ORIGINAL PAPER
Impact of wet work on epidermal barrier (TEWL and stratum corneum hydration) and skin viscoelasticity in nurses
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1
Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland
(Klinika Alergologii i Zdrowia Środowiskowego, Pracownia Dermatologii / Department of Allergology and Environmental Health, Dermatology Unit)
2
Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland
(Klinika Alergologii i Zdrowia Środowiskowego / Department of Allergology and Environmental Health)
Corresponding author
Dorota Chomiczewska-Skóra
Instytut Medycyny Pracy im. prof. J. Nofera, Klinika Alergologii i Zdrowia Środowiskowego, Pracownia Dermatologii,
ul. św. Teresy 8, 91-348 Łódź
Med Pr Work Health Saf. 2014;65(5):609-19
KEYWORDS
ABSTRACT
Background: Nurses are prone to develop hand eczema due to occupational exposure to irritants, including wet work. The aim of the
study was to evaluate the impact of wet work on selected skin properties, reflecting epidermal barrier function – transepidermal water
loss (TEWL) and stratum corneum hydration – and additionally skin viscoelasticity, in nurses. Material and Methods: Study subjects
included 90 nurses employed in hospital wards. Measurements were carried out within the dorsal aspect of the dominant hand, using
a Cutometer MPA 580 equipped with Tewameter TM 300 and Corneometer CM 825 (Courage&Khazaka, Germany) probes. Examinations
took place on hospital premises. Similar measurements were performed in the control group of females non-exposed to irritants.
Results: In the examined group of nurses, mean TEWL was 15.5 g/h/m2 and was higher than in the control group (12.99 g/h/m2). After
rejecting the extreme results, the difference between the groups proved to be statistically significant (p < 0.05). The mean value of stratum
corneum hydration was lower in the examined group (37.915) compared with the control group (40.05), but the difference was not statistically
significant. Also results of viscoelasticity assessment showed no significant differences between studied groups. Conclusions:
The results of the assessment of skin biophysical properties show that wet work exerts a moderately adverse impact on skin condition.
A higher TEWL value and a lower stratum corneum hydration in workers exposed to irritants reflect an adverse impact of these factors
on the epidermal barrier function. Med Pr 2014;65(5):609–619