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Prevalence of Hand Dermatitis in Inpatient Nurses at a United States Hospital

Background: Hand dermatitis is a significant problem among inpatient nurses. Accurate population‐based data on the prevalence and risk factors for hand dermatitis in this group are lacking. Objective: To determine the prevalence of hand dermatitis in inpatient nurses at a US hospital. Methods: Each nursing unit in a single hospital was visited twice by a single physician. All nurses working at the time of each visit were questioned and examined. No nurses were enrolled twice. Results: Fifty‐five percent (92 of 167) of the nurses had hand dermatitis. Among intensive care unit (ICU) nurses, the prevalence was 65% (35 of 54); among non‐ICU nurses, the prevalence was 50% (57 of 113). In nurses with self‐reported atopic dermatitis, the prevalence was 71% (12 of 17); in nurses without self‐reported atopic dermatitis, it was 53% (80 of 150). Data collection on variables such as hand hygiene and glove use relied on subject recall and was considered unreliable. There was a low prevalence of atopic patients. Conclusions: Hand dermatitis affects over 50% of inpatient nurses. Hand dermatitis appears to be more common in the ICU setting and in nurses with a self‐reported history of atopy.