Hand hygiene compliance and irritant dermatitis: A juxtaposition of healthcare issues

Skin Sciences Program, Division of Pediatric Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 45229, U.S.A
International journal of cosmetic science (Impact Factor: 1.38). 06/2012; 34(5):402-15. DOI: 10.1111/j.1468-2494.2012.00733.x
Source: PubMed


Reduction and prevention of health care-associated infections is a worldwide priority with emphasis on increasing hand hygiene compliance. Repetitive exposure to hand hygiene products and procedures is a significant factor in the development of occupational irritant hand dermatitis. Compliance has been difficult to achieve often due to skin irritation. The introduction of alcohol hand rubs has positively influenced compliance but rates remain lower than required. Genetic and environmental factors to the frequency and severity of irritant contact dermatitis have been identified. Because of the skin's role in innate immunity, maintenance of epidermal integrity is a key strategy for reducing health care-associated infections. In this review, we examine the interdependence of the two issues and the challenges of simultaneously accomplishing both goals. We emphasize research conducted among healthcare workers in their clinical settings. The factors that influence skin integrity and the challenges in meeting both goals simultaneously are explored. Cosmetic scientists have played key roles in the development of improved skin care products, and the issues present an excellent opportunity for them to provide potentially life-saving contributions to health care.
La réduction et la prévention des infections associées aux soins de santé sont une priorité dans le monde entier, avec l'accent accru sur le respect de l'hygiène des mains. L'exposition répétée à des produits d'hygiène des mains et des procédures imposées sont des facteurs importants dans le développement de dermatite de contact de la main en tant que maladie professionnelle. L'adhésion aux consignes est donc souvent difficile à obtenir à cause des irritations cutanées constatées. L'introduction de l'alcool désinfectant pour les mains a une influence positive sur le respect des procédures, mais les taux restent inférieurs à ceux requis. Les facteurs génétiques et environnementaux par rapport à la fréquence et la gravité de la dermatite de contact ont été identifiés. En raison du rôle de la peau dans l'immunité innée, le maintien de l'intégrité épidermique est une stratégie clé pour réduire le taux d'infections du personnel des soins. Dans cette revue, nous examinons l'interdépendance des deux questions et les défis à la réalisation simultanée des deux objectifs. Nous insistons sur la recherche menée auprès des travailleurs de la santé dans leurs milieux cliniques. Les facteurs qui influent sur l'intégrité de la peau et les défis à relever les deux objectifs simultanément sont explorés. Les chercheurs en cosmétique ont joué un rôle clé dans le développement de produits d'un meilleur soin de la peau. Ces problématiques sont une excellente occasion pour eux de fournir des contributions aux soins de santé qui potentiellement peuvent sauver des vies.

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Available from: Marty O. Visscher, Feb 05, 2015
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