NDLI: Tertiary individual prevention of occupational skin diseases: a decade’s experience with recalcitrant occupational dermatitis

Content Provider	Springer Nature Link
Author	Skudlik, C. Wulfhorst, B. Gediga, G. Bock, M. Allmers, H. John, S. M.
Copyright Year	2008
Abstract	If employees are threatened to loose their job due to a severe occupational skin disease (OSD), intensive interdisciplinary measures of tertiary individual prevention (TIP) are required. TIP comprises 2–3-weeks in-patient treatment plus intensive health-pedagogic counseling, and consecutive 3-weeks out-patient treatment by the local dermatologists. Each patient (pt) will stay off work for a total of usually 6 weeks to allow full barrier-recovery.All 1,486 TIP-pts from various high-risk-professions, treated in our institution in the period 1994–2003, were followed up 1 year after the TIP by a standardised questionnaire, which was returned by 1,164 (78%) pts.Seven hundred and sixty-four (66%) of the responding 1,164 TIP-pts had successfully remained in their (risk-)professions. It could be demonstrated that to remain in the workplace was dependent on the individual motivation to use skin protection (P < 0.001), the provision of skin protection by the employer (P < 0.001), (higher) age of pt (P < 0.001) and the duration of continued out-patient-treatment by the local dermatologist (P < 0.001). However, there were no significant differences concerning the likelihood of successful job-continuation in the various high-risk-professions, e.g. hairdressers, nurses, metal-workers, food handlers, construction-workers.The obtained data from TIP reveal remarkable pertinent options for interdisciplinary pt-management in severe OSD in all risk-professions.
Starting Page	1059
Ending Page	1064
Page Count	6
File Format	PDF
ISSN	03400131
Journal	International Archives of Occupational and Environmental Health
Volume Number	81
Issue Number	8
e-ISSN	14321246
Language	English
Publisher	Springer-Verlag
Publisher Date	2008-02-01
Publisher Place	Berlin, Heidelberg
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Occupational dermatitis Tertiary individual prevention (TIP) Health-pedagogics Skin protection Interdisciplinary patient management Rehabilitation Environmental Health Occupational Medicine/Industrial Medicine
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health

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