, the logistic regression showed that Female gender (P= 0.001, odds ratio=3.19, CI=1.57-6.46), marital status (single) (P= 0.011, odds ratio=2.64, CI=1.25-5.57), age 31-40 (P=0.003, odds ratio=0.16, CI=0.06-0.55), COVID wards (P= 0.000, odds ratio=4.99, CI=2.36-10.59), Allergy history (P= 0.000, odds ratio=13.07, CI=6.12-27.95) increase the prevalence of hand dermatitis among nurses. Conclusion: Hand dermatitis is a serious problem among corona ward nurses. Therefore, timely identification and treatment of this injury can be very helpful. Nurses should receive adequate training and care for hand dermatitis.

Features of the formation of professional allergodermatoses at the present stage

Introduction. All over the world, the great socio-economic importance of occupational skin diseases is recognized, among which occupational allergic dermatoses account for a significant share. An important factor affecting the effectiveness of preventive measures is the identification of groups and risk factors for the development of the disease. In this regard, the importance of measures aimed at reducing the incidence of pro-allergic dermatoses is obvious. The aim of study is to characterize the severity of the clinical course in patients with occupational eczema, depending on the influence of concomitant pathologies (atopy, mycoses). Materials and methods. The data of the results of examinations of 70 patients who were hospitalized in the clinic department of dermatology of Izmerov Research Institute of Occupational Health for the last 3 years are provided. Results. In patients with a history of atopy and concomitant mycotic infection, the clinical picture is widespread with pronounced inflammatory manifestations, there is a more frequent exacerbation and torpidity to the therapy. The time of manifestation from the beginning of work with industrial allergens is reduced. Conclusions. Identification of patients with atopy (pollinosis, bronchial asthma, atopic dermatitis), patients with mycotic infections as risk groups for the development of occupational allergodermatoses and their inclusion in preventive programs can improve the effectiveness of medical examinations and prevent them from developing severe forms of occupational skin pathology, reduce the disability of patients.

The Relationship of Working Period with the Incidence of Occupational Contact Dermatitis in Cleaning Service Workers at Haji Adam Malik General Hospital Medan

Occupational skin diseases are the third most common occupational diseases. The most common occupational skin diseases are contact dermatitis covering 90-95%. The majority of contact dermatitis occurs in the hands. This study aims to determine the relationship of working period with the incidence of occupational contact dermatitis in cleaning service workers at Haji Adam Malik General Hospital Medan. This study is analytic method study which uses cross sectional design and uses questionnaire. Respondent were drawn using consecutive sampling. The study showed that 33,2% of cleaning service workers had contact dermatitis. The prevalence of contact dermatitis in women 75,8% and men 24,2%. The contact time for workers who come into contact chemical >2 hours is 100%. The use of PPE on cleaning service workers is 89,3%. Most ethnic group suffering from contact dermatitis are the 77,4% Batak people. The highest level cleaning service education is high school 59,4%. The results of the analysis with the chi square test of working life with the incidence of occupational contact dermatitis were (p=0,383). There is no significant relationship of working period with the incidence of occupational contact dermatitis in cleaning service workers at Haji Adam Malik General Hospital Medan