간호사에서 피부염의 발생현황과 상용되는 수종의 약물과 소독제에 의한 Allergy 반응에 대한 연구

A Study on the Prevalence of Dermatitis and Allergic Reactions to Medicine & Disinfectant Used by Nurses

It is true that there has been underestimation on the medical staff’ s dermatitis prevalence rate. Moreover, there has not been conducted either systematic study or experimental verification on the causes and prevalence of dermatitis originated from the contact of disinfectants or medical substances to which medical staff frequently exposed. The purpose of this study was to identify prevalence of dermatitis and to determine allergic reactions to medicines & disinfectants commonly used by nurses. The study design was a descriptive study. The research tools were self - reported questionnaire of dermatitis history, symptoms, related substance, and standard & specific patch tests. Subjects were 40 nurses who work at ICU, C University Hospital in G City. Data were analyzed using descriptive statistics. The result were as follows : About 67.5% of subjects reported that they have dermatitis, the most prevalent dermatitis symptom reported was urticaria. Subjects who washed hands 11 to 15 times a day reported urticaria, allergic rhinitis, and asthma in order. Based on the result of European standard patch test, it was proved that positive reaction rate to potassium dichromate, thiuram mix, and neomycin sulfate were 10%, respectively. Based on the result of specific patch test, it was proved that the positive reaction rate to antigen were 50% from vancocin CP, 10% from cefotaxim, 5% from flumarin, and 5% from fortimicin. Especially, to be given the degree of positive reaction, 55% of ultra strong positive reaction( +3) rate has been observed from vancocin C P (x2=5.58, p=.043). According to above the results it was considered that the positive reaction rate of specific patch test was significantly higher than that of standard patch test was the results of sensitization from frequent exposure of antigen. Therefore, it needs to keep on doing specific patch test with medical substances used in nurse units and an experimental comparative research using biochemical test. And then preventive measures will be constructed.