Professional Cleaners’ and Healthcare Workers’ Ability to Recognize Hand Eczema

Timely intervention reduces the risk of a poor prognosis in hand eczema, making early recognition of symptoms important in high-risk professions. However, limited data exist regarding the ability of cleaners and healthcare workers to recognize hand eczema. The aim of this study was to examine cleane...

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Main Authors: Anna Glenn Ullum, Farnam Barati Sedeh, Gregor B.E. Jemec, Kristina Sophie Ibler
Format: Article
Language:English
Published: Medical Journals Sweden 2024-03-01
Series:Acta Dermato-Venereologica
Subjects:
Online Access:https://medicaljournalssweden.se/actadv/article/view/27985
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author Anna Glenn Ullum
Farnam Barati Sedeh
Gregor B.E. Jemec
Kristina Sophie Ibler
author_facet Anna Glenn Ullum
Farnam Barati Sedeh
Gregor B.E. Jemec
Kristina Sophie Ibler
author_sort Anna Glenn Ullum
collection DOAJ
description Timely intervention reduces the risk of a poor prognosis in hand eczema, making early recognition of symptoms important in high-risk professions. However, limited data exist regarding the ability of cleaners and healthcare workers to recognize hand eczema. The aim of this study was to examine cleaners’ and healthcare workers’ ability to recognize hand eczema in clinical photographs and to assess the severity of the disease. Cleaners and healthcare workers completed a questionnaire consisting of 16 questions and participated in a structured interview referring to a validated photographic severity guide for chronic hand eczema, which comprised clinical photographs of hand eczema at varying levels of severity. Eighty cleaners and 201 healthcare workers (total N = 281) participated in the study. The rates of correctly identified hand eczema in clinical photographs (cleaners/ healthcare workers) were: 41.2%/57.7% (mild hand eczema), 81.2%/92.0% (moderate hand eczema), 85.0%/94.5% (severe hand eczema) and 82.5%/97.0% (very severe hand eczema). The proficiency of healthcare workers in recognizing hand eczema was significantly higher than that of cleaners. The results indicate that a large proportion of cleaners and healthcare workers fail to recognize mild hand eczema in clinical photographs. Healthcare workers had higher success rates in recognizing hand eczema in all severity categories. Symptom underestimation may lead to under-reporting of the true prevalence of hand eczema, with consequent loss of opportunities for prevention.
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spelling doaj.art-15ed8f5c0cac4715ad153d99679d41e72024-03-19T12:51:36ZengMedical Journals SwedenActa Dermato-Venereologica0001-55551651-20572024-03-0110410.2340/actadv.v104.27985Professional Cleaners’ and Healthcare Workers’ Ability to Recognize Hand EczemaAnna Glenn Ullum0Farnam Barati Sedeh1Gregor B.E. Jemec2Kristina Sophie Ibler3Department of Dermatology, Zealand University Hospital, Roskilde, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, DenmarkDepartment of Dermatology, Zealand University Hospital, Roskilde, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark Department of Dermatology, Zealand University Hospital, Roskilde, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, DenmarkDepartment of Dermatology, Zealand University Hospital, Roskilde, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, DenmarkTimely intervention reduces the risk of a poor prognosis in hand eczema, making early recognition of symptoms important in high-risk professions. However, limited data exist regarding the ability of cleaners and healthcare workers to recognize hand eczema. The aim of this study was to examine cleaners’ and healthcare workers’ ability to recognize hand eczema in clinical photographs and to assess the severity of the disease. Cleaners and healthcare workers completed a questionnaire consisting of 16 questions and participated in a structured interview referring to a validated photographic severity guide for chronic hand eczema, which comprised clinical photographs of hand eczema at varying levels of severity. Eighty cleaners and 201 healthcare workers (total N = 281) participated in the study. The rates of correctly identified hand eczema in clinical photographs (cleaners/ healthcare workers) were: 41.2%/57.7% (mild hand eczema), 81.2%/92.0% (moderate hand eczema), 85.0%/94.5% (severe hand eczema) and 82.5%/97.0% (very severe hand eczema). The proficiency of healthcare workers in recognizing hand eczema was significantly higher than that of cleaners. The results indicate that a large proportion of cleaners and healthcare workers fail to recognize mild hand eczema in clinical photographs. Healthcare workers had higher success rates in recognizing hand eczema in all severity categories. Symptom underestimation may lead to under-reporting of the true prevalence of hand eczema, with consequent loss of opportunities for prevention. https://medicaljournalssweden.se/actadv/article/view/27985contact dermatitisoccupational dermatitisoccupational diseasesperceptionsymptom assessment
spellingShingle Anna Glenn Ullum
Farnam Barati Sedeh
Gregor B.E. Jemec
Kristina Sophie Ibler
Professional Cleaners’ and Healthcare Workers’ Ability to Recognize Hand Eczema
Acta Dermato-Venereologica
contact dermatitis
occupational dermatitis
occupational diseases
perception
symptom assessment
title Professional Cleaners’ and Healthcare Workers’ Ability to Recognize Hand Eczema
title_full Professional Cleaners’ and Healthcare Workers’ Ability to Recognize Hand Eczema
title_fullStr Professional Cleaners’ and Healthcare Workers’ Ability to Recognize Hand Eczema
title_full_unstemmed Professional Cleaners’ and Healthcare Workers’ Ability to Recognize Hand Eczema
title_short Professional Cleaners’ and Healthcare Workers’ Ability to Recognize Hand Eczema
title_sort professional cleaners and healthcare workers ability to recognize hand eczema
topic contact dermatitis
occupational dermatitis
occupational diseases
perception
symptom assessment
url https://medicaljournalssweden.se/actadv/article/view/27985
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