The Use of Latex Powdered Gloves in Health Care and Skin Problems on the Hands: A Pilot Study in Croatian Hospitals

Hana Knežević Krajina, Bojana Knezevic
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Abstract

Abstract Background The prevalence of latex allergy in the population of healthcare workers is higher than in the general population. In the last decade, the use of powder gloves has been reduced or banned due to the risk of developing adverse effects and diseases to individuals exposed to them. Latex gloves are used on a daily basis in Croatian hospitals. Powdered latex gloves are still in everyday use in Croatia. Objectives The aim of this cross-sectional study was to do screening among healthcare professionals for hand diseases after wearing gloves, and to test a positive correlation between symptoms on the hands and work in the hospital. Subjects and methods The data were collected by the self-assessment questionnaire The Latex Allergy Screening Questionnaire. The participants were healthcare workers who regularly use latex gloves in hospitals. Results The study included 455 healthcare workers: 361 nurses, 71 physicians, and 23 other healthcare workers. The most often symptoms of dermatitis occur in workers who use gloves for more than three hours a day, with the highest frequency in the group wearing gloves between 3 and 5 hours a day. Contact dermatitis develops more significantly in the participants who wear gloves more than 5 hours a day (P=0.001). Of all participants, after latex glove use, 45.05% had various symptoms on the skin of the hand related to gloves use and 18% reported contact urticaria after contact with latex gloves. Most of them (89.8%) who suffered from various symptoms related to gloves, did not have any symptoms when they were on holiday or sick leave. Conclusion Nearly half of the participants have some problems with the skin after wearing latex gloves. Most participants have had those symptoms withdrawn when they took a sick leave or a vacation. The ban on powdered gloves should be considered as a preventive measure.
在保健和手部皮肤问题中使用乳胶粉手套:克罗地亚医院的一项试点研究
摘要背景:乳胶过敏在卫生保健工作者人群中的患病率高于一般人群。在过去十年中,粉末手套的使用已经减少或禁止,因为接触它们的人可能会产生不利影响和疾病。克罗地亚的医院每天都使用乳胶手套。在克罗地亚,粉末乳胶手套仍在日常使用。目的本横断面研究的目的是筛查医护人员戴手套后的手部疾病,并检验手部症状与医院工作之间的正相关关系。研究对象和方法采用乳胶过敏筛查问卷进行自评。参与者是经常在医院使用乳胶手套的医护人员。结果共纳入455名医护人员,其中护士361名,医生71名,其他医护人员23名。皮炎症状最常发生在每天使用手套3小时以上的工人身上,每天使用手套3至5小时的工人发病率最高。接触性皮炎在每天戴手套超过5小时的参与者中更为显著(P=0.001)。在所有参与者中,45.05%的人在使用乳胶手套后,手部皮肤出现了与使用手套有关的各种症状,18%的人在接触乳胶手套后报告了接触性荨麻疹。出现与手套有关的各种症状的人中,大部分(89.8%)在休假或病假期间没有任何症状。结论近半数受试者在佩戴乳胶手套后出现皮肤问题。大多数参与者在请病假或度假时,这些症状都消失了。禁止使用有粉手套应该被视为一种预防措施。
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