医护人员职业性接触性皮炎管理的最佳证据总结

Best evidence for the management of occupational contact dermatitis in medical staff

目的整合职业性接触性皮炎评估、预防、处理相关的证据,为职业性接触性皮炎的管理提供参考。方法计算机检索中国知网、万方数据、维普网、医脉通、JBI证据总结数据库、世界卫生组织(WHO)、UpToDate、BMJ Best Practice、英国国家卫生与临床优化研究所(NICE)、苏格兰校际指南网(SIGN)、国际指南协作网(GIN)、荷兰循证管理中心(CEBMa)、PubMed中关于职业性相关接触性皮炎管理的证据,包括临床决策、指南、系统评价、证据总结、专家共识及随机对照试验,检索时限为建库至2023年2月10日。结果共纳入16篇文献,包括临床决策3篇、指南6篇、系统评价6篇、随机对照试验1篇,从职业性接触性皮炎的评估、防护措施、处理措施及教育培训4个方面进行证据总结,形成33条最佳证据。结论职业性相关接触性皮炎管理的最佳证据为规范管理提供循证依据。建议医护人员综合考虑实际情况,合理应用证据,防止职业性接触性皮炎发生发展。

Objective To summarize the best evidence related to the assessment,prevention and management of occupational contact dermatitis(OCD),and to provide a reference for the management of OCD.Methods China National Knowledge Network,Wanfang,VIP,Medlive,JBI Evidence Summary Database,the World Health Organization(WHO),UpToDate,BMJ Best Practice,the National Institute for Health and Clinical Excellence(NICE),the Scottish Intercollegiate Guidelines Network(SIGN),the Guidelines International Network(GIN),the Netherlands Centre for Evidence-based Management(CEBMa)and PubMed were systematically searched using computer,from the establishment of the database to 10 February 2023,for evidence related to ma-nagement of OCD,including clinical decisions,guidelines,systematic reviews,summaries of evidence,expert consensus,and randomized controlled trials.Results A total of 16 literatures were included,consisting of 3 clinical decisions,6 guidelines,6 systema-tic reviews and 1 randomized controlled trial.The evidence was summarized from the four aspects of evaluation,protective mea-sures,OCD treatment measures and education and training,and 33 pieces of best evidence were formed.Conclusion Summary of the best evidence for the management of OCD,can provide evidence for standardized management of OCD.It is recommended that medical staff take the actual situation into consideration and reasonably apply the evidence to prevent the occurrence or slow the progression of OCD.