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Related Experiment Videos

Patch tests with occupational contactants in nurses, doctors and dentists.

E Rudzki1, P Rebandel, Z Grzywa

  • 1Department of Dermatology, Warsaw School of Medicine, Poland.

Contact Dermatitis
|April 1, 1989
PubMed
Summary

Occupational contact dermatitis affects healthcare professionals, with nurses most commonly sensitized to penicillins and formaldehyde. Dentists and surgeons show sensitivities to specific allergens like eugenol, mercuric chloride, and surgical glove components.

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Area of Science:

  • Dermatology
  • Occupational Health
  • Allergology

Background:

  • Occupational contact dermatitis is a significant concern in healthcare settings.
  • Identifying specific allergens is crucial for prevention and management.

Purpose of the Study:

  • To investigate the prevalence and causes of occupational contact dermatitis among nurses, dentists, and doctors.
  • To identify common allergens responsible for sensitization in these professional groups.

Main Methods:

  • A study involving 333 nurses, 92 dentists, and 167 doctors.
  • Patch testing was conducted to identify allergens.
  • Analysis of positive patch test results in relation to occupation.

Main Results:

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  • Most positive patch tests were unrelated to occupation.
  • Nurses showed sensitization to penicillins; formaldehyde was the most common disinfectant allergen.
  • Dentists commonly reacted to eugenol and mercuric chloride.
  • Surgeons had more reactions to mercuric chloride, balsam of Peru, and other contactants compared to physicians.
  • Chromium sensitization led to reactions to chromic catgut in 4 doctors.
  • Intolerance to surgical gloves was reported by 6 doctors.
  • Irritant contact dermatitis from chlorhexidine affected nurses and doctors.

    • Conclusions:

    • While many sensitivities are non-occupational, specific allergens are linked to different healthcare professions.
    • Formaldehyde, eugenol, mercuric chloride, and components of surgical gloves are significant occupational allergens.
    • Preventive measures targeting these specific allergens are necessary to reduce occupational dermatitis in healthcare workers.