IRRITANT CONTACT DERMATITIS ON HANDS AND DIAGNOSIS OF IT: A REVIEW
DOI:
https://doi.org/10.22159/ijcpr.2020v12i4.39101Keywords:
Dermatitis, ICD, HH products, HCWsAbstract
Hand hygiene (HH) is the single most important procedure that can be followed by healthcare workers (HCWs) to reduce the risk of spreading healthcare-associated infections. The irritating contact dermatitis (ICD) that occurs due to the rehashed presentation of HH products and technique is one reason often referred to for resistance. HH is the most vital method that can be followed by HCWs to reduce the possibility of spreading of infection in human being, followed by50% of HCWs. Limited researches are published related to different features of irritant contact disorders among HCWs. This study concentrates manly on the clinical application of irritant contact dermatitis on hands and its diagnosis based on an extensive research review process. It can be concluded from this review that by proper adherence and compliance to necessary HH techniques lead to skin damage and higher pathogen load. Therefore, it is important that HCWs should appreciate this concept and are given methods or tactics of expertise to avoid skin irritation and damage. Inability to provide proper policies, practices and guidelines to these workers may lead to adherence in case of an ICD appearance.
Downloads
References
2. Boyce J. Hand hygiene compliance monitoring: Current perspectives from the USA. J Hospital Infect 2008:70 Suppl1:2-7.
3. Visscher MO, Randal Wickett R, Hand hygiene compliance and irritant dermatitis: a juxtaposition of healthcare issues. Int J Cosmet Sci 2012;34:402-15.
4. Larson EL, Aiello AE, Bastyr J, Lyle C, Stahl J, Cronguist A, et al. Assessment of two hand hygiene regimens for intensive care unit personnel. Critical Care Med 2001;29:5:944-51.
5. Cimiotti JP, Marmur ES, Nesin M, Hamlin Cook P, Larson EL. Adverse reactions associated with an alcohol-based hand antiseptic among nurses in a neonatal intensive care unit. Am J Infect Control 2003;31:43-8.
6. Boyce JM, Pittet D. Guideline for hand hygiene in healthcare settings: recommendations of the healthcare infection control practices advisory committee and the HIPAC/SHEA/APIC/IDSA hand hygiene task force. Morb Mortal Wkly Rep 2002;30:1-46.
7. Lampel HP, Patel N, Boyse K, O’Brien SH, Zirwas MJ. Prevalence of hand dermatitis in inpatient nurses at a United States Hospital. Dermatitis 2007;18:140-2.
8. Visscher M. Overcoming barriers to hand hygiene compliance; 2015. Available from: http://www.medline.com/media//assets/pdf/overcomingbarriers-to-hand-hygiene-compliance.pdf. [Last accessed on 10 Feb 2020]
9. Stocks SJ, McNamee R, Turner S, Carder M, Agius RM. The impact of national-level interventions to improve hygiene on the incidence of irritant contact dermatitis in healthcare workers: changes in incidence from 1996-2012 and interrupted times series analysis. Br J Dermatol 2015;173:165-71.
10. Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Lancet 2000;356:1307-12.
11. Murphy C. Healthy hands and hand hygiene compliance: can they co-exist? A self-study monograph for continuing education for registered nurses with interest in patient safety and infection prevention. Available from: http://www.medical.ansell.com.au/sites/default/files/epic/issue2/EPIC2-final-web. [Last accessed on 10 Feb 2020]
12. Public Health Ontario. Protecting your hands fact sheet for health care providers. Available from: http://www.publichealthontario.ca/en/eRepository/hand-care-assessment.pdf. [Last accessed on 10 Feb 2020]
13. Rocha LA, Ferreira de Almeida EBL, Gontijo Filho P. Changes in hands microbiota associated with skin damage because of hand hygiene procedures on the health care workers. Am J Infect Control 2009;37:155-9.
14. McGuckin M, Waterman R, Govednik J. Hand hygiene compliance rates in the United States: a one-year multicenter collaboration using product/volume usage measurement and feedback. Am J Med Qual 2009;24:205-13.
15. Department of Veterans Affairs. Required hand hygiene practices: VHA Directive; 2001-2007. Available from: http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2367. [Last accessed on 10 Feb 2020]
16. University of Texas Medical Branch. Hand hygiene for all healthcare workers. Available from: http://www.utmb.edu/policies_and_procedures/4229926. [Last accessed on 10 Feb 2020]
17. UCSF Medical Center. Hospital Epidemiology and Infection Control: hand hygiene policy. Available from: http://infectioncontrol.ucsfmedicalcenter. org/sites/infectioncontrol.ucsfmedicalcenter.org/files/Sec%201%202%20Hand%20Hygiene.pdf. [Last accessed on 10 Feb 2020]
18. Josefson A, Farm G, Meding B. Validity of self-reported nickel allergy. Contact Dermatitis 2010;62:289-93.
19. Belsito DV, Fransway AF, Fowler JF Jr, Sherertz EF, Maibach HI, Mark JG Jr, et al. Allergic contact dermatitis to detergents: a multicenter study to assess prevalence. J Am Acad Dermatol 2002;46:200-6.
20. Proksch E, Brasch J. Abnormal epidermal barrier in the pathogenesis of contact dermatitis. Clin Dermatol 2012;30:335-44.