Frequent Hand Hygiene-Induced Skin Symptoms and Alterations in Hand Microbiota: A Neglected Form of Chronic Occupational Exposure Among Health Care Workers.

IF 1.7 4区 医学 Q3 NURSING
Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-03-12 DOI:10.1097/NCQ.0000000000000855
Wenbin He, Xiaofeng Lin, Nuo Chen, Yan Li, Bilong Feng, Fan Cheng, Xiaoyan Chen, Yibin Tan, Ying Zhang, Wenwen Wu, Ying Wang
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引用次数: 0

Abstract

Background: Frequent hand hygiene is essential for infection control among health care workers (HCWs) but may cause adverse skin effects.

Purpose: To assess the relationships between frequent hand hygiene practices, skin symptoms, and microbiota alterations in HCWs.

Methods: A comprehensive search of 7 databases was conducted to identify articles published between January 2014 and July 2024 in English and Chinese.

Results: A total of 24 studies were included in the review. Frequent hand hygiene was associated with reduced microbial flora in 2 studies and high incidences of skin dryness, itching, peeling, erythema, fissures, burning, and pain in 18 studies. Fifteen studies linked frequent hand hygiene to eczema, dermatitis, acne, and folliculitis, while 1 study found higher Staphylococcus aureus detection in severe eczema cases.

Conclusions: Prolonged frequent hand hygiene alters hand microbiota and induces various skin symptoms, necessitating attention to chronic occupational exposure among HCWs.

频繁的手部卫生引起的皮肤症状和手部微生物群的改变:卫生保健工作者慢性职业暴露的一种被忽视的形式。
背景:勤洗手对卫生保健工作者(HCWs)的感染控制至关重要,但可能导致不良的皮肤反应。目的:评估卫生工作者频繁的手卫生习惯、皮肤症状和微生物群改变之间的关系。方法:综合检索7个数据库,检索2014年1月至2024年7月间发表的中英文文献。结果:共纳入24项研究。在2项研究中,经常洗手与微生物菌群减少有关,在18项研究中,经常洗手与皮肤干燥、瘙痒、脱皮、红斑、裂隙、灼烧和疼痛的高发生率有关。15项研究将频繁的手部卫生与湿疹、皮炎、痤疮和毛囊炎联系起来,而1项研究发现,在严重的湿疹病例中,金黄色葡萄球菌的检出率更高。结论:长期频繁的手部卫生会改变手部微生物群并诱发各种皮肤症状,需要关注卫生工作者的慢性职业暴露。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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