Protection afforded by controlled application of a barrier cream: a study in a workplace setting.

BACKGROUND: Skin protective creams (PCs) are used widely in industrial work environments to prevent irritant contact dermatitis. However, workplace studies remain equivocal in terms of their effectiveness, which may be partly owing to whether the PC remains on the skin. OBJECTIVES: To assess the pra...

Full description

Bibliographic Details
Main Authors: Sadhra, S, Kurmi, O, Mohammed, N, Foulds, I
Format: Journal article
Language:English
Published: 2014
_version_ 1797052791904010240
author Sadhra, S
Kurmi, O
Mohammed, N
Foulds, I
author_facet Sadhra, S
Kurmi, O
Mohammed, N
Foulds, I
author_sort Sadhra, S
collection OXFORD
description BACKGROUND: Skin protective creams (PCs) are used widely in industrial work environments to prevent irritant contact dermatitis. However, workplace studies remain equivocal in terms of their effectiveness, which may be partly owing to whether the PC remains on the skin. OBJECTIVES: To assess the practicability of using skin occlusion testing in a workplace as a method to determine whether PCs applied under controlled conditions can reduce skin damage against known irritants. This study also compares two methods of skin evaluation: clinical dermatological assessment and bioengineering techniques. METHODS: Daily occlusion testing for 1 h (over two consecutive weeks) was conducted in an engineering company on the volar forearm of 21 healthy volunteer engineers with sodium lauryl sulfate (SLS) and a PC that was used on site. The engineers conducted their normal work activities during the occlusion testing period. The skin areas tested were assessed using transepidermal water loss (TEWL), Chroma Meter and by visual dermatological scoring. RESULTS: Testing with PC and SLS together showed that PC does not prevent irritant contact dermatitis but significantly reduced skin damage compared with SLS alone (P < 0.01). The changes in skin were evident earlier with the biophysical measurements when compared with the dermatological assessment. CONCLUSIONS: Occlusion testing is a useful method for assessing the potential effectiveness of protective creams and can be used in a workplace without affecting work practices. TEWL and the Chroma Meter provide useful objective information and should be used in combination with dermatological examinations.
first_indexed 2024-03-06T18:35:38Z
format Journal article
id oxford-uuid:0b205a53-c41d-4ab8-93c5-4f5146f056fe
institution University of Oxford
language English
last_indexed 2024-03-06T18:35:38Z
publishDate 2014
record_format dspace
spelling oxford-uuid:0b205a53-c41d-4ab8-93c5-4f5146f056fe2022-03-26T09:27:44ZProtection afforded by controlled application of a barrier cream: a study in a workplace setting.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:0b205a53-c41d-4ab8-93c5-4f5146f056feEnglishSymplectic Elements at Oxford2014Sadhra, SKurmi, OMohammed, NFoulds, IBACKGROUND: Skin protective creams (PCs) are used widely in industrial work environments to prevent irritant contact dermatitis. However, workplace studies remain equivocal in terms of their effectiveness, which may be partly owing to whether the PC remains on the skin. OBJECTIVES: To assess the practicability of using skin occlusion testing in a workplace as a method to determine whether PCs applied under controlled conditions can reduce skin damage against known irritants. This study also compares two methods of skin evaluation: clinical dermatological assessment and bioengineering techniques. METHODS: Daily occlusion testing for 1 h (over two consecutive weeks) was conducted in an engineering company on the volar forearm of 21 healthy volunteer engineers with sodium lauryl sulfate (SLS) and a PC that was used on site. The engineers conducted their normal work activities during the occlusion testing period. The skin areas tested were assessed using transepidermal water loss (TEWL), Chroma Meter and by visual dermatological scoring. RESULTS: Testing with PC and SLS together showed that PC does not prevent irritant contact dermatitis but significantly reduced skin damage compared with SLS alone (P < 0.01). The changes in skin were evident earlier with the biophysical measurements when compared with the dermatological assessment. CONCLUSIONS: Occlusion testing is a useful method for assessing the potential effectiveness of protective creams and can be used in a workplace without affecting work practices. TEWL and the Chroma Meter provide useful objective information and should be used in combination with dermatological examinations.
spellingShingle Sadhra, S
Kurmi, O
Mohammed, N
Foulds, I
Protection afforded by controlled application of a barrier cream: a study in a workplace setting.
title Protection afforded by controlled application of a barrier cream: a study in a workplace setting.
title_full Protection afforded by controlled application of a barrier cream: a study in a workplace setting.
title_fullStr Protection afforded by controlled application of a barrier cream: a study in a workplace setting.
title_full_unstemmed Protection afforded by controlled application of a barrier cream: a study in a workplace setting.
title_short Protection afforded by controlled application of a barrier cream: a study in a workplace setting.
title_sort protection afforded by controlled application of a barrier cream a study in a workplace setting
work_keys_str_mv AT sadhras protectionaffordedbycontrolledapplicationofabarriercreamastudyinaworkplacesetting
AT kurmio protectionaffordedbycontrolledapplicationofabarriercreamastudyinaworkplacesetting
AT mohammedn protectionaffordedbycontrolledapplicationofabarriercreamastudyinaworkplacesetting
AT fouldsi protectionaffordedbycontrolledapplicationofabarriercreamastudyinaworkplacesetting