Occupational Contact Dermatitis Risk Factors on Healthcare Workers Isolation Ward During the COVID-19 Pandemic

Andre Yuindartanto, Sawitri, Astindari, Cita Rosita Sigit Prakoeswa, Damayanti, Sylvia Anggraen, M. Umborowati, I. Zulkarnain, M. Listiawan, A. Hidayati
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Abstract

Background: After a history of exposure to the suspected material and a thorough physical examination, the diagnosis of occupational contact dermatitis (OCD) is commonly suspected. During the initial consultation, essential information involving the above is frequently neglected. Purpose: To evaluate the clinical manifestations of OCD cases in health workers and analyze the factors that influence OCD cases in health workers at the isolation ward of Dr. Soetomo Surabaya Hospital during the COVID-19 pandemic. Methods: The sample selection was done through purposive sampling. Accessible population that met the inclusion criteria and did not have exclusion criteria were included as research samples. The target population was healthcare workers in the Special Isolation Ward of Dr. Soetomo Hospital Surabaya. The accessible population was healthcare workers who performed hand hygiene activities and used Personal Protective Equipment (PPE) in the Special Isolation Ward of Dr. Soetomo Hospital Surabaya. The research subjects were healthcare workers who worked in the Special Isolation Ward. Result: The research results showed a strong and significant correlation between atopic history and the occurrence of contact dermatitis due to poor skin barrier function and decreased tolerance. The study also found that there was no significant correlation between atopic history and the severity level of OCD. There was a significant difference in transepidermal water loss (TEWL) values in the lesion and non-lesion areas, both on the palmar and dorsal aspects of the hand. Moisturizer is an important component in managing hand dermatitis as it can repair and maintain the skin's protective barrier. Conclusion:
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COVID-19大流行期间医护人员隔离病房职业性接触性皮炎危险因素分析
背景:职业性接触性皮炎(OCD)的诊断常被怀疑为职业性接触性皮炎(OCD)。在最初的协商中,涉及上述的重要信息往往被忽视。目的:了解新冠肺炎大流行期间泗水苏莫医生医院隔离病房医护人员强迫症的临床表现,分析影响医护人员强迫症发病的因素。方法:采用目的抽样法进行样本选择。将符合纳入标准且没有排除标准的无障碍人群作为研究样本。目标人群是泗水Soetomo医生医院特别隔离病房的医护人员。可接触的人群是在泗水Soetomo医生医院特别隔离病房进行手部卫生活动并使用个人防护装备的卫生保健工作者。研究对象为在特殊隔离病房工作的医护人员。结果:研究结果显示,由于皮肤屏障功能差,耐受性降低,特应性病史与接触性皮炎的发生有很强且显著的相关性。研究还发现,特应性病史与强迫症的严重程度之间没有明显的相关性。在手掌和手背的病变区和非病变区,经皮失水(TEWL)值有显著差异。润肤霜是处理手部皮炎的重要成分,因为它可以修复和维持皮肤的保护屏障。结论:
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