scholarly journals Low Rates of Cutaneous Adverse Reactions to Alcohol-Based Hand Hygiene Solution during Prolonged Use in a Large Teaching Hospital

2005 ◽  
Vol 49 (10) ◽  
pp. 4404-4405 ◽  
Author(s):  
M. Graham ◽  
R. Nixon ◽  
L. J. Burrell ◽  
C. Bolger ◽  
P. D. R. Johnson ◽  
...  
Keyword(s):  
Health Care ◽  
Contact Dermatitis ◽  
Hand Hygiene ◽  
Teaching Hospital ◽  
Health Care Workers ◽  
Adverse Reactions ◽  
Irritant Contact Dermatitis ◽  
Large Teaching Hospital ◽  
Care Workers ◽  
Cutaneous Adverse Reactions

ABSTRACT We assessed cutaneous adverse reactions (CARs) to alcohol-based hand rub (ABHR) after the introduction of a hand hygiene culture change program at our institution. CARs were infrequent among exposed health care workers (HCWs) (13/2,750; 0.47%; 1 CAR per 72 years of HCW exposure) and were not influenced by the duration or intensity of ABHR use but were associated with the presence of irritant contact dermatitis.

scholarly journals Screening for Tuberculosis in Health Care Workers: Experience in an Italian Teaching Hospital

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Christian Napoli ◽  
Filippo Ferretti ◽  
Filippo Di Ninno ◽  
Riccardo Orioli ◽  
Alessandra Marani ◽  
...  
Keyword(s):  
Health Care ◽  
Teaching Hospital ◽  
Health Care Workers ◽  
Screening Tests ◽  
Specificity And Sensitivity ◽  
Large Teaching Hospital ◽  
Care Workers ◽  
Low Incidence ◽  
Positive Results

Health care workers (HCW) are particularly at risk of acquiring tuberculosis (TB), even in countries with low TB incidence. Therefore, TB screening in HCW is a useful prevention strategy in countries with both low and high TB incidence. Tuberculin skin test (TST) is widely used although it suffers of low specificity; on the contrary, the in vitro enzyme immunoassay tests (IGRA) show superior specificity and sensitivity but are more expensive. The present study reports the results of a three-year TB surveillance among HCW in a large teaching hospital in Rome, using TST (by standard Mantoux technique) and IGRA (by QuantiFERON-TB) as first- and second-level screening tests, respectively. Out of 2290 HCW enrolled, 141 (6.1%) had a positive TST; among them, 99 (70.2%) underwent the IGRA and 16 tested positive (16.1%). The frequency of HCW tested positive for TB seems not far from other experiences in low incidence countries. Our results confirm the higher specificity of IGRA, but, due to its higher cost, TST can be considered a good first level screening test, whose positive results should be further confirmed by IGRA before the patients undergo X-ray diagnosis and/or chemotherapy.

scholarly journals Practice of standard precautions among health care workers in a large teaching hospital

2008 ◽  
Vol 62 (7) ◽  
pp. 292 ◽  
Author(s):  
Siavash Vaziri ◽  
Farid Najafi ◽  
Farzaneh Miri ◽  
Fereshteh Jalalvandi ◽  
Afshin Almasi
Keyword(s):  
Health Care ◽  
Teaching Hospital ◽  
Health Care Workers ◽  
Standard Precautions ◽  
Large Teaching Hospital ◽  
Care Workers

Irritant Contact Dermatitis on Hands

2016 ◽  
Vol 32 (1) ◽  
pp. 93-99 ◽  
Author(s):  
Maryanne McGuckin ◽  
John Govednik
Keyword(s):  
Health Care ◽  
Contact Dermatitis ◽  
Health Care Workers ◽  
World Health ◽  
Irritant Contact Dermatitis ◽  
Simple Task ◽  
Clinical Model ◽  
Care Workers ◽  
The World ◽  
Health Care Associated Infections

Hand hygiene (HH) is the single most important procedure health care workers (HCWs) can follow to reduce the risk of spreading health care–associated infections, yet compliance with this simple task remains at less than 50%. One of the reasons often cited for noncompliance is irritant contact dermatitis (ICD) resulting from repeated exposure to HH products and procedure. This literature review used the World Health Organization’s components of empowerment as a guideline for the search and development of a clinical model to address HCW HH and ICD.

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