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Calzado laboral y actuación podológica
... In addition, pruritus may be a sign of dermatological diseases such as atopic dermatitis and psoriasis; the present study has found a relationship between pruritus and psoriasis (p < 0.005). -Mycosis: The use of non-breathable footwear, extended working hours, and exposure to excess humidity at sea result in a high incidence of tinea pedis in individuals wearing occlusive footwear [17][18][19]; exogenous transmission of mycosis in susceptible individuals is common under the above-listed conditions [20,21]. -The World Health Organization (WHO) states that the overall prevalence of superficial mycoses is very high, affecting between 20% and 25% of the general population, the condition is more frequent in humid climates [22]. ...
Background:
Little is known about the impact of occupational seafaring on lower limb conditions. The aim of the study was to estimate the prevalence of dermatological diseases affecting the feet and lower extremities of seafarers, as well as the possible impact of working conditions on the development of the pathologies analysed.
Materials and methods:
A prevalence study was performed through self-completed questionnaires at the “Instituto Social de la Marina” (ISM) centres at A Coruña, Ribeira, Noya and Cádiz (Spain). Sociodemographic, anthropometric and podiatric variables, as well as the type of maritime sector, duty on board and, working footwear, were studied (n = 137). The study has been approved by the Ethics Committee of the University of A Coruña (CE 13/2016).
Results:
The average age of the study subjects was 45.71 ± 9.90 years and the number of years sailed was 20.31 ± 11.64 years. The most prevalent pathologies were mycosis (21.9%), helomas and tylomas (29.9%) and hyperhidrosis (17.5%). A statistically significant relationship was obtained between pruritus and scabies (p ≤ 0.000), xerosis (p ≤ 0.005), eczema (p ≤ 0.000), obesity (p ≤ 0.018) and psoriasis (p ≤ 0.005). A significant relationship was also found between onychocryptosis, and psoriasis (p ≤ 0.000). Frequency with which the study participants have visited the podiatrist was significantly related to the presence of helomas and tylomas (p ≤ 0.013) and hyperhidrosis (p ≤ 0.025).
Conclusions:
A high prevalence of diverse dermatological diseases has been found, revealing the importance of podiatric assessment in sea workers prior to boarding.
Introducción: El equipo de protección personal de acuerdo con la norma oficial mexicana NOM-017-STPS-2008 es el conjunto de elementos y dispositivos que tienen como objetivo proteger al trabajador contra accidentes y enfermedades que puedan generarse por motivo de su actividad laboral. Al ser el trabajo una situación donde el requisito legal es usarlo durante, al menos, 8 horas por día, durante varios días a la semana, el sufrimiento infringido por el uso del calzado laboral puede ser positivo en un 84%. La prevalencia de las patologías del pie se encuentra entre el 61-79% y contribuye a un impacto negativo en la calidad de vida, contribuye al 3.7% de lesiones del pie en la población en general y es el 15% de motivos de consulta en atención primaria. En México el 30% de la población padece de esta patología. Objetivo: Determinar factores de riesgo para desarrollar fascitis plantar. Además, conocer la incidencia de fascitis plantar en empresa acerera, conocer tipos de calzado utilizados en la empresa, analizar cumplimiento de NORMA Oficial Mexicana NOM-113-STPS-2009 de Seguridad-Equipo de protección personal-Calzado de protección-Clasificación y conocer la relación entre tipo de calzado laboral y fascitis plantar. Material y métodos: Se realizará estudio transversal, observacional, prospectivo, descriptivo en trabajadores de área de producción en empresa acerera. Tiempo para desarrollarse: enero de 2024 a julio 2024.
Objective: the present work is to study and to compare the prevalence of dermatological pathologies in the foot of a workers' sample of the sea in relation with a workers' sample of land. Methods: A sample of 94 participants, average age 41,29 ± 10,603 years came to an ambulatory center where autoinformed information was registered, they determined the labor activity. Results: The group of workers of the sea proved to be a major prevalence of fractures (p= 0,003), pharmacological treatment (p=0,003) and podiatric pathologies (p=0,013) that the workers of land Conclusions: The bad conditions of dampness joined the use of the labor footwear generate on the low member a negative impact, provoking an increase of the prevalence of certain podiatric pathologies of the workers of the sea in comparison with the population who is not employed at the sea.
En este trabajo proporcionaremos la información disponible sobre los equipos de protección individual (EPIs) como parte importante de nuestra labor como médicos del trabajo. Todos los trabajadores están expuestos a una serie de riesgos, la mayor parte de ellos prevenibles de forma colectiva, pero en algunas ocasiones, estas medidas no llegan a ser del todo eficaces por lo que son necesarios equipos de protección individual. Estos equipos están destinados a ser llevados o sujetados por los trabajadores para protegerles de los riesgos que puedan amenazar su seguridad o su salud en el ámbito del trabajo, pero sin embargo, son capaces por sí mismos de crear efectos indeseables en la salud de los trabajadores, derivados de su uso. Por este motivo, los médicos del trabajo deben vigilar la salud de los trabajadores, valorando sus factores personales que puedan dificultar el uso de EPIs, informar y formar a los trabajadores sobre todo lo relativo al uso de los mismos, elegir el EPI adecuado para cada trabajador y, sobretodo, realizar un seguimiento para detectar posibles efectos indeseables del uso de EPIs y así evitar la no utilización y, por tanto, la ineficacia del EPI.In this study will provide information on personal protective equipment (PPE) as an important part of our work as doctors work. All workers are exposed to a number of risks, most of them preventable in a collective manner, but in some cases, these measures do not become fully effective it is necessary protective equipment. These teams are intended to be carried or restrained by workers to protect them from risks that may threaten their safety or health in the workplace, but nevertheless they are capable of creating their own effects on the health of workers, derived from its use. For this reason, doctors should monitor the work of health workers, assessing their personal factors that might hinder the use of PPE, inform and train workers on all matters relating to the use of them, choose the appropriate PPE for each worker and, above all, follow up to detect possible effects of the use of PPE and thus avoid the nonuse and therefore the ineffectiveness of PPE.
Workers in many industries are required to wear safety footwear (defined by Australian Standard AS 2210 as footwear incorporating a steel toe cap). A survey of 321 workers from a broad range of industries indicates that many wearers thought that the safety footwear affected their foot problems; the footwear was hot; inflexible soles impeded specific work tasks; and some women stated that the steel toe caps pressed on their toes. There is a need for research into safety footwear, especially in relation to women's footwear, the flexion angle and tread of the soles of footwear,and educational programs aimed at health and safety practitioners.
New South Wales firefighters are currently compelled to wear safety footwear with steel reinforced toe caps. Previously they were allowed a choice of wearing a safety leather boot without a steel toe cap. Following reported problems with the comfort of the boots, the Board of Fire Commissioners consented to a request by the Board's medical officer and a consultant occupational podiatrist to conduct a pilot survey by questionnaire of a sample of 300 firefighters. Half the respondents completed the questionnaire and stated that the boot was restrictive and clumsy, and that it leaked. Criticism was made of the steel toe caps; that they prevented easy movement and often obstructed crouching, kneeling and fast movements. A follow-up study using film analysis was subsequently conducted in an attempt to identify and correlate the firefighters' work functions with the reported problems relating to the wearing of steel toe capped footwear.
In Australia workers in many industries are required to wear safety footwear (footwear incorporating a steel toe cap). An
investigation of the problems reported by 321 workers (70 per cent male) employed in a broad range of work activities and
required to wear safety footwear was conducted in 1990 and 1991. Respondents were interviewed by a professionally trained
podiatrist using a structured questionnaire followed by a foot examination. An extremely high percentage (91 per cent) of
subjects reported one or more foot problems (which were verified by the podiatrist), and most considered that the safety footwear
either caused the problem or adversely affected an existing foot condition. The main shoe concerns reported were excessive
heat (65 per cent of all respondents), inflexible soles (52 per cent), weight (48 per cent) and pressure from steel toe cap
(47 per cent). Certain gender differences were identified. General recommendations are made.
Consideraciones sobre profi laxis y terapeútica en el pie del trabajador por la incidencia del calzado industrial
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