Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
To prevent contact dermatitis in occupational settings, patients should be advised on several key measures:
- Identify and Avoid Triggers: The most crucial step is to identify and eliminate exposure to potential stimuli that cause contact dermatitis NICE CKS. If complete avoidance is not possible, advise measures to minimise contact with affected skin areas NICE CKS. This includes rinsing with water or washing with soap or a soap substitute as soon as possible after contact, being mindful that overuse of cleaning agents can aggravate the condition NICE CKS. Patients should also substitute products containing identified allergens or irritants with alternatives that do not NICE CKS.
- Use Personal Protective Equipment (PPE): Advise the use of gloves, such as cotton-lined rubber or plastic, when handling potential irritants NICE CKS. For certain chemicals, heavier-duty protective materials may be required NICE CKS. Gloves should be removed frequently, as sweating can worsen existing dermatitis NICE CKS. Patients should also avoid the accumulation of chemicals and water underneath jewellery NICE CKS.
- Maintain Skin Barrier with Emollients: Encourage the liberal use of emollients and soap substitutes to help maintain skin hydration and improve barrier repair NICE CKS. Regular application of an emollient hand cream can protect skin from the drying effects of frequent hand decontamination NICE CG139. Patients should be advised not to use aqueous cream as it is associated with a high risk of skin reactions NICE CKS.
- Understand Employer Responsibilities: If contact dermatitis is confirmed to be work-related, the employer has a legal obligation to assess health risks and prevent or control exposure to hazards, for example, by changing duties or providing suitable personal protective measures NICE CKS. The employer also has a legal duty to report cases of occupational contact dermatitis to the Health and Safety Executive (HSE) NICE CKS. Patients can find further information on work-related skin problems on the HSE website NICE CKS. If a specific soap, antimicrobial hand wash, or alcohol product causes skin irritation, an occupational health team should be consulted NICE CG139.