{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T05:41:07Z","timestamp":1704260467974},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T00:00:00Z","timestamp":1688342400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001321","name":"National Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001321","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001322","name":"South African Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Contact Dermatitis"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Working with cleaning products is associated with occupational contact dermatitis in health workers (HWs), but information on predictors for these outcomes is limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study investigated the prevalence of work\u2010related skin symptoms (WRSS) and associated factors in HWs exposed to cleaning agents in two Southern African tertiary hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study of 697 HWs used an interviewer\u2010administered questionnaire and assessed for atopy using Phadiatop.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>HWs' median age was 42\u2009years, 77.0% were female and 42.5% were atopic. The prevalence of WRSS in the last 12\u2009months was 14.8%, 12.3% had probable contact dermatitis (PCD) and 3.2% had probable contact urticaria (PCU). Technicians (OR<jats:sub>adj<\/jats:sub> 3.91) and tasks involving cleaning and disinfection of skin wounds (OR<jats:sub>adj<\/jats:sub> 1.98) were associated with WRSS in the past year. Factors associated with PCD included sterilizing instruments, disinfecting skin before procedures and use of wound adhesives. Factors associated with PCU included specimen preparation using formalin, medical instrument sterilization tasks, and skin\/wound cleaning and disinfection. Appropriate glove use when performing patients' skin\/wound care was protective against WRSS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Tasks involving cleaning and disinfecting patients' skin and wounds were associated with WRSS in HWs, especially when performed without gloves.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cod.14374","type":"journal-article","created":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T05:27:30Z","timestamp":1688448450000},"page":"178-189","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Prevalence of work\u2010related skin symptoms and associated factors among tertiary hospital workers exposed to cleaning agents in Southern Africa"],"prefix":"10.1111","volume":"89","author":[{"given":"Zahida","family":"Sonday","sequence":"first","affiliation":[{"name":"Occupational Medicine Division, School of Public Health University of Cape Town  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roslynn","family":"Baatjies","sequence":"additional","affiliation":[{"name":"Occupational Medicine Division, School of Public Health University of Cape Town  Cape Town South Africa"},{"name":"Department of Environmental and Occupational Studies, Faculty of Applied Sciences Cape Peninsula University of Technology  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hussein H","family":"Mwanga","sequence":"additional","affiliation":[{"name":"Occupational Medicine Division, School of Public Health University of Cape Town  Cape Town South Africa"},{"name":"Department of Environmental and Occupational Health, School of Public Health and Social Sciences Muhimbili University of Health and Allied Sciences  Dar es Salaam Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed F","family":"Jeebhay","sequence":"additional","affiliation":[{"name":"Occupational Medicine Division, School of Public Health University of Cape Town  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,7,3]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Condensed Handbook of Occupational Dermatology","author":"Kanerva L","year":"2012"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12616"},{"key":"e_1_2_8_4_1","first-page":"28","article-title":"Analysis of attendance records for the occupational dermatology clinic, Groote Schuur Hospital, Cape Town, during 2008 and 2009","volume":"17","author":"Burdzik A","year":"2011","journal-title":"Occup Health South Afr"},{"issue":"5","key":"e_1_2_8_5_1","first-page":"6","article-title":"The Occupational Skin Disease Clinic at the NIOH, NHLS: five years' experience","volume":"16","author":"Fourie A","year":"2010","journal-title":"Occup. 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