• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of oenvmedOccupational and Environmental MedicineVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
Occup Environ Med. Sep 2005; 62(9): 642–649.
PMCID: PMC1741082

A randomised controlled intervention study on prevention of work related skin problems among gut cleaners in swine slaughterhouses

Abstract

Aims: To evaluate the effect of an intervention to reduce work related skin problems in gut cleaning departments in Danish swine slaughterhouses. The intervention consisted of an evidence based prevention programme and a documented method for implementation.

Methods: Randomised controlled intervention study with a one year follow up. The intervention included educational activities and evidence based recommendations. The effect of the intervention was evaluated by telephone interviews using a standardised questionnaire based on the Nordic Occupational Skin Questionnaire (NOSQ-2002) with modified and additional questions on exposure, preventive measures, information, and discussions on prevention of skin problems, etc.

Results: A total of 644 (87.5%) responded at the baseline interview and 622 (71.6%) at the one year follow up interview. A total of 495 participated in both interviews (67.3%). In the intervention departments the frequency of eczema on hands or forearms within the past three months at follow up was reduced significantly from 56.2% at baseline to 41.0% at follow up, while a slight non-significant increase was observed in the comparison departments (from 45.9% to 50.2%). The intervention activities resulted in more frequent use of protective gloves in general and the use of cotton gloves worn underneath rubber and plastic gloves. At follow up three times as many in the intervention departments used the recommended high fat skin care products introduced as part of the intervention activities. At follow up, discussion of skin problems was increased in the intervention group while no changes were observed in the comparison group.

Conclusions: A significant 27% relative reduction of occupational eczema in a high risk group was feasible through implementation of an evidence based prevention programme.

Full Text

The Full Text of this article is available as a PDF (94K).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Diepgen TL, Coenraads PJ. The epidemiology of occupational contact dermatitis. Int Arch Occup Environ Health. 1999 Nov;72(8):496–506. [PubMed]
  • Diepgen Thomas L. Occupational skin-disease data in Europe. Int Arch Occup Environ Health. 2003 Jun;76(5):331–338. [PubMed]
  • Halkier-Sørensen L. Occupational skin diseases. Contact Dermatitis. 1996;35(1 Suppl):1–120. [PubMed]
  • Adisesh A, Meyer JD, Cherry NM. Prognosis and work absence due to occupational contact dermatitis. Contact Dermatitis. 2002 May;46(5):273–279. [PubMed]
  • Hutchings CV, Shum KW, Gawkrodger DJ. Occupational contact dermatitis has an appreciable impact on quality of life. Contact Dermatitis. 2001 Jul;45(1):17–20. [PubMed]
  • Wallenhammar Lena-Marie, Nyfjäll Mats, Lindberg Magnus, Meding Birgitta. Health-related quality of life and hand eczema--a comparison of two instruments, including factor analysis. J Invest Dermatol. 2004 Jun;122(6):1381–1389. [PubMed]
  • Hayashi M, Saitoh M, Fujii N, Suzuki Y, Nishiyama K, Asano S, Hayashi H. Dermatoses among poultry slaughterhouse workers. Am J Ind Med. 1989;15(5):601–605. [PubMed]
  • Schwanitz Hans Joachim, Riehl Ulrike, Schlesinger Tanja, Bock Meike, Skudlik Christoph, Wulfhorst Britta. Skin care management: educational aspects. Int Arch Occup Environ Health. 2003 Jun;76(5):374–381. [PubMed]
  • Held E, Wolff C, Gyntelberg F, Agner T. Prevention of work-related skin problems in student auxiliary nurses: an intervention study. Contact Dermatitis. 2001 May;44(5):297–303. [PubMed]
  • Held E, Mygind K, Wolff C, Gyntelberg F, Agner T. Prevention of work related skin problems: an intervention study in wet work employees. Occup Environ Med. 2002 Aug;59(8):556–561. [PMC free article] [PubMed]
  • Agner Tove, Held Elisabeth. Skin protection programmes. Contact Dermatitis. 2002 Nov;47(5):253–256. [PubMed]
  • Ford JK, Fisher S. The transfer of safety training in work organizations: a systems perspective to continuous learning. Occup Med. 1994 Apr-Jun;9(2):241–259. [PubMed]
  • Susitaival P, Flyvholm M-A, Meding B, Kanerva L, Lindberg M, Svensson A, Olafsson JH. Nordic Occupational Skin Questionnaire (NOSQ-2002): a new tool for surveying occupational skin diseases and exposure. Contact Dermatitis. 2003 Aug;49(2):70–76. [PubMed]
  • Livesley EJ, Rushton L, English JSC, Williams HC. Clinical examinations to validate self-completion questionnaires: dermatitis in the UK printing industry. Contact Dermatitis. 2002 Jul;47(1):7–13. [PubMed]
  • Svensson A, Lindberg M, Meding B, Sundberg K, Stenberg B. Self-reported hand eczema: symptom-based reports do not increase the validity of diagnosis. Br J Dermatol. 2002 Aug;147(2):281–284. [PubMed]
  • Yngveson M, Svensson A, Isacsson A. Evaluation of a self-reported questionnaire on hand dermatosis in secondary school children. Acta Derm Venereol. 1997 Nov;77(6):455–457. [PubMed]
  • Vermeulen R, Kromhout H, Bruynzeel DP, de Boer EM. Ascertainment of hand dermatitis using a symptom-based questionnaire; applicability in an industrial population. Contact Dermatitis. 2000 Apr;42(4):202–206. [PubMed]
  • Smit HA, Coenraads PJ, Lavrijsen AP, Nater JP. Evaluation of a self-administered questionnaire on hand dermatitis. Contact Dermatitis. 1992 Jan;26(1):11–16. [PubMed]

Articles from Occupational and Environmental Medicine are provided here courtesy of BMJ Group

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • MedGen
    MedGen
    Related information in MedGen
  • PubMed
    PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...