Epidemiology of Occupational Contact Dermatitis (OCD) on health workers in Covid-19

Authors

  • Sawitri Department of Dermatology and Venereology, Faculty of Medicine/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • Astindari Department of Dermatology and Venereology, Faculty of Medicine/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • Andre Yuindartanto Department of Dermatology and Venereology, Faculty of Medicine/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • Cita Rosita Sigit Prakoeswa Department of Dermatology and Venereology, Faculty of Medicine/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • Damayanti Department of Dermatology and Venereology, Faculty of Medicine/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • Sylvia Anggraeni Department of Dermatology and Venereology, Faculty of Medicine/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • Menul Ayu Umborowati Department of Dermatology and Venereology, Faculty of Medicine/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • Iskandar Zulkarnain Department of Dermatology and Venereology, Faculty of Medicine/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • M. Yulianto Listiawan Department of Dermatology and Venereology, Faculty of Medicine/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • Afif Nurul Hidayati Department of Dermatology and Venereology, Faculty of Medicine/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia

Keywords:

Cellulite, collagen septae, cosmeceuticals, radiofrequency, subscision, extracorporeal shockwave therapy, dermal filler, carboxytherapy

Abstract

Background  Generally, the diagnosis of OCD can be considered after a history of exposure to the suspected material and a thorough physical examination. Meanwhile, vital information about it is often overlooked during the initial consultation.   Objective Evaluating the epidemiological profile of OCD cases in health workers due to the COVID-19 pandemic and evaluating complaints, manifestations and causative materials of OCD cases in health workers at the isolation ward of Dr. Soetomo Surabaya Hospital during the Covid-19 pandemic.   Methods Purposive sampling was used to design research samples from accessible populations that matched the inclusion requirements while those who met exclusion criteria were included as research samples.   Results Majority OCD patients are women and the most common age range is between 22-35 years old. The occupation most affected by OCD while working at isolation ward during the pandemic is nurses. The most common complaint is itching followed by redness of the skin which appears most frequently on the hands. The most prominent clinical manifestations are desquamation followed by erythema-like skin lesions. Medical gloves are the sort of personal protection equipment that causes OCD the most, followed by hand hygiene activities. High risk factors for OCD include a family history of atopic illnesses, history of asthma and an early history of atopic dermatitis.   Conclusion The use of PPE can cause several effects on the skin such as physical trauma to the skin, acne, contact dermatitis, urticaria, and aggravate previous skin diseases. The most common skin disorders are erythema, papules, scales, fissures, erosions, ulcers, vesicles and wheals. Complaints of contact dermatitis can be reduced and prevented by taking preventive measures in the form of using moisturizers on areas that are often exposed.  

Author Biography

Afif Nurul Hidayati, Department of Dermatology and Venereology, Faculty of Medicine/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia

Department of Dermatology and Venereology, Universitas Airlangga Teaching Hospital, Surabaya, Indonesia

References

Soltanipoor M, Kezic S, Sluiter JK, et al. Effectiveness of a skin care programme for the prevention of contact dermatitis in healthcare workers (the Healthy Hands Project): a single‐centre, cluster randomized controlled trial. Contact Derm. 2019;80(6):365-73.

Jakasa I, Thyssen JP, Kezic S. The role of skin barrier in occupational contact dermatitis. Exp Dermatol. 2018;27(8):909-14.

Elston DM. Occupational skin disease among health care workers during the coronavirus (COVID-19) epidemic. J Am Acad Dermatol. 2020;82(5):1085-6.

Prakoeswa, C. R. S., Rahmadewi, R., Setyaningrum, T., Damayanti, D., Mappamasing, H., Anggraeni, S., & Umborowati, M. A. Contact Dermatitis Knowledge Level in Batik Workers of Desa Batik, Tanjung Bumi, Bangkalan, Madura. Berkala Ilmu Kesehatan Kulit Dan Kelamin. 2021;33(2):93-5.

5Witasari, D., and Sukanto, H. Occupational Contact Dermatitis: Retrospective Study. Berkala Ilmu Kesehatan Kulit Dan Kelamin. 2016;26(3):1–7.

Lin B, Dai R, Lu L, Fan X, Yu Y. Breastfeeding and atopic dermatitis risk: a systematic review and meta-analysis of prospective cohort studies. Dermatology. 2020;236(4):345-60.

Malik M, English J. Irritant hand dermatitis in health care workers. Occup Med. 2015;65(6):474-6.

Higaki Y, Tanaka M, Futei Y, Kamo T, Basra MKA, Finlay AY. Japanese version of the family dermatology life quality index: translation and validation. J Dermatol. 2017;44(8):914-19.

Ngatu NR. Occupational contact dermatitis. In: Occupational and Environmental Skin Disorders. Springer;2018:41-51.

Rosyiana D, Pramuningtyas R, KK S. Hubungan Dermatitis Kontak Akibat Kerja (DKAK) Dengan Kualitas Hidup Pada Pekerja Batik Di Laweyan Surakarta. Universitas Muhammadiyah Surakarta; 2018.

Kelechi TJ, Brunette G, Lee LW. Personal protective equipment–related equipment dermatitis: a view from here. J Wound, Ostomy Continence Nurs. 2020;47(4):324-5.

Palmer CNA, Irvine AD, Terron-Kwiatkowski A, et al. Common loss-of-function variants of the epidermal barrier protein filaggrin are a major predisposing factor for atopic dermatitis. Nat Genet. 2006;38(4):441-6.

Brans R, Skudlik C, Weisshaar E, et al. Multicentre cohort study ‘Rehabilitation of Occupational Skin Diseases–Optimization and Quality Assurance of Inpatient Management (ROQ)’: results from a 3‐year follow‐up. Contact Derm. 2016;75(4):205-12.

Kucenic MJ, Belsito DV. Occupational allergic contact dermatitis is more prevalent than irritant contact dermatitis: a 5-year study. J Am Acad Dermatol. 2002;46(5):695-9.

Elston DM. Occupational skin disease among health care workers during the coronavirus (COVID-19) epidemic. J Am Acad Dermatol. 2020;82(5):1085-6.

Fitzpatrick TB, Kang S. Fitzpatrick’s dermatology. Published online 2019.

Kosasih E. Hubungan Antara Iklim Organisasi Dengan Kepuasan Kerja Perawat Unit Rawat Inap Rumah Sakit “X” Medan. Published online 2002.

Budiarisma PY, Suryawati N. Profil Dermatitis Kontak Akibat Kerja pada Karyawan Pencucian Mobil dan Sepeda Motor di Kota Denpasar Selatan pada Tahun 2016. E-Jurnal Med Udayana [Internet]. 2019;9(3):4

Jurado-Palomo J, Moreno-Ancillo Á, Bobolea ID, Bravo CP, González IC. Epidemiology of contact dermatitis. In: Contact Dermatitis. Intech Open; 2011.

Ginting E, Damayanti D, Fetarayani D, Hidayati AN. Contact Dermatitis in Tertiary Hospital: A 2-year Retrospective Study. Berkala Ilmu Kesehatan Kulit dan Kelamin. 2021;33(2):88-92.

Ginting E, Damayanti D, Fetarayani D, Hidayati AN. Contact Dermatitis in Tertiary Hospital: A 2-year Retrospective Study. Berkala Ilmu Kesehatan Kulit dan Kelamin. 2021;33(2):88-92.

Farida A. Hubungan Pendidikan dan Pekerjaan dengan Kejadian Dermatitis Kontak Alergi di Puskesmas Turi Sleman Daerah Istimewa Yogyakarta. Yogyakarta. Published online 2017.

Lubis NZ. “Hubungan Lama Kerja dengan Kejadian Dermatitis Kontak Akibat Kerja pada Pekerja Cleaning Service di RSUP Haji Adam Malik Medan. Published online 2019.

Oakley A, Koch K. Hand Dermatitis.

Agrawal R, Woodfolk JA. Skin barrier defects in atopic dermatitis. Curr Allergy Asthma Rep. 2014;14(5):1-11.

Kruckeberg BM, Ridley TJ, Reichel LM. Severe metal hypersensitivity following internal fixation of an ankle fracture: a case report. JBJS Case Connector. 2017;7(2):e38.

Soltanipoor M, Kezic S, Sluiter JK, et al. Effectiveness of a skin care programme for the prevention of contact dermatitis in healthcare workers (the Healthy Hands Project): a single‐centre, cluster randomized controlled trial. Contact Derm. 2019;80(6):365-73.

Mailiani SR, Kurniawati Y, Adnindya M. Hubungan Antara Penggunaan Masker Dengan Kelainan Kulit Pada Tenaga Kesehatan Di Era Pandemi Covid-19. Sriwijaya University; 2021.

Alpagat G, Dumanoglu B, Poyraz M, Yalım SA, Baccıoğlu A, Kalpaklıoglu AF. Allergic Contact Dermatitis due to Medical Mask; A Case Report. Asthma Allergy Immunology. 2020;18:30-2.

Sharma LR. Examining Education Students’ Preference for Reading Medium, Resource and Time. Int Res J MMC. 2020;1(1):1-20.

Weston WL, Howe W. Patient education: Contact dermatitis (including latex dermatitis)(Beyond the Basics). Published online 2019.

Rubianti MA, Prakoeswa CRS. Profil Pasien Dermatitis Kontak Alergi Akibat Kosmetik. Berkala Ilmu Kesehatan Kulit dan Kelamin. 2019;31(1):35-40.

Abdul Aziz NFH, Abbasiliasi S, Ng ZJ, et al. Recovery of a bacteriocin-like inhibitory substance from lactobacillus bulgaricus FTDC 1211 using polyethylene-glycol impregnated amberlite XAD-4 resins system. Molecules. 2020;25(22):5332.

Marks Jr JG, Belsito D v, DeLeo VA, et al. North American contact dermatitis group patch-test results, 1996-1998. Arch Dermatol. 2000;136(2):272-4.

Ahmed A, Butler DC, Reichenberg J. Quality-of-life effects of common dermatological diseases. Semin Cutan Med Surg.2013;32(2):101-9.

Dejonckheere G, Herman A, Baeck M. Allergic contact dermatitis to synthetic rubber gloves in healthcare workers: sensitization to 1, 3-diphenylguanidine is common. Contact Dermatitis.

https://doi org/101111/cod. 2019;13269.

Papadatou Z, Williams H, Cooper K. Effectiveness of interventions for preventing occupational irritant hand dermatitis: a quantitative systematic review. JBI Evidence Synthesis. 2018;16(6):1398-1417.

Ansell SM, Minnema MC, Johnson P, et al. Nivolumab for relapsed/refractory diffuse large B-cell lymphoma in patients ineligible for or having failed autologous transplantation: a single-arm, phase II study. J Clin Oncol. 2019;37(6):481.

Agius R, Seaton A, Fletcher G. Occupational and Environment Lung Disease. Relevant Fundamentals of Lung Structure and Function in Practical Occupational Medicine. Published online 2005.

Chernyshov P v, Kolodzinska L. Prospective study on hand dermatitis in nurses and doctors during COVID‐19 pandemic and its improvement by use of adopted recommendations of the European Academy of Dermatology and Venereology Task Force on Contact Dermatitis. Dermatol Therapy. 2020;33(6):e14396.

Trilisnawati D, Yahya YF, Devi M, Toruan TL. Prevention of Irritant Contact Dermatitis Due to Hand Hygiene in The Era of COVID 19 Pandemic. Bioscientia Medicina: Journal of Biomedicine and Translational Research. 2020;4(4):29-44.

Guertler A, Moellhoff N, Schenck TL, et al. Onset of occupational hand eczema among healthcare workers during the SARS‐CoV‐2 pandemic: comparing a single surgical site with a COVID‐19 intensive care unit. Contact Derm. 2020;83(2):108-114.

Alavi A, Skotnicki S, Sussman G, Sibbald RG. Diagnosis and treatment of hand dermatitis. Adv Skin Wound Care. 2012;25(8):371-80.

Yan Y, Chen H, Chen L, et al. Consensus of Chinese experts on protection of skin and mucous membrane barrier for health‐care workers fighting against coronavirus disease 2019. Dermatol Ther. 2020;33(4):e13310.

Wettervik B, Johnson T, Jakobsson S, Mark A, Edelvik F. A domain decomposition method for three species modeling of multi-electrode negative corona discharge–With applications to electrostatic precipitators. J Electrostat. 2015;77:139-46.

Organization WH. Mental Health and Psychosocial Considerations during the COVID-19 Outbreak, 18 March 2020. World Health Organization; 2020.

Hu Z, Song C, Xu C, et al. Clinical characteristics of 24 asymptomatic infections with COVID-19 screened among close contacts in Nanjing, China. Science China Life Sciences. 2020;63(5):706-11.

MacIntyre CR, Seale H, Dung TC, et al. A cluster randomised trial of cloth masks compared with medical masks in healthcare workers. BMJ Open. 2015;5(4):e006577.

McMichael TM, Clark S, Pogosjans S, et al. COVID-19 in a long-term care facility-King County, Washington, February 27-March 9, 2020. Morbidity and Mortality Weekly Report. 2020;69(12):339.

50. Navarro-Triviño FJ, Ruiz-Villaverde R. Patrón de dermatitis de cabeza y cuello en pacientes tratados con dupilumab: diagnóstico diferencial y tratamiento. Actas Dermo-Sifiliográficas. Published online 2021.

Jiang Q, Song S, Zhou J, et al. The prevalence, characteristics, and prevention status of skin injury caused by personal protective equipment among medical staff in fighting COVID-19: a multicenter, cross-sectional study. Adv Wound Care (New Rochelle). 2020;9(7):357-364.

al Badri FM. Surgical mask contact dermatitis and epidemiology of contact dermatitis in healthcare workers. Current Allerg Clin Immunol. 2017;30(3):183-8.

Darlenski R, Tsankov N. COVID-19 pandemic and the skin: what should dermatologists know? Clinics Dermatol. 2020;38(6):785-7.

Szepietowski JC, Matusiak Ł, Szepietowska M, Krajewski PK, Białynicki-Birula R. Face Mask-induced Itch: A Self-questionnaire Study of 2,315 Responders During the COVID-19 Pandemic. Acta Derm Venereol. 2020;100(5).

Lan L, Xu D, Ye G, et al. Positive RT-PCR test results in patients recovered from COVID-19. JAMA.2020;323(15):1502-3.

Downloads

Published

2023-03-05

How to Cite

1.
Sawitri, Astindari, Yuindartanto A, Cita Rosita Sigit Prakoeswa, Damayanti, Sylvia Anggraeni, Menul Ayu Umborowati, Iskandar Zulkarnain, M. Yulianto Listiawan, Afif Nurul Hidayati. Epidemiology of Occupational Contact Dermatitis (OCD) on health workers in Covid-19. J Pak Assoc Dermatol [Internet]. 2023Mar.5 [cited 2024May19];33(1):220-34. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/2000

Issue

Section

Review Articles

Most read articles by the same author(s)

1 2 > >>