{"id":8303,"date":"2020-04-28T02:15:19","date_gmt":"2020-04-28T05:15:19","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/cuidado-de-manos-para-trabajadores-de-la-salud\/"},"modified":"2020-04-28T02:15:19","modified_gmt":"2020-04-28T05:15:19","slug":"hand-care-for-health-workers-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/cuidado-de-manos-para-trabajadores-de-la-salud\/","title":{"rendered":"Hand care for healthcare workers"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_87_1 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cuidado-de-manos-para-trabajadores-de-la-salud\/#%C2%BFPor-que-es-necesario-el-cuidado-de-las-manos\" >Why is hand care necessary?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cuidado-de-manos-para-trabajadores-de-la-salud\/#Dermatitis-de-la-mano\" >Dermatitis of the hand<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cuidado-de-manos-para-trabajadores-de-la-salud\/#Infeccion-de-la-mano\" >Hand infection<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cuidado-de-manos-para-trabajadores-de-la-salud\/#Consejos-para-preservar-la-piel-de-las-manos\" >Tips to preserve the skin of the hands<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cuidado-de-manos-para-trabajadores-de-la-salud\/#Desinfectantes\" >Disinfectants<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cuidado-de-manos-para-trabajadores-de-la-salud\/#Guantes\" >Gloves<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cuidado-de-manos-para-trabajadores-de-la-salud\/#%C2%BFQue-investigaciones-son-apropiadas-en-la-dermatitis-de-la-mano\" >What investigations are appropriate in dermatitis of the hand?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cuidado-de-manos-para-trabajadores-de-la-salud\/#Alergia-a-los-guantes-de-goma\" >Allergy to rubber gloves.<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cuidado-de-manos-para-trabajadores-de-la-salud\/#%C2%BFCual-es-el-tratamiento-para-el-eccema-de-manos\" >What is the treatment for hand eczema?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFPor-que-es-necesario-el-cuidado-de-las-manos\"><\/span>Why is hand care necessary?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span>Good hygiene practices and prevention of the cross.<span class=\"term\" data-term-id=\"145\">infection<\/span> are essential for <\/span>health workers<span> working in hospitals, clinics, rest centers and private residences. <\/span>Hand care is necessary because healthcare workers are prone to hands. <span class=\"term\" data-term-id=\"53\">dermatitis<\/span> mainly due to contact with <span class=\"term\" data-term-id=\"1443\">irritants<\/span> during frequent hand washing or cleaning with harsh disinfectants and detergents. Wearing surgical gloves can also cause dermatitis in some people.<\/p>\n<p>Exposure to irritants in the home or during recreation can <span class=\"term\" data-term-id=\"1562\">exacerbate<\/span> the problem. Chemicals, extreme temperatures and <span class=\"term\" data-term-id=\"711\">humidity<\/span>, mechanical injuries (e.g., rough surfaces and friction), plants, paints, some foods and <span class=\"term\" data-term-id=\"1908\">Ultraviolet radiation<\/span> It can damage the skin.<\/p>\n<p>The skin barrier can be affected by:<\/p>\n<ul>\n<li>Short and infrequent exposure to strong irritants, and<\/li>\n<li>Regular <span class=\"term\" data-term-id=\"1729\">repetitive<\/span> exposure to less harmful irritants.<\/li>\n<\/ul>\n<p>The disruption of the cutaneous barrier manifests as frank <span class=\"term\" data-term-id=\"491\">eczema<\/span> or <span class=\"term\" data-term-id=\"1168\">irritating<\/span> contact dermatitis. The damaged skin is then susceptible to secondary <span class=\"term\" data-term-id=\"937\">bacterial<\/span> infection and development of <span class=\"term\" data-term-id=\"1137\">allergies<\/span> (allergic contact dermatitis), as well as itching, pain, and less flexibility.<\/p>\n<p>Dermatitis is more likely in people with pre-existing sensitive skin or who have <span class=\"term\" data-term-id=\"922\">atopic<\/span> dermatitis at other sites.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Dermatitis-de-la-mano\"><\/span>Dermatitis of the hand<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hand-dermatitis5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7907215-7472161' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hand-dermatitis5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7907215.jpg'>\n<\/div>\n<p class=\"p-small\">Dermatitis of the hand<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hand-dermatitis6__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6666639-6527645' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hand-dermatitis6__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6666639.jpg'>\n<\/div>\n<p class=\"p-small\">Dermatitis of the hand<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hand-dermatitis7__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4239647-7709514' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hand-dermatitis7__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4239647.jpg'>\n<\/div>\n<p class=\"p-small\">Dermatitis of the hand<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p><em>Staphylococcus aureus<\/em> and <em>Streptococcus pyogenes<\/em> are the common causes of a bacterial infection. Hand dermatitis and wet work too <span class=\"term\" data-term-id=\"1495\">predispose<\/span> to yeast infection, usually presenting as <span class=\"term\" data-term-id=\"220\">paronychia<\/span> infected by <em>Candida albicans<\/em> or as <span class=\"term\" data-term-id=\"151\">intertrigo<\/span> between the toes, and can be confused with tinea manuum (a type of fungal infection).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Infeccion-de-la-mano\"><\/span>Hand infection<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hand-infection1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6279829-1352367' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hand-infection1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6279829.jpg'>\n<\/div>\n<p class=\"p-small\">Infected staphylococcal eczema<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='paronychia__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4775932-5764762' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/paronychia__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4775932.jpg'>\n<\/div>\n<p class=\"p-small\">Paronychia<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hand-candida__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2459905-7638305' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hand-candida__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2459905.jpg'>\n<\/div>\n<p class=\"p-small\">Erosio interdigitalis blastomycetica<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Consejos-para-preservar-la-piel-de-las-manos\"><\/span>Tips to preserve the skin of the hands<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Desinfectantes\"><\/span>Disinfectants<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Evidence-based Cochrane reviews reveal that alcohol-based hand sanitizers are <span class=\"term\" data-term-id=\"277\">higher<\/span> to regular hand washing to reduce the transmission of diseases in hospitals and health services. They can also minimize irritation compared to soap and water.<\/p>\n<ul>\n<li>At work, choose a colorless alcohol-based hand cleaner that is fragrance- and perfume-free.<\/li>\n<li>Wash with soap and water only when skin is visibly dirty or contaminated with blood or other body fluids.<\/li>\n<li>Note that <span class=\"term\" data-term-id=\"1121\">cream<\/span> cleaners are not <span class=\"term\" data-term-id=\"516\">antimicrobial<\/span>; Soap and water or a disinfectant is needed to wash your hands in order to destroy <span class=\"term\" data-term-id=\"526\">pathogens<\/span> such as the SARS-CoV-2 virus responsible for COVID-19.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Guantes\"><\/span>Gloves<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Gloves provide a barrier to the skin, but no glove will resist all chemicals indefinitely. Choosing the right glove design and construction will provide the best protection, as long as it also fits well. Similarly, protection against mechanical hazard varies with different gloves providing different resistance to abrasion, blade cut, tear resistance and puncture resistance.<\/p>\n<ul>\n<li>Latex gloves provide the best protection against viruses for healthcare workers.<\/li>\n<li>Powder-free gloves are less irritating and dry than powder gloves.<\/li>\n<li>\n<p>Nitrile gloves are a suitable alternative for people with latex. <span class=\"term\" data-term-id=\"1136\">allergy<\/span>.<\/li>\n<li>Vinyl gloves are not suitable for healthcare workers in direct contact with bodily excretions.<\/li>\n<li>Avoid petroleum based <span class=\"term\" data-term-id=\"1888\">emollients<\/span> under latex gloves as they weaken the rubber<\/li>\n<li>If you use <span class=\"term\" data-term-id=\"878\">occlusive<\/span> gloves for more than 20 minutes, wear tight-fitting cotton gloves underneath to reduce irritation from sweating.<\/li>\n<\/ul>\n<p>Healthcare facilities often have a health and safety officer with knowledge of proper gloves. Security shops also offer advice and a wide variety.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-investigaciones-son-apropiadas-en-la-dermatitis-de-la-mano\"><\/span>What investigations are appropriate in dermatitis of the hand?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>If hand eczema slowly improves, seek a referral for a <span class=\"term\" data-term-id=\"54\">dermatologist<\/span> for <span class=\"term\" data-term-id=\"224\">patch<\/span> testing Patch testing helps decide if a contact allergy is contributing. About 60% of patients with <span class=\"term\" data-term-id=\"319\">chronic<\/span> hand eczema has one or more positive contacts <span class=\"term\" data-term-id=\"409\">Allergens<\/span> in patch testing. Loss of barrier function due to irritant contact dermatitis increases the risk of developing a contact allergy.<\/p>\n<p>Common occupational allergens in healthcare workers include nickel, perfume \/ fragrance, rubber antioxidants, antiseptics, antibacterial soap, and preservatives.<\/p>\n<p>Latex allergy causes immediate redness and swelling of the hands when wearing gloves and is diagnosed by puncture tests and specific IgE tests.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Alergia-a-los-guantes-de-goma\"><\/span>Allergy to rubber gloves.<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hand-dermatitis-rubber__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2247098-3126389' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hand-dermatitis-rubber__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2247098.jpg'>\n<\/div>\n<p class=\"p-small\">Hand dermatitis caused by gloves<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='patch-rubber-glove__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8514066-8562240' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/patch-rubber-glove__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8514066.jpg'>\n<\/div>\n<p class=\"p-small\">Positive patch tests on gloves.<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='thiuram-allergy__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6685595-6847461' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/thiuram-allergy__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6685595.jpg'>\n<\/div>\n<p class=\"p-small\">Positive patch test for thiuram, gum antioxidant<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-el-eccema-de-manos\"><\/span>What is the treatment for hand eczema?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Managing eczema of the hand involves:<\/p>\n<ul>\n<li>Minimizing contact with irritants<\/li>\n<li>Avoid known contact allergens.\n<\/li>\n<li>Optimizing the skin barrier with suitable emollients at work and at home<\/li>\n<li>Powerful courses <span class=\"term\" data-term-id=\"1330\">current<\/span> corticosteroids for flare-ups<\/li>\n<li>\n<p>Antibiotics for secondary infection.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfPor qu\u00e9 es necesario el cuidado de las manos? Buenas pr\u00e1cticas de higiene y prevenci\u00f3n de la cruz.infecci\u00f3n son esenciales para trabajadores de la salud trabajando en hospitales, cl\u00ednicas, centros&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-8303","wiki","type-wiki","status-publish","format-standard"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8303","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8303"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8303\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8303"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8303"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8303"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}