{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T13:12:12Z","timestamp":1793365932928,"version":"4.5.0"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"6-7","license":[{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,10,1]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Allergic contact dermatitis is a common occupational skin disease among healthcare workers (HCWs).<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n This study describes causes of allergic contact dermatitis in New Zealand HCWs.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n All HCWs undergoing patch testing between July 2008 and January 2020 at a public hospital patch test clinic and between June 2019 and January 2020 at a private dermatology clinic were included. Data collected included patient demographics, occupation, results of patch testing and pre- and post-patch test diagnoses.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Out of 837 patients tested, 67 were HCWs. The mean age of HCWs was 41 years (SD 14) and 58 (87%) were female. The most common occupations were nurses (40%), allied health (22%) and doctors (18%). Forty-six (69%) patients had a background of atopic dermatitis. Hand dermatitis was the most common presentation (49%), followed by facial\/neck dermatitis (25%). Thirty-eight (57%) had at least one positive reaction on patch testing, including 19 (28%) with a positive result of current relevance. There were 16 relevant reactions to rubber accelerators, 11 to fragrances, 10 to preservatives and 6 to corticosteroids. The most frequent relevant allergens were methylisothiazolinone\/methylchloroisothiazolinone (4%), hydroxyisohexyl 3-cyclohexene carboxaldehyde (4%) and methylisothiazolinone (4%).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The most common allergens in HCWs were rubber chemicals, fragrances, preservatives and topical corticosteroids. Important allergens for patch testing HCWs are outlined, in particular, those with hand dermatitis should be tested to a rubber series.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/occmed\/kqab118","type":"journal-article","created":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T19:10:51Z","timestamp":1627413051000},"page":"294-297","source":"Crossref","is-referenced-by-count":10,"title":["Allergic contact dermatitis in healthcare workers"],"prefix":"10.1093","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1622-4784","authenticated-orcid":false,"given":"C","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Dermatology, Auckland City Hospital, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Greig","sequence":"additional","affiliation":[{"name":"Department of Dermatology, North Shore Hospital, Auckland, New Zealand"},{"name":"Department of Medicine and Health Sciences, University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Auckland City Hospital, Auckland, New Zealand"},{"name":"Department of Medicine and Health Sciences, University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,8,29]]},"reference":[{"key":"2021100118430756100_CIT0001","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1111\/cod.12333","article-title":"Patch test results of the European baseline series among patients with occupational contact dermatitis across Europe\u2014analyses of the European Surveillance System on Contact Allergy network, 2002\u20132010","volume":"72","author":"Pesonen","year":"2015","journal-title":"Contact Dermatitis"},{"key":"2021100118430756100_CIT0002","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1016\/j.jaad.2020.03.014","article-title":"Skin damage among health care workers managing coronavirus disease-2019","volume":"82","author":"Lan","year":"2020","journal-title":"J Am Acad Dermatol"},{"key":"2021100118430756100_CIT0003","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1111\/cod.12616","article-title":"Occupational skin disease among Australian healthcare workers: a retrospective analysis from an occupational dermatology clinic, 1993\u20132014","volume":"75","author":"Higgins","year":"2016","journal-title":"Contact Dermatitis"},{"key":"2021100118430756100_CIT0004","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1111\/cod.12432","article-title":"European Society of Contact Dermatitis guideline for diagnostic patch testing\u2014recommendations on best practice","volume":"73","author":"Johansen","year":"2015","journal-title":"Contact Dermatitis"},{"key":"2021100118430756100_CIT0005","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1093\/occmed\/kqv139","article-title":"Healthcare workers and skin sensitization: north-eastern Italian database","volume":"66","author":"Prodi","year":"2016","journal-title":"Occup Med (Lond)"},{"key":"2021100118430756100_CIT0006","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1097\/DER.0000000000000124","article-title":"Occupational dermatitis in health care workers evaluated for suspected allergic contact dermatitis","volume":"26","author":"Kadivar","year":"2015","journal-title":"Dermatitis"},{"key":"2021100118430756100_CIT0007","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1111\/j.1600-0536.2007.01315.x","article-title":"Occupational dermatoses in health care workers evaluated for suspected allergic contact dermatitis","volume":"58","author":"Suneja","year":"2008","journal-title":"Contact Dermatitis"},{"key":"2021100118430756100_CIT0008","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1111\/cod.12587","article-title":"Prevalence of delayed-type and immediate-type hypersensitivity in healthcare workers with hand eczema","volume":"75","author":"Ibler","year":"2016","journal-title":"Contact Dermatitis"},{"key":"2021100118430756100_CIT0009","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1111\/cod.12454","article-title":"ESSCA results with the baseline series, 2009\u20132012: rubber allergens","volume":"73","author":"Warburton","year":"2015","journal-title":"Contact Dermatitis"}],"container-title":["Occupational 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