Minimum standards on prevention, diagnosis and treatment of occupational and work-related skin diseases in Europe - position paper of the COST Action StanDerm (TD 1206).

摘要: Background Skin diseases constitute up to 40% of all notified occupational in most European countries, predominantly comprising contact dermatitis, urticaria, and skin cancer. While insufficient prevention work-related (WRSD) is a top-priority problem Europe, common standards for these conditions are lacking. Objective To develop on management WRSD (OSD). Method Consensus amongst experts within dermatology was achieved with regard the definition minimum evidence-based WRSD/OSD. Results By definition, WRSDs/OSDs (partially or fully) caused by exposure. The OSD sensu stricto additionally includes diverging national legal requirements, an impact registration, prevention, management, compensation. With implementation classification WRSD/OSD International Classification Diseases (ICD) 11th Revision future, valid surveillance comparability across countries will be possible. Currently, WRDS still under-reported. Depending legislation regulations, huge differences exist notification procedures although crucial prevent chronic relapsing disease. Facilities early diagnosis, essential individual patient should based existing guidelines include multidisciplinary approach. Patch testing if dermatitis persists relapses. Workplace exposure assessment requires full labelling product ingredients material safety data sheets helping identify allergens, irritants carcinogens. Comparable primary, secondary tertiary must established Europe reduce burden Europe. Conclusion The adoption contribute incidence their socio-economic burden.