Effectiveness of secondary prevention in metalworkers with work-related skin diseases and comparison with participants of a tertiary prevention program: A prospective cohort study.
Contact Dermatitis
; 83(6): 497-506, 2020 Dec.
Article
en En
| MEDLINE
| ID: mdl-32743831
ABSTRACT
BACKGROUND:
In Germany, a multistep approach has been established to prevent work-related skin diseases (WRSDs).OBJECTIVES:
To evaluate the effect of a secondary individual prevention program (SIP) in metalworkers with WRSD and to compare their characteristics with those of participants of a tertiary individual prevention program (TIP). PATIENTS ANDMETHODS:
In a prospective cohort study, metalworkers with WRSD of the hands participating either in the SIP (n = 114) or in the TIP (n = 83) were recruited. At baseline and at the respective follow-up 8-12 weeks after the SIP or at dismissal from the TIP (3-4 weeks later), questionnaires were completed and the severity of WRSD was assessed. Saliva samples were collected for assessment of filaggrin (FLG) mutations and an explorative genome-wide association study (GWAS).RESULTS:
Ninety-three SIP patients (81.6%) attended the follow-up. Disease severity was significantly reduced, and knowledge and protective behavior were significantly improved compared to baseline. Significant differences between SIP and TIP patients were found regarding duration and severity of symptoms, work absenteeism, tobacco smoking, and presence of atopic dermatitis, but not regarding FLG mutations and by GWAS.CONCLUSIONS:
The SIP was effective in metalworkers with WRSDs. Individual factors may influence the course of the disease and the need for the TIP.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Dermatitis Profesional
/
Prevención Secundaria
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Prevención Terciaria
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Metalurgia
/
Metales
Tipo de estudio:
Etiology_studies
/
Evaluation_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
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Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Contact Dermatitis
Año:
2020
Tipo del documento:
Article
País de afiliación:
Alemania