Hyperhidrosis and the risk of being treated for skin infections

Background A few studies have described an increased prevalence of skin infections in individuals with hyperhidrosis compared to others. However, it remains uncertain whether hyperhidrosis is an independent risk factor for skin infections. Objective To compare the risk of skin infections in individu...

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Main Authors: Mattias A. S. Henning, Kristina S. Ibler, Sisse R. Ostrowski, Christian Erikstrup, Kaspar R. Nielsen, Mie T. Bruun, Henrik Hjalgrim, Henrik Ullum, Maria Didriksen, Khoa M. Dinh, Klaus Rostgaard, Ole B. Pedersen, Gregor B. Jemec
Format: Article
Language:English
Published: Taylor & Francis Group 2022-05-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2021.1944971
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author Mattias A. S. Henning
Kristina S. Ibler
Sisse R. Ostrowski
Christian Erikstrup
Kaspar R. Nielsen
Mie T. Bruun
Henrik Hjalgrim
Henrik Ullum
Maria Didriksen
Khoa M. Dinh
Klaus Rostgaard
Ole B. Pedersen
Gregor B. Jemec
author_facet Mattias A. S. Henning
Kristina S. Ibler
Sisse R. Ostrowski
Christian Erikstrup
Kaspar R. Nielsen
Mie T. Bruun
Henrik Hjalgrim
Henrik Ullum
Maria Didriksen
Khoa M. Dinh
Klaus Rostgaard
Ole B. Pedersen
Gregor B. Jemec
author_sort Mattias A. S. Henning
collection DOAJ
description Background A few studies have described an increased prevalence of skin infections in individuals with hyperhidrosis compared to others. However, it remains uncertain whether hyperhidrosis is an independent risk factor for skin infections. Objective To compare the risk of skin infections in individuals with and without hyperhidrosis. Methods In this retrospective cohort study, data on hyperhidrosis were collected from the Danish Blood Donor Study. Blood donors included in 2010–2019 were followed from inclusion until December 2019. Data on redeemed prescriptions against skin infections were collected from the National Prescription Register. The intensity of prescription-use by hyperhidrosis status was assessed in Andersen–Gill models. Results Overall, 4,176 (9.6%) of 43,477 blood donors had self-reported hyperhidrosis and 437 (0.34%) of 127,823 blood donors had hospital diagnosed hyperhidrosis. Self-reported hyperhidrosis was associated with the use of antibiotic prescriptions (adjusted hazard ratio = 1.21; 95% confidence interval 1.00–1.45, p = 0.047). Hospital diagnosed hyperhidrosis was associated with the use of antibiotic (adjusted hazard ratio = 1.33; 95% confidence interval 1.03–1.68, p = 0.028) and topical antifungal prescriptions (adjusted hazard ratio = 1.43; 95% confidence interval 1.04–1.97, p = 0.027). Conclusions Hyperhidrosis is associated with the use of prescriptions for antibiotics and topical antifungals. This suggests a clinically relevant association between hyperhidrosis and skin infections.
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spelling doaj.art-3e3a6237b80b427fb3b9ea9e1c4b58352023-09-15T14:28:51ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532022-05-013342263226910.1080/09546634.2021.19449711944971Hyperhidrosis and the risk of being treated for skin infectionsMattias A. S. Henning0Kristina S. Ibler1Sisse R. Ostrowski2Christian Erikstrup3Kaspar R. Nielsen4Mie T. Bruun5Henrik Hjalgrim6Henrik Ullum7Maria Didriksen8Khoa M. Dinh9Klaus Rostgaard10Ole B. Pedersen11Gregor B. Jemec12Department of Dermatology, Zealand University Hospital, University of CopenhagenDepartment of Dermatology, Zealand University Hospital, University of CopenhagenDepartment of Clinical Immunology, Rigshospitalet, University of CopenhagenDepartment of Clinical Immunology, Aarhus University HospitalDepartment of Clinical Immunology, Aalborg UniversityDepartment of Clinical Immunology, Odense University HospitalDanish Cancer Society Research CenterDepartment of Clinical Immunology, Rigshospitalet, University of CopenhagenDepartment of Clinical Immunology, Rigshospitalet, University of CopenhagenDepartment of Clinical Immunology, Aarhus University HospitalDepartment of Epidemiology Research, Statens Serum InstitutDepartment of Clinical Immunology, Zealand University Hospital. University of CopenhagenDepartment of Dermatology, Zealand University Hospital, University of CopenhagenBackground A few studies have described an increased prevalence of skin infections in individuals with hyperhidrosis compared to others. However, it remains uncertain whether hyperhidrosis is an independent risk factor for skin infections. Objective To compare the risk of skin infections in individuals with and without hyperhidrosis. Methods In this retrospective cohort study, data on hyperhidrosis were collected from the Danish Blood Donor Study. Blood donors included in 2010–2019 were followed from inclusion until December 2019. Data on redeemed prescriptions against skin infections were collected from the National Prescription Register. The intensity of prescription-use by hyperhidrosis status was assessed in Andersen–Gill models. Results Overall, 4,176 (9.6%) of 43,477 blood donors had self-reported hyperhidrosis and 437 (0.34%) of 127,823 blood donors had hospital diagnosed hyperhidrosis. Self-reported hyperhidrosis was associated with the use of antibiotic prescriptions (adjusted hazard ratio = 1.21; 95% confidence interval 1.00–1.45, p = 0.047). Hospital diagnosed hyperhidrosis was associated with the use of antibiotic (adjusted hazard ratio = 1.33; 95% confidence interval 1.03–1.68, p = 0.028) and topical antifungal prescriptions (adjusted hazard ratio = 1.43; 95% confidence interval 1.04–1.97, p = 0.027). Conclusions Hyperhidrosis is associated with the use of prescriptions for antibiotics and topical antifungals. This suggests a clinically relevant association between hyperhidrosis and skin infections.http://dx.doi.org/10.1080/09546634.2021.1944971antibioticsantifungalscohort studyhyperhidrosis
spellingShingle Mattias A. S. Henning
Kristina S. Ibler
Sisse R. Ostrowski
Christian Erikstrup
Kaspar R. Nielsen
Mie T. Bruun
Henrik Hjalgrim
Henrik Ullum
Maria Didriksen
Khoa M. Dinh
Klaus Rostgaard
Ole B. Pedersen
Gregor B. Jemec
Hyperhidrosis and the risk of being treated for skin infections
Journal of Dermatological Treatment
antibiotics
antifungals
cohort study
hyperhidrosis
title Hyperhidrosis and the risk of being treated for skin infections
title_full Hyperhidrosis and the risk of being treated for skin infections
title_fullStr Hyperhidrosis and the risk of being treated for skin infections
title_full_unstemmed Hyperhidrosis and the risk of being treated for skin infections
title_short Hyperhidrosis and the risk of being treated for skin infections
title_sort hyperhidrosis and the risk of being treated for skin infections
topic antibiotics
antifungals
cohort study
hyperhidrosis
url http://dx.doi.org/10.1080/09546634.2021.1944971
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