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Auteurs principaux: Željka Babić, Franka Šakić, Jelena Macan
Format: Artículo Open Access
Publié: Wiley 2024
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Accès en ligne:https://onlinelibrary.wiley.com/doi/10.1111/cod.14690
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author Željka Babić
Franka Šakić
Jelena Macan
author_facet Željka Babić
Franka Šakić
Jelena Macan
Željka Babić
Franka Šakić
Jelena Macan
collection Wiley Open Access
contents Biomonitoring of hand and forearm transepidermal water loss and skin pH among nursing apprentices Željka Babić Franka Šakić Jelena Macan Contact Dermatitis Abstract Background Measurements of transepidermal water loss (TEWL) and stratum corneum (SC) pH can help indicate work‐related skin barrier damage, but sensitivity to confounding personal and ambient factors limits their potential as biomonitoring tools. Objectives To evaluate the difference between hand and forearm skin barrier conditions as a tool for early recognition of workers with occupational contact dermatitis. Participants and Methods The participants were nursing apprentices ( N  = 238, median age 19 years) from Zagreb, Croatia. They filled out a questionnaire based on the Nordic Occupational Skin Questionnaire, underwent a clinical examination of skin on the hands, and were evaluated for their TEWL and SC pH on the dorsum of the hand and volar part of the forearm. Results We found that the difference between hand and forearm TEWL values (ΔTEWL) greater than 7 g/m 2 /h, or >50%, or the difference in SC ΔpH >0.50, predicted visible skin changes found on clinical examination. However, only the association with ΔpH >0.50 retained statistical significance when controlled for sex, age, ambient temperature, and relative humidity in a multiple regression model. Conclusions The difference between hand and forearm SC pH values is suggested as a reliable biomonitoring tool in recognition of damaged skin barrier conditions in occupational settings. 10.1111/cod.14690 http://onlinelibrary.wiley.com/termsAndConditions#vor
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spellingShingle Biomonitoring of hand and forearm transepidermal water loss and skin pH among nursing apprentices
Željka Babić
Franka Šakić
Jelena Macan
Contact Dermatitis
Biomonitoring of hand and forearm transepidermal water loss and skin pH among nursing apprentices Željka Babić Franka Šakić Jelena Macan Contact Dermatitis Abstract Background Measurements of transepidermal water loss (TEWL) and stratum corneum (SC) pH can help indicate work‐related skin barrier damage, but sensitivity to confounding personal and ambient factors limits their potential as biomonitoring tools. Objectives To evaluate the difference between hand and forearm skin barrier conditions as a tool for early recognition of workers with occupational contact dermatitis. Participants and Methods The participants were nursing apprentices ( N  = 238, median age 19 years) from Zagreb, Croatia. They filled out a questionnaire based on the Nordic Occupational Skin Questionnaire, underwent a clinical examination of skin on the hands, and were evaluated for their TEWL and SC pH on the dorsum of the hand and volar part of the forearm. Results We found that the difference between hand and forearm TEWL values (ΔTEWL) greater than 7 g/m 2 /h, or >50%, or the difference in SC ΔpH >0.50, predicted visible skin changes found on clinical examination. However, only the association with ΔpH >0.50 retained statistical significance when controlled for sex, age, ambient temperature, and relative humidity in a multiple regression model. Conclusions The difference between hand and forearm SC pH values is suggested as a reliable biomonitoring tool in recognition of damaged skin barrier conditions in occupational settings. 10.1111/cod.14690 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Biomonitoring of hand and forearm transepidermal water loss and skin pH among nursing apprentices
topic Contact Dermatitis
url https://onlinelibrary.wiley.com/doi/10.1111/cod.14690