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Treatments to prevent hand skin irritation in the workplace
Occupational irritant hand dermatitis (OIHD) is a skin disease that occurs on the hands of employees in certain jobs. The first signs are red and scaly patches in the finger webs and on the knuckle area of the hands. Itchy blisters, painful cracks, and possibly infection are common, and eventually the skin becomes thickened. Hand skin irritation can affect employees who regularly come into contact with water, detergents, chemicals, and other irritants, or who wear gloves during their working day. People at particular risk include hairdressers, nurses, cleaners, builders, and people who work in...
Interventions for preventing occupational irritant hand dermatitis
Background: Occupational irritant hand dermatitis (OIHD) causes significant functional impairment, disruption of work, and discomfort in the working population. Different preventive measures such as protective gloves, barrier creams and moisturisers can be used, but it is not clear how effective these are. This is an update of a Cochrane review which was previously published in 2010. Objectives: To assess the effects of primary preventive interventions and strategies (physical and behavioural) for preventing OIHD in healthy people (who have no hand dermatitis) who work in occupations where the...
Dermatite de contact aux protéines
La dermatite de contact aux protéines est une dermatose professionnelle sous-estimée. Les principales professions concernées sont les métiers de la restauration et de l'alimentation et les métiers en contact avec les animaux. Les sources de protéines sensibilisantes sont les aliments d'origine végétale (fruits, légumes, farines, épices) et animale (viandes, oeufs, produits laitiers, poissons et crustacés), les champignons et enzymes, les végétaux non comestibles et les animaux. Cliniquement, c'est...
Elevation of Circulating Th17/Th22 Cells Exposed to Low-Level Formaldehyde and Its Relevance to Formaldehyde-Induced Occupational Allergic Contact Dermatitis
Objectives: The aim of this study was to investigate the effects of formaldehyde exposure on Th17 and Th22 cells and its relevance to human occupational allergic contact dermatitis (OACD). Methods: Circulating IL17-/IL22-secreting cells and serum IL17/IL22 levels in formaldehyde-exposed workers at Occupational Exposure Limit and nonexposed controls were assessed. Results: The IL17+ and IL22+ cell population were detected in both CD3+CD8- and CD3+CD8+ cells. The percentages of circulating IL17+ and IL22+ T cells in the workers with and without ACD history were all elevated, which were more remarkable...
Cured-in-Place-Pipe (CIPP): Inhalation and Dermal Exposure Risks Associated with Sanitary Sewer, Storm Sewer, and Drinking Water Pipe Repairs
Cured-in-place-pipe (CIPP) is the most popular water pipe repair method used in the U.S. for sanitary sewer, storm sewer, and is increasingly being used for drinking water pipe repairs. Today, approximately 50% of all damaged pipes are being repaired using CIPP technology. The CIPP procedure involves the chemical manufacture of a new plastic pipe called a CIPP inside a damaged water pipe. Little is known about CIPP worker exposures and health risks. CIPP manufacturing sites are highly transient, with a single installation location being used from a few hours to a few days. Unlike traditional manufacturing...
Elevation of Circulating Th17/Th22 Cells Exposed to Low-Level Formaldehyde and Its Relevance to Formaldehyde-Induced Occupational Allergic Contact Dermatitis
Objectives: The aim of this study was to investigate the effects of formaldehyde exposure on Th17 and Th22 cells and its relevance to human occupational allergic contact dermatitis (OACD). Methods: Circulating IL17-/IL22-secreting cells and serum IL17/IL22 levels in formaldehyde-exposed workers at Occupational Exposure Limit and nonexposed controls were assessed. Results: The IL17+ and IL22+ cell population were detected in both CD3+CD8- and CD3+CD8+ cells. The percentages of circulating IL17+ and IL22+ T cells in the workers with and without ACD history were all elevated, which were more remarkable...
Dermatites de contact professionnelles dans le secteur agricole
Dans le secteur agricole, les dermatites de contact professionnelles peuvent être des dermatites de contact d'irritation et/ou allergique, des photodermatites de contact, des urticaires de contact ou des dermatites de contact aux protéines. Les principaux irritants sont les produits phytosanitaires, les végétaux, les désinfectants et détergents, le travail en milieu humide, les huiles et les graisses. Les principaux allergènes sont les produits d'origine végétale et animale, les additifs du caoutchouc, les biocides, notamment...
Genetic Basis of Irritant Susceptibility in Health Care Workers
Objective: The aim of this study was to investigate the association of single nucleotide polymorphisms (SNPs) within genes involved in inflammation, skin barrier integrity, signaling/pattern recognition, and antioxidant defense with irritant susceptibility in a group of health care workers. Methods: The 536 volunteer subjects were genotyped for selected SNPs and patch tested with three model irritants: sodium lauryl sulfate (SLS), sodium hydroxide (NaOH), and benzalkonium chloride (BKC). Genotyping was performed on genomic DNA using Illumina Goldengate custom panels. Results: The ACACB (rs2268387...
Dermatites de contact professionnelles chez les vétérinaires et les personnels de soins aux animaux
Les dermatites de contact professionnelles observées chez les vétérinaires, le personnel des zoos (dont les soigneurs) et des animaleries de compagnie (vendeurs-conseil, personnels de nettoyage) sont des dermatites de contact d'irritation et/ou allergiques, des urticaires de contact et des dermatites de contact aux protéines. Les principaux irritants sont les désinfectants et détergents, le travail en milieu humide. Les principaux allergènes sont les protéines d'origine animale, les médicaments, les biocides (notamment dans...
Irritant Contact Dermatitis
A Survey of Healthcare Worker Knowledge, Perceptions and Actions Health Care Workers (HCWs) often cite irritant contact dermatitis (ICD) as a barrier to Hand Hygiene (HH) compliance. Literature supports the cause of ICD on hands, but little data exists on steps HCWs follow to address ICD. The objective of this survey was to quantify knowledge, perception and actions of HCWs to ICD. Source: McGuckin, Maryanne, & Govednik, John. (2016). AJIC: American Journal of Infection Control , 44(6 suppl.), S22. http://dx.doi.org/10.1016/j.ajic.2016.04.196
Occupational health risks associated with the use of germicides in health care
Environmental surfaces have been clearly linked to transmission of key pathogens in health care facilities, including methicillin-resistant Staphylococcus aureus , vancomycin-resistant Enterococcus , Clostridium difficile , norovirus, and multidrug-resistant gram-negative bacilli. For this reason, routine disinfection of environmental surfaces in patient rooms is recommended. In addition, decontamination of shared medical devices between use by different patients is also recommended. Environmental surfaces and noncritical shared medical devices are decontaminated by low-level disinfectants, most...
Occupational Exposure to Pesticides With Occupational Sun Exposure Increases the Risk for Cutaneous Melanoma
Objective: The objective of the study was to examine the association between occupational exposure to pesticides and cutaneous melanoma, controlling for all possible confounders. Methods: A pooled analysis of two case–control studies was conducted in two different geographic areas (Italy and Brazil). Detailed pesticides exposure histories were obtained. Results: Ever use of any pesticide was associated with a high risk of cutaneous melanoma (odds ratio 2.58; 95% confidence interval 1.18–5.65) in particular exposure to herbicides (glyphosate) and fungicides (mancozeb, maneb), after controlling...
Dermatites de contact professionnelles aux désinfectants et antiseptiques
Les désinfectants et antiseptiques, contenant des substances actives biocides, sont responsables essentiellement de dermatites de contact d'irritation et/ou allergiques et plus rarement d'urticaires de contact. Ils sont utilisés surtout dans le secteur de la santé, du nettoyage, le secteur agro-alimentaire, l'agriculture, l'hôtellerie et l'industrie pharmaceutique. La plupart des désinfectants et antiseptiques ont un potentiel irritant. Les allergènes en cause dans la dermatite allergique de contact (DAC) sont principalement les aldéhydes...
Managing risks from skin exposure at work
Many materials used at work can affect the skin or can pass through the skin and cause diseases elsewhere in the body. If you are an employer, health and safety adviser, trainer or safety representative, this book provides guidance to help you prevent these disabling diseases. It covers the protective role of the skin, ill health arising from skin exposure, recognising potential skin exposure in your workplace, and managing skin exposure to prevent disease. There is guidance on assessing and managing risks, reducing contact with harmful materials, choosing the right protective equipment and skin...
Dermatites de contact professionnelles dans l'industrie et les laboratoires pharmaceutiques
L'industrie pharmaceutique comprend la recherche, le développement, la fabrication et la commercialisation de médicaments et de vaccins au service de la santé humaine et animale. Les dermatites de contact professionnelles observées chez le personnel de l'industrie pharmaceutique sont essentiellement des dermatites de contact d'irritation et/ou allergiques et plus rarement des urticaires de contact et des dermatites de contact aux protéines. Les principaux irritants sont le travail en milieu humide, les détergents, les désinfectants et...
Irritant hand dermatitis in health care workers
Background Health care workers (HCWs) are at increased risk of irritant contact dermatitis due to frequent hand washing and use of alcohol gel. This has increased the incidence of occupational skin diseases. Aims To evaluate hand dermatitis in HCWs in our hospital by means of a survey which also examined trends of exposure and the utility of patch testing. ethods HCWs diagnosed with hand dermatitis in our contact dermatitis clinic from January 2011 to July 2012 were included. Information was collected retrospectively from medical notes, computer records and the database of the British Cutaneous...
Dermatites de contact professionnelles dans le secteur de l'imprimerie
Les dermatites de contact professionnelles sont fréquentes dans le secteur de l'imprimerie. Il s'agit essentiellement de dermatites de contact d'irritation et/ou allergiques et plus rarement d'urticaires de contact. Les principaux irritants sont les solvants des produits de nettoyage, les acides, les produits alcalins de décapage et de dégravage, ainsi que les constituants des encres. Les principaux allergènes sont les constituants des résines et des vernis (surtout les acrylates) et les biocides. Le diagnostic étiologique nécessite...
A survey of occupational skin disease in UK health care workers
Background : Occupational skin disease is a common problem among health care workers (HCWs). The prevalence of occupational skin disease in HCWs has been reported in several international studies, but not in the UK. Aims : To estimate the prevalence of occupational skin disease in a population of UK HCWs and to explore possible causative factors. Methods : Clinical and non-clinical HCWs attending for an influenza vaccine during October and November 2013 were invited to complete a brief skin questionnaire. Data from staff who stated their skin had suffered as a result of work were compared with...
Occupational irritant contact dermatitis diagnosed by analysis of contact irritants and allergens in the work environment
BACKGROUND: Irritant contact dermatitis (ICD) is a common diagnosis in patients with occupational contact dermatitis (OCD). Studies are lacking on the usefulness of material safety data sheets (MSDSs) in making the diagnosis of ICD. OBJECTIVE: To characterize irritant exposures leading to the diagnosis of occupational ICD (OICD), and to evaluate the occurrence of concomitant exposures to contact allergens. METHODS: We included 316 patients with suspected occupational hand dermatitis, referred to the Department of Dermato-Allergology, Copenhagen University Hospital Gentofte, Denmark during January...
Dermatites de contact chez les professionnels du bois
Les professionnels du bois exercent dans de multiples secteurs d'activité : sylviculture, exploitation forestière, industrie de première transformation (scierie, fabrication de panneaux de bois...) et industrie de deuxième transformation (menuiserie, charpente, bâtiment, ameublement, fabrication d'objets en bois...). Les dermatites professionnelles observées chez les professionnels du bois sont essentiellement des dermatites de contact d'irritation et/ou allergiques, les urticaires sont exceptionnelles. Les principaux irritants chimiques sont...
Dermatites de contact professionnelles chez les mécaniciens
Les mécaniciens exercent dans de multiples secteurs d'activité : industrie automobile et aérospatiale, secteur de la défense, maintenance de machines industrielles diverses, appareils électroménagers.... Les dermatites professionnelles observées chez les mécaniciens sont essentiellement des dermatites de contact d'irritation et/ou allergiques, les urticaires sont exceptionnelles. Les principaux irritants chimiques sont les solvants, les fluides hydrauliques, les huiles de vidange, les décapants, les carburants, les détergents...
Effects of Skin Contact with Chemicals: Guidance for Occupational Health Professionals and Employers
Chemical exposure in the workplace is a significant problem in the United States. More than 13 million workers in the United States are potentially exposed to chemicals via the skin. Skin disorders are among the most frequently reported occupational illnesses, resulting in an estimated annual cost in the United States of over $1 billion. While the rates of most other occupational diseases are decreasing, skin disease rates are actually increasing. Source : http://www.cdc.gov/niosh/docs/2011-200/pdfs/2011-200.pdf
Caractérisation des poussières dans le secteur des assaisonnements alimentaires
Ce projet a permis de caractériser les poussières dans l’air d’établissements de ce secteur. Les épices et les herbes aromatiques contiennent des substances organiques (nommées également substances actives) pouvant causer des irritations ou ayant un potentiel allergène pour le système respiratoire ou pour la peau. La littérature relative au secteur des épices et herbes aromatiques rapporte des cas d’allergies cutanées, d’asthme professionnel et d’autres problèmes respiratoires. Les...
NIOSH Skin Notation Profiles
NIOSH a publié 20 documents sur les risques à la santé reliés au contact de la peau avec des substances chimiques, allant d'une dermatite de contact à des réactions plus systémiques (neurotoxicité et hépatotoxicité). Les 20 substances faisant l'objet d'une publication sont : phenol; hydrogen flouride; dinitrotoluene, 2,4 dinitrotoluene, 2,6 dinitrotoluene; acrylamide; acrylonitrile; dinitrobenzene; epichlorohydrin; ethylen glycol dinitrate; bisphenol A; formaldehyde /formalin; hydrazine; nitroglycerin; nonane; glutaraldehyde;...
Travailleurs exposés aux fluides de coupe de métaux
Évaluation de l'exposition aux bioaérosols et effets sur la santé respiratoire et cutanée Certains problèmes respiratoires sont observés chez les machinistes travaillants avec des fluides de coupe soluble (FC). Ces problèmes pourraient êtres reliés aux aérosols contenant des microorganismes présents dans les systèmes de FC. Pour mieux comprendre les effets de ces aérosols sur la santé humaine, l'environnement de travail doit être caractérisé. Nous avons détaillé...
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