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

Background As a result of the COVID‐19 outbreak, hygiene regulations have been revised and hand sanitation has been intensified. Objective To investigate the onset of hand eczema during the COVID‐19 pandemic in healthcare workers (HCWs) directly involved in intensive care of COVID‐19 patients and HC...

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Vydané v:	Contact dermatitis Ročník 83; číslo 2; s. 108 - 114
Hlavní autori:	Guertler, Anne, Moellhoff, Nicholas, Schenck, Thilo L., Hagen, Christine S., Kendziora, Benjamin, Giunta, Riccardo E., French, Lars E., Reinholz, Markus
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Oxford, UK Blackwell Publishing Ltd 01.08.2020 Wiley Subscription Services, Inc
Predmet:	Adult Asthma - epidemiology Betacoronavirus Comorbidity Coronavirus Infections - prevention & control Coronavirus Infections - therapy COVID-19 Dermatitis Dermatitis, Atopic - epidemiology Dermatitis, Occupational - epidemiology Disinfection Eczema Eczema - epidemiology Female Germany - epidemiology Hand Dermatoses - epidemiology Hand Disinfection - trends hand eczema Hand Sanitizers - therapeutic use Health Personnel - statistics & numerical data healthcare workers Humans Hygiene Hypersensitivity, Delayed - epidemiology Intensive care Intensive Care Units irritant contact dermatitis Male Medical personnel Middle Aged Nurses - statistics & numerical data occupational Original Pandemics Pandemics - prevention & control Physicians - statistics & numerical data Pneumonia, Viral - prevention & control Pneumonia, Viral - therapy Prevalence prevention measure Rhinitis, Allergic - epidemiology Sanitation SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Skin Cream - therapeutic use Germany COVID-19 SARS-CoV-2 occupational healthcare workers hand eczema irritant contact dermatitis prevention measure
ISSN:	0105-1873, 1600-0536, 1600-0536
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Abstract	Background As a result of the COVID‐19 outbreak, hygiene regulations have been revised and hand sanitation has been intensified. Objective To investigate the onset of hand eczema during the COVID‐19 pandemic in healthcare workers (HCWs) directly involved in intensive care of COVID‐19 patients and HCWs without direct contact with COVID‐19 patients. Hereby, we aim at increasing awareness about occupational hand eczema and preventive measures that can be adopted. Method A survey was distributed amongst 114 HCWs at a single surgical centre and at a COVID‐19 intensive care unit of the university hospital Ludwig Maximilian University Munich, Germany. Participants were questioned about the daily frequency of hand hygiene prior to and during the pandemic. Participants self‐reported the onset of hand eczema and associated symptoms. Results Our study revealed a significant increase in hand washing, disinfection, and use of hand cream across all participants (P‐value <.001), regardless of having direct contact with COVID‐19 patients. A high prevalence of symptoms associated with acute hand dermatitis of 90.4% was found across all HCWs, whereas hand eczema itself was underreported (14.9%). Conclusion The increase in hand sanitation during the COVID‐19 pandemic impairs the skin of the hands across all HCWs, independent of direct intensive care of affected patients.
AbstractList	As a result of the COVID-19 outbreak, hygiene regulations have been revised and hand sanitation has been intensified. To investigate the onset of hand eczema during the COVID-19 pandemic in healthcare workers (HCWs) directly involved in intensive care of COVID-19 patients and HCWs without direct contact with COVID-19 patients. Hereby, we aim at increasing awareness about occupational hand eczema and preventive measures that can be adopted. A survey was distributed amongst 114 HCWs at a single surgical centre and at a COVID-19 intensive care unit of the university hospital Ludwig Maximilian University Munich, Germany. Participants were questioned about the daily frequency of hand hygiene prior to and during the pandemic. Participants self-reported the onset of hand eczema and associated symptoms. Our study revealed a significant increase in hand washing, disinfection, and use of hand cream across all participants (P-value <.001), regardless of having direct contact with COVID-19 patients. A high prevalence of symptoms associated with acute hand dermatitis of 90.4% was found across all HCWs, whereas hand eczema itself was underreported (14.9%). The increase in hand sanitation during the COVID-19 pandemic impairs the skin of the hands across all HCWs, independent of direct intensive care of affected patients. As a result of the COVID-19 outbreak, hygiene regulations have been revised and hand sanitation has been intensified.BACKGROUNDAs a result of the COVID-19 outbreak, hygiene regulations have been revised and hand sanitation has been intensified.To investigate the onset of hand eczema during the COVID-19 pandemic in healthcare workers (HCWs) directly involved in intensive care of COVID-19 patients and HCWs without direct contact with COVID-19 patients. Hereby, we aim at increasing awareness about occupational hand eczema and preventive measures that can be adopted.OBJECTIVETo investigate the onset of hand eczema during the COVID-19 pandemic in healthcare workers (HCWs) directly involved in intensive care of COVID-19 patients and HCWs without direct contact with COVID-19 patients. Hereby, we aim at increasing awareness about occupational hand eczema and preventive measures that can be adopted.A survey was distributed amongst 114 HCWs at a single surgical centre and at a COVID-19 intensive care unit of the university hospital Ludwig Maximilian University Munich, Germany. Participants were questioned about the daily frequency of hand hygiene prior to and during the pandemic. Participants self-reported the onset of hand eczema and associated symptoms.METHODA survey was distributed amongst 114 HCWs at a single surgical centre and at a COVID-19 intensive care unit of the university hospital Ludwig Maximilian University Munich, Germany. Participants were questioned about the daily frequency of hand hygiene prior to and during the pandemic. Participants self-reported the onset of hand eczema and associated symptoms.Our study revealed a significant increase in hand washing, disinfection, and use of hand cream across all participants (P-value <.001), regardless of having direct contact with COVID-19 patients. A high prevalence of symptoms associated with acute hand dermatitis of 90.4% was found across all HCWs, whereas hand eczema itself was underreported (14.9%).RESULTSOur study revealed a significant increase in hand washing, disinfection, and use of hand cream across all participants (P-value <.001), regardless of having direct contact with COVID-19 patients. A high prevalence of symptoms associated with acute hand dermatitis of 90.4% was found across all HCWs, whereas hand eczema itself was underreported (14.9%).The increase in hand sanitation during the COVID-19 pandemic impairs the skin of the hands across all HCWs, independent of direct intensive care of affected patients.CONCLUSIONThe increase in hand sanitation during the COVID-19 pandemic impairs the skin of the hands across all HCWs, independent of direct intensive care of affected patients. BackgroundAs a result of the COVID‐19 outbreak, hygiene regulations have been revised and hand sanitation has been intensified.ObjectiveTo investigate the onset of hand eczema during the COVID‐19 pandemic in healthcare workers (HCWs) directly involved in intensive care of COVID‐19 patients and HCWs without direct contact with COVID‐19 patients. Hereby, we aim at increasing awareness about occupational hand eczema and preventive measures that can be adopted.MethodA survey was distributed amongst 114 HCWs at a single surgical centre and at a COVID‐19 intensive care unit of the university hospital Ludwig Maximilian University Munich, Germany. Participants were questioned about the daily frequency of hand hygiene prior to and during the pandemic. Participants self‐reported the onset of hand eczema and associated symptoms.ResultsOur study revealed a significant increase in hand washing, disinfection, and use of hand cream across all participants (P‐value <.001), regardless of having direct contact with COVID‐19 patients. A high prevalence of symptoms associated with acute hand dermatitis of 90.4% was found across all HCWs, whereas hand eczema itself was underreported (14.9%).ConclusionThe increase in hand sanitation during the COVID‐19 pandemic impairs the skin of the hands across all HCWs, independent of direct intensive care of affected patients. Background As a result of the COVID‐19 outbreak, hygiene regulations have been revised and hand sanitation has been intensified. Objective To investigate the onset of hand eczema during the COVID‐19 pandemic in healthcare workers (HCWs) directly involved in intensive care of COVID‐19 patients and HCWs without direct contact with COVID‐19 patients. Hereby, we aim at increasing awareness about occupational hand eczema and preventive measures that can be adopted. Method A survey was distributed amongst 114 HCWs at a single surgical centre and at a COVID‐19 intensive care unit of the university hospital Ludwig Maximilian University Munich, Germany. Participants were questioned about the daily frequency of hand hygiene prior to and during the pandemic. Participants self‐reported the onset of hand eczema and associated symptoms. Results Our study revealed a significant increase in hand washing, disinfection, and use of hand cream across all participants (P‐value <.001), regardless of having direct contact with COVID‐19 patients. A high prevalence of symptoms associated with acute hand dermatitis of 90.4% was found across all HCWs, whereas hand eczema itself was underreported (14.9%). Conclusion The increase in hand sanitation during the COVID‐19 pandemic impairs the skin of the hands across all HCWs, independent of direct intensive care of affected patients.
Author	Giunta, Riccardo E. French, Lars E. Reinholz, Markus Guertler, Anne Kendziora, Benjamin Moellhoff, Nicholas Schenck, Thilo L. Hagen, Christine S.
AuthorAffiliation	1 Department of Dermatology and Allergy University Hospital, LMU Munich Germany 2 Division of Hand, Plastic and Aesthetic Surgery University Hospital, LMU Munich Germany
AuthorAffiliation_xml	– name: 1 Department of Dermatology and Allergy University Hospital, LMU Munich Germany – name: 2 Division of Hand, Plastic and Aesthetic Surgery University Hospital, LMU Munich Germany
Author_xml	– sequence: 1 givenname: Anne orcidid: 0000-0001-6865-0526 surname: Guertler fullname: Guertler, Anne organization: University Hospital, LMU – sequence: 2 givenname: Nicholas surname: Moellhoff fullname: Moellhoff, Nicholas organization: University Hospital, LMU – sequence: 3 givenname: Thilo L. surname: Schenck fullname: Schenck, Thilo L. organization: University Hospital, LMU – sequence: 4 givenname: Christine S. surname: Hagen fullname: Hagen, Christine S. organization: University Hospital, LMU – sequence: 5 givenname: Benjamin surname: Kendziora fullname: Kendziora, Benjamin organization: University Hospital, LMU – sequence: 6 givenname: Riccardo E. surname: Giunta fullname: Giunta, Riccardo E. organization: University Hospital, LMU – sequence: 7 givenname: Lars E. surname: French fullname: French, Lars E. organization: University Hospital, LMU – sequence: 8 givenname: Markus orcidid: 0000-0002-0465-3506 surname: Reinholz fullname: Reinholz, Markus email: markus.reinholz@med.uni-muenchen.de organization: University Hospital, LMU
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/32452036$$D View this record in MEDLINE/PubMed
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Snippet	Background As a result of the COVID‐19 outbreak, hygiene regulations have been revised and hand sanitation has been intensified. Objective To investigate the... As a result of the COVID-19 outbreak, hygiene regulations have been revised and hand sanitation has been intensified. To investigate the onset of hand eczema... BackgroundAs a result of the COVID‐19 outbreak, hygiene regulations have been revised and hand sanitation has been intensified.ObjectiveTo investigate the... As a result of the COVID-19 outbreak, hygiene regulations have been revised and hand sanitation has been intensified.BACKGROUNDAs a result of the COVID-19...
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SubjectTerms	Adult Asthma - epidemiology Betacoronavirus Comorbidity Coronavirus Infections - prevention & control Coronavirus Infections - therapy COVID-19 Dermatitis Dermatitis, Atopic - epidemiology Dermatitis, Occupational - epidemiology Disinfection Eczema Eczema - epidemiology Female Germany - epidemiology Hand Dermatoses - epidemiology Hand Disinfection - trends hand eczema Hand Sanitizers - therapeutic use Health Personnel - statistics & numerical data healthcare workers Humans Hygiene Hypersensitivity, Delayed - epidemiology Intensive care Intensive Care Units irritant contact dermatitis Male Medical personnel Middle Aged Nurses - statistics & numerical data occupational Original Pandemics Pandemics - prevention & control Physicians - statistics & numerical data Pneumonia, Viral - prevention & control Pneumonia, Viral - therapy Prevalence prevention measure Rhinitis, Allergic - epidemiology Sanitation SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Skin Cream - therapeutic use
Title	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
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