Occupational contact dermatitis among healthcare workers in the COVID-19 Isolation ward

Cita Rosita Sigit Prakoeswa; Damayanti Damayanti; Sylvia Anggraeni; Menul Ayu Umborowati; Sawitri Sawitri; Astindari Astindari; Andre Yuindartanto

doi:10.53730/ijhs.v6nS9.12856

Authors

Cita Rosita Sigit Prakoeswa
cita-rosita@fk.unair.ac.id
Department of Dermatology and Venereology, Faculty of Medicine Airlangga University/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Damayanti Department of Dermatology and Venereology, Faculty of Medicine Airlangga University/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Sylvia Anggraeni Department of Dermatology and Venereology, Faculty of Medicine Airlangga University/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Menul Ayu Umborowati Department of Dermatology and Venereology, Faculty of Medicine Airlangga University/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Sawitri Department of Dermatology and Venereology, Faculty of Medicine Airlangga University/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Astindari Department of Dermatology and Venereology, Faculty of Medicine Airlangga University/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Andre Yuindartanto Department of Dermatology and Venereology, Faculty of Medicine Airlangga University/ Dr. Soetomo General Academic Hospital, Surabaya, Indonesia

Keywords:

Hand hygiene, Human and Disease, Occupational dermatitis, Patch test, Personal protective equipment

Abstract

Occupational skin disease due to intensified infection prevention procedures among healthcare workers has been reported since the outbreak of coronavirus disease-2019 (COVID-19). This study was to determine the cause of Occupational Contact Dermatitis (OCD) among healthcare workers in the COVID-19 isolation ward using a skin patch test to prevent the recurrence of the disease. The allergens for the patch test included thiuram-mix 1%, 2-mercaptobenzothiazole 2%, and tetramethyl thiuram disulfide 1% which were contained in gloves, cobalt chloride 1%, and colophony 20% which were contained in adhesives, as well as irigasan 2% and lanolin 100% which were contained in hand hygiene products. Thirty healthcare workers who were diagnosed with OCD were included and underwent patch tests. The participants were dominated by females (90%) and nurses (66.67%). Six participants got weak positive (+) results from thiuram-mix 1%. Meanwhile 1 weak positive (+), 6 strong positive (++) and 1 extreme positive (+++) were found in lanolin 100% patch test. There was clinical relevance to these results. The infection prevention measures among healthcare workers in the COVID-19 isolation ward increased the risk of OCD, including the use of PPE and hand hygiene products.

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