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Irritant Contact Dermatitis A Survey of Healthcare Worker Knowledge, Perceptions and Actions

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Presentation on theme: "Irritant Contact Dermatitis A Survey of Healthcare Worker Knowledge, Perceptions and Actions"— Presentation transcript:

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2 Irritant Contact Dermatitis A Survey of Healthcare Worker Knowledge, Perceptions and Actions
Maryanne McGuckin, Dr. ScEd, MT (ASCP) President, McGuckin Methods International John Govednik, M.S. Co-Principal Investigator, McGuckin Methods International Funded by an unrestricted grant from Georgia-Pacific LLC. The authors have nothing to disclose.

3 Barrier or Missing Link?
Irritant Contact Dermatitis (ICD) symptoms (dryness, itching, redness, swelling, chapped skin) are often cited as barriers to compliance. The reported incidence of ICD in healthcare workers (HCWs) attributed to hygiene has increased steadily from 1996 to 2012. 4.5 times more likely to suffer from dermatitis in than in 1996 Br J Dermatol Jul;173(1): doi: /bjd Epub 2015 Jun 2.

4 Barriers Supported by Research and Guidelines
Interventions/ Education Hand Hygiene (HH) Compliance Measurements Patient Empowerment Public Reporting

5 Irritant Contact Dermatitis (ICD) Barrier 2016
Literature supports causes of ICD ICD effects patient care practices Lack of measures published on HCW knowledge, decisions, and support for addressing this barrier to compliance Practices not supported by guidelines

6 Objectives Identify sources for HCW knowledge of ICD on hands
Identify HH behavior changes when HCWs experience ICD symptoms on hands Assess role of facility policy in HCW decisions to monitor and treat ICD on hands

7 Methods Society for Healthcare Epidemiology in America Research Network internet survey November/December 2015 Four components: Knowledge Procedures to monitor and treat ICD Organizational HH policies addressing ICD Demographics of respondents Responses analyzed as percentage of total responses

8 Results 62 surveys completed (28% response rate)
40 USA, 3 India, 2 Canada, 1 all others each

9 Results – HCW Knowledge
Knowledge Source Percent of Respondents Scholarly Journals 63% Colleagues 42% Medical Websites 34% HH Product Vendor Websites 26%

10 Results – HCW Action Action Steps Percent of Respondents
Consult Employee Health 58% Use lotion/moisturizing products 53% Use approved alternate soap/sanitizer 40% Use personal, non-approved HH products 39% 15 % of respondents said ICD symptoms impaired their ability to perform patient services

11 When you start to experience symptoms of irritated skin on your hands, what change in behavior do you make in regards to the following hand hygiene practices?  Use of… Much less often Somewhat less often The same Somewhat more often Much more often Soap and water 16% 15% 34% 13% 0% Sanitizer 2% 19% 39% 5% Alternative soap product 6% 8% Alternative sanitizer product 3% 23% Hand drying with paper towel 10% 11% Hand drying with air dryer Moisturizing lotions 21% 60%

12 Results – Policy Support
47% consulted their facility’s ICD policy 8% said they don’t have, or are unaware of, any policy to address ICD 13% were unsure how symptoms of ICD were monitored, 29% said no procedure exists to monitor symptoms 65% used self-reporting method to assess symptoms and make treatment decisions

13 Conclusion How we address ICD maybe one of the missing links to improving HH compliance No common guideline or action plan across facilities Lotions and moisturizers are clear choice Must be seen as part of facility’s HH procedure and not individual choice Empower HCWs with proper knowledge, best actions, and a supportive environment!

14 Thank you Questions and discussion Dr. Maryanne McGuckin

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