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Seasonal Dermal Reactions

Climate and environmental factors may increase some individual's suscepti-bility to dry skin or even chronic irritant dermatitis. In the fall and winter months, the cold, dry and windy weather may cause exposed skin to become dry, itchy and reddened. Indoor air that has been heated and lacks proper humidity may have the same effect. Combine these variables with frequent hand washing and glove use and the result may be compromised skin integrity. The practice of adhering to a simple hand care plan will minimize the effects of cold weather and low-humidified air by promoting healthy, intact skin.

Practices That May Increase the Risk of Dermal Reactions:
bullet Frequent hand washing
bullet Surgical scrub longer than 5 minutes
bullet Use of harsh antimicrobial soaps, i.e., chlorhexidine gluconate, iodophors, Dial® or Safeguard® hand soaps
bullet Indoor air quality; heated and dry in winter months
bullet Personal hand care products not approved by an infection control professional
bullet Use of highly fragranced, commercial hand lotions. Inappropriate use of topical agents
bullet Absence of an approved hand care protocol

Practices That May Decrease the Risk of Dermal Reactions:
bullet Use of powder-free gloves
bullet Use of a milder soap or scrub
bullet Use of an alcohol gel or rub
bullet Reduced surgical scrub time (2 to 3 minutes is adequate) contingent on department policy
bullet Frequent use of an approved hand lotion/moisturizer

If symptoms associated with a dermal reaction persist, seek advice from occupational health services. Most seasonal dermal reactions are temporary and are effectively managed through improved hand care.

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