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Hand dermatitis in intensive care units

B G Forrester1, V S Roth

  • 1Department of Family and Community Medicine, University of Alabama School of Medicine, Birmingham, USA.

Journal of Occupational and Environmental Medicine
|November 4, 1998
PubMed
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High hand-washing frequency among intensive care unit (ICU) workers is strongly linked to occupational hand dermatitis. This study highlights a significant prevalence of this condition, raising concerns for healthcare professionals.

Area of Science:

  • Occupational Health
  • Dermatology
  • Infection Control

Background:

  • Occupational hand dermatitis is a common concern for healthcare workers.
  • Intensive care units (ICUs) involve frequent hand hygiene practices.
  • Understanding the prevalence and risk factors is crucial for prevention.

Purpose of the Study:

  • To investigate the prevalence of occupational hand dermatitis in ICU workers.
  • To identify factors associated with hand dermatitis in this population.
  • To assess the implications for healthcare worker safety.

Main Methods:

  • A self-administered questionnaire was used to collect data.
  • Information gathered included dermatitis presence, hand-washing frequency, rash severity, and demographics.

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  • Prevalence and associations were analyzed in two ICU settings.

    • Main Results:

    • The prevalence of occupational hand dermatitis was 55.6% overall and 69.7% in highly exposed workers (hand-washing >35 times/shift).
    • High hand-washing frequency (>35 times/shift) was significantly associated with occupational hand dermatitis (OR=4.13, P<0.005).
    • No significant relationship was found with age, gender, race, atopy, or employment duration.

    Conclusions:

    • Intensive hand-washing protocols in ICUs contribute to a high prevalence of occupational hand dermatitis.
    • Frequent hand hygiene is a major risk factor for developing hand dermatitis in healthcare workers.
    • This condition poses potential risks to healthcare workers, including exposure to blood-borne pathogens.