|Systematic review of treatment and prevention of contact dermatitis
|Joan Saary, Roohi Qureshi, Val Palda, Joel DeKoven, Melanie Pratt, Sandy Skotnicki-Grant, Linn Holness
|CREOD Research Program
|Occupational Skin Disease
|Work-related contact dermatitis (WRCD) is common, accounting for a significant portion of all occupational disease. Medical management has had little impact on clinical outcomes. Work outcomes have also been poor. There have been no systematic reviews of contact dermatitis treatment or prevention.
|Study Focus (Research Question/Goals/
|As background for the Dermatitis Program of Care, we conducted a systematic review of the literature on contact dermatitis to aid in the provision of evidence-based recommendations. Forty nine studies met inclusion criteria.
|Interventions that effectively prevent irritant contact dermatitis (ICD), Rhus dermatitis (RD), and nickel, chrome, and copper dermatitis (NCCD) include:
Interventions that effectively treat allergic contact dermatitis (ACD) and irritant contact dermatitis (ICD) include:
Interventions that do not effectively treat or prevent WRCD:
|Implications for Health/Labour Policy and Practice
|The right interventions can prevent WRCD. For example, programs that encourage the use of lipid-rich moisturizers during and after work are likely to improve prevention as well as treatment outcomes in workplaces with high frequencies of WRCD.
|Publication & Presentation Information