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. 2005 Sep;62(9):642–649. doi: 10.1136/oem.2004.016576

A randomised controlled intervention study on prevention of work related skin problems among gut cleaners in swine slaughterhouses

M Flyvholm 1, K Mygind 1, L Sell 1, A Jensen 1, K Jepsen 1
PMCID: PMC1741082  PMID: 16109821

Abstract

Aims: To evaluate the effect of an intervention to reduce work related skin problems in gut cleaning departments in Danish swine slaughterhouses. The intervention consisted of an evidence based prevention programme and a documented method for implementation.

Methods: Randomised controlled intervention study with a one year follow up. The intervention included educational activities and evidence based recommendations. The effect of the intervention was evaluated by telephone interviews using a standardised questionnaire based on the Nordic Occupational Skin Questionnaire (NOSQ-2002) with modified and additional questions on exposure, preventive measures, information, and discussions on prevention of skin problems, etc.

Results: A total of 644 (87.5%) responded at the baseline interview and 622 (71.6%) at the one year follow up interview. A total of 495 participated in both interviews (67.3%). In the intervention departments the frequency of eczema on hands or forearms within the past three months at follow up was reduced significantly from 56.2% at baseline to 41.0% at follow up, while a slight non-significant increase was observed in the comparison departments (from 45.9% to 50.2%). The intervention activities resulted in more frequent use of protective gloves in general and the use of cotton gloves worn underneath rubber and plastic gloves. At follow up three times as many in the intervention departments used the recommended high fat skin care products introduced as part of the intervention activities. At follow up, discussion of skin problems was increased in the intervention group while no changes were observed in the comparison group.

Conclusions: A significant 27% relative reduction of occupational eczema in a high risk group was feasible through implementation of an evidence based prevention programme.

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Selected References

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  1. Adisesh A., Meyer J. D., Cherry N. M. Prognosis and work absence due to occupational contact dermatitis. Contact Dermatitis. 2002 May;46(5):273–279. doi: 10.1034/j.1600-0536.2002.460505.x. [DOI] [PubMed] [Google Scholar]
  2. Agner Tove, Held Elisabeth. Skin protection programmes. Contact Dermatitis. 2002 Nov;47(5):253–256. doi: 10.1034/j.1600-0536.2002.470501.x. [DOI] [PubMed] [Google Scholar]
  3. Diepgen T. L., Coenraads P. J. The epidemiology of occupational contact dermatitis. Int Arch Occup Environ Health. 1999 Nov;72(8):496–506. doi: 10.1007/s004200050407. [DOI] [PubMed] [Google Scholar]
  4. Diepgen Thomas L. Occupational skin-disease data in Europe. Int Arch Occup Environ Health. 2003 Apr 11;76(5):331–338. doi: 10.1007/s00420-002-0418-1. [DOI] [PubMed] [Google Scholar]
  5. Ford J. K., Fisher S. The transfer of safety training in work organizations: a systems perspective to continuous learning. Occup Med. 1994 Apr-Jun;9(2):241–259. [PubMed] [Google Scholar]
  6. Halkier-Sørensen L. Occupational skin diseases. Contact Dermatitis. 1996;35(1 Suppl):1–120. [PubMed] [Google Scholar]
  7. Hayashi M., Saitoh M., Fujii N., Suzuki Y., Nishiyama K., Asano S., Hayashi H. Dermatoses among poultry slaughterhouse workers. Am J Ind Med. 1989;15(5):601–605. doi: 10.1002/ajim.4700150512. [DOI] [PubMed] [Google Scholar]
  8. Held E., Mygind K., Wolff C., Gyntelberg F., Agner T. Prevention of work related skin problems: an intervention study in wet work employees. Occup Environ Med. 2002 Aug;59(8):556–561. doi: 10.1136/oem.59.8.556. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Held E., Wolff C., Gyntelberg F., Agner T. Prevention of work-related skin problems in student auxiliary nurses: an intervention study. Contact Dermatitis. 2001 May;44(5):297–303. doi: 10.1034/j.1600-0536.2001.440509.x. [DOI] [PubMed] [Google Scholar]
  10. Hutchings C. V., Shum K. W., Gawkrodger D. J. Occupational contact dermatitis has an appreciable impact on quality of life. Contact Dermatitis. 2001 Jul;45(1):17–20. doi: 10.1034/j.1600-0536.2001.045001017.x. [DOI] [PubMed] [Google Scholar]
  11. Livesley E. J., Rushton L., English J. S. C., Williams H. C. Clinical examinations to validate self-completion questionnaires: dermatitis in the UK printing industry. Contact Dermatitis. 2002 Jul;47(1):7–13. doi: 10.1034/j.1600-0536.2002.470102.x. [DOI] [PubMed] [Google Scholar]
  12. Schwanitz Hans Joachim, Riehl Ulrike, Schlesinger Tanja, Bock Meike, Skudlik Christoph, Wulfhorst Britta. Skin care management: educational aspects. Int Arch Occup Environ Health. 2003 Apr 29;76(5):374–381. doi: 10.1007/s00420-002-0428-z. [DOI] [PubMed] [Google Scholar]
  13. Smit H. A., Coenraads P. J., Lavrijsen A. P., Nater J. P. Evaluation of a self-administered questionnaire on hand dermatitis. Contact Dermatitis. 1992 Jan;26(1):11–16. doi: 10.1111/j.1600-0536.1992.tb00861.x. [DOI] [PubMed] [Google Scholar]
  14. Susitaival P., Flyvholm M-A, Meding B., Kanerva L., Lindberg M., Svensson A., Olafsson J. H. Nordic Occupational Skin Questionnaire (NOSQ-2002): a new tool for surveying occupational skin diseases and exposure. Contact Dermatitis. 2003 Aug;49(2):70–76. doi: 10.1111/j.0105-1873.2003.00159.x. [DOI] [PubMed] [Google Scholar]
  15. Svensson A., Lindberg M., Meding B., Sundberg K., Stenberg B. Self-reported hand eczema: symptom-based reports do not increase the validity of diagnosis. Br J Dermatol. 2002 Aug;147(2):281–284. doi: 10.1046/j.1365-2133.2002.04799.x. [DOI] [PubMed] [Google Scholar]
  16. Vermeulen R., Kromhout H., Bruynzeel D. P., de Boer E. M. Ascertainment of hand dermatitis using a symptom-based questionnaire; applicability in an industrial population. Contact Dermatitis. 2000 Apr;42(4):202–206. doi: 10.1034/j.1600-0536.2000.042004202.x. [DOI] [PubMed] [Google Scholar]
  17. Wallenhammar Lena-Marie, Nyfjäll Mats, Lindberg Magnus, Meding Birgitta. Health-related quality of life and hand eczema--a comparison of two instruments, including factor analysis. J Invest Dermatol. 2004 Jun;122(6):1381–1389. doi: 10.1111/j.0022-202X.2004.22604.x. [DOI] [PubMed] [Google Scholar]
  18. Yngveson M., Svensson A., Isacsson A. Evaluation of a self-reported questionnaire on hand dermatosis in secondary school children. Acta Derm Venereol. 1997 Nov;77(6):455–457. doi: 10.2340/0001555577455457. [DOI] [PubMed] [Google Scholar]

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