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American Journal of Public Health Research. 2020, 8(1), 28-35
DOI: 10.12691/AJPHR-8-1-5
Original Research

Profile of Occupational Skin Diseases among Saudi Health Care Workers

Nader M. Al Qerafi1, Momen Elshazley2, 3, and Abdulrahman M. Al Qerafi4

1Department of Occupational and Environmental Health, Al-Madinah Health Affairs Directorate, Al-Madinah Al Mounwara, Kingdom of Saudi Arabia.

2Department of Family and Community Medicine,Taibah University College of Medicine, Al-Madinah Al Mounwara, Kingdom of Saudi Arabia.

3Department of Industrial Medicine and Occupational Diseases, Faculty of Medicine, Sohag University, Sohag 82524, Egypt

4Taibah University College of Medicine, Al-Madinah Al Mounwara, Kingdom of Saudi Arabia

Pub. Date: February 09, 2020

Cite this paper

Nader M. Al Qerafi, Momen Elshazley and Abdulrahman M. Al Qerafi. Profile of Occupational Skin Diseases among Saudi Health Care Workers. American Journal of Public Health Research. 2020; 8(1):28-35. doi: 10.12691/AJPHR-8-1-5

Abstract

Background: Occupational skin diseases (OSD) are frequently encountered causes of morbidity and disability among health care workers (HCWs). This study was aimed to estimate the prevalence of OSD among Saudi HCWs and to characterize the possible causative factors for OSD. Methods: A total of 361 HCWs from eight governmental hospitals were included in this study. A cross sectional self-administered questionnaire survey was employed. Then, an analytical case control study design was adopted to identify the possible risk factors for OSD. Results: In this study, the estimated prevalence of OSD among Saudi HCWs was 32%. One hundred sixteen HCWs had either skin eczema (29 cases; 25%) or itchy skin wheals (Urticaria) (87 cases; 75%) caused by activities related to their jobs. In eczema cases, hands were the most affected sites (68.1% of cases). Majority of HCWs diagnosed with hand eczema were nurses (59%) compared to 15.4% of physicians and less than 10% of dentists and lab technicians. Intensive care unit, medical and surgical wards HCWs recorded the highest prevalence 25%, 24% and 19.8% respectively. Hand eczema was significantly higher among females than males HCWs. All affected cases were markedly exposed to wet environment at daily work such as using gloves, cleaning agents or frequent hand washing as well as preparing food and care of children under 4 years at home. Conclusion: HCWs are highly susceptible for OSD with a need for discovery of novel biomarkers that will be helpful for diagnosis, monitoring and prevention of OSD.

Keywords

Occupational Dermatosis, Health Care Workers, eczema, Urticaria

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Diepgen T.L., KanervaL. Occupational skin diseases. European Journal of Dermatology 2006: 16 (3): 324-330.
 
[2]  English J., Williams J. Occupational diseases of the skin, Hunter's Diseases of Occupations, Tenth Edition. Eds. Baxter, P.J., Aw, T.C., Cockcroft, A., Durrington, P., Harrington, J.M. CRC Press, London 2010: 1059-1079.
 
[3]  Machovcová A, Fenclová Z, Pelclová D. Occupational skin diseases in Czech healthcare workers from 1997 to 2009. Int Arch Occup Environ Health 2013: 86(3): 289-94.
 
[4]  English, J. Current concepts of irritant contact dermatitis. Occup Environ Med 2004: 61: 722-726.
 
[5]  Durocher L.P. International Labour Organization. Skin Diseases, Encyclopedia of Occupational Health and Safety. International Labor Organization, Geneva 2011.
 
[6]  Nosbaum A., Vocanson M., Rozieres A., Hennino A., Nicolas J.F. Allergic and irritant contact dermatitis, European Journal of Dermatology 2009:19(4): 325-32.
 
[7]  Diepgen, T. L. Occupational skin-disease data in Europe, Int. Arch. Occup. Environ. Health. 2003: (76):331-338.
 
[8]  Diepgen TL, Coenraads PJ. The epidemiology of occupational contact dermatitis. Int Arch Occup Environ Health 1999: 72(8): 496-506.
 
[9]  Akhavan A, Cohen SR. The relationship between atopic dermatitis and contact dermatitis. Clin Dermatol. 2003: 21(2):158-162.
 
[10]  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(2): 353-358.
 
[11]  Fonacier LS, Dreskin SC, Leung DY Allergic skin diseases. J Allergy Clin Immunol 2010: 125(2): 138-149.
 
[12]  Ibler KS, Jemec GB, Garvey LH, Agner T. Prevalence of delayed-type and immediate-type hypersensitivity in healthcare workers with hand eczema.Contact Dermatitis. 2016; 75(4): 223-9.
 
[13]  Cherry, N.; Meyer, J. and Adisesh A. Surveillance of occupational skin disease. Br. J. Dermatol 2000: 142: 1128-34
 
[14]  Adisesh A., Robinson E., Nicholson PJ, Sen D., Wilkinson M. U.K. standards of care for occupational contact dermatitis and occupational contact urticaria Br J Dermatol 2013: 168(6): 1167-1175.
 
[15]  Yu-Xin Chen, Hai-Yan Cheng, Lin-Feng Li. Prevalence and risk factors of contactdermatitis among clothingmanufacturing employees in Beijing: A cross-sectional study Medicine (Baltimore) 2017: 96(12): e6356.
 
[16]  Ibler KS, Jemec GB, Flyvholm MA, Diepgen TL, Jensen A, Agner T. Hand eczema: prevalence and risk factors of hand eczema in a population of 2274 healthcare workers. Contact Dermatitis. 2012: 67(4): 200-7.
 
[17]  Susitaival P, Flyvholm MA, Meding B, Kanerva L, Lindberg M, Nordic Occupational Skin Questionnaire (NOSQ-2002): A new tool for surveying occupational skin Contact Dermatitis. 2003: 49(2): 70-6.
 
[18]  Kurpiewska J, Liwkowicz J, Benczek J, Krzysztof P, Kamila A survey of work-related skin diseases in different occupations in Poland, International Journal of Occupational Safety and Ergonomics (JOSE) 2011:17(2), 207-214.
 
[19]  Kampf G, Loffler H. Prevention of irritant contact dermatitis among health care workers by using evidence-based hand hygiene practices: a review. Ind Health 2007:45:645-652.
 
[20]  Coenraads P-J. Hand eczema is common and multifactorial. J Invest Dermatol 2007: 127(7): 1568-70.
 
[21]  Sasseville D. Occupational contact dermatitis. Allergy Asthma Clin Immunol. 2008: 4(2): 59-65
 
[22]  Anderson SE, Meade BJ. Potential health effects associated with dermal exposure to occupational chemicals. Environ Health Insights. 2014:8(Suppl 1): 51-62.
 
[23]  Ngajilo D. Occupational Contact Dermatitis Among Nurses: a Report of Two Cases. Curr Allergy Clin Immunol. 2014:27(1): 42-6.
 
[24]  Zabludovska K, Ibler KS, Jemec GBE, Agner T. Photographic Documentation and Hand Eczema Severity Index for Severity Assessment of Hand Eczema. Dermatitis. 2017: 28(4): 280-283.
 
[25]  Amarasekera M, Rathnamalala N, Samaraweera S, Jinadasa M. Prevalence of latex allergy among healthcare workers. Int J Occup Med Environ Health. 2010:23(4): 391-6.
 
[26]  Bousquet J, Flahault A, Vandenplas O, Ameille J, Duron J-J, Pecquet C, et al. Natural rubber latex allergy among health care workers: a systematic review of the evidence. J Allergy Clin Immunol. 2006: 118(2): 447-54.
 
[27]  Kampf G, Loffler H. Hand disinfection in hospitals - benefits and risks. J Dtsch Dermatol Ges. 2010: 8(12): 978-83.
 
[28]  Flyvholm MA, Bach B, Rose M, Jepsen KF. Self-reported hand eczema in a hospital population. Contact Dermatitis 2007: 57(2): 110-5.
 
[29]  Diepgen TL. The costs of skin disease. Eur J Dermatol. 2006: 16(4): 456-60.