New forms of management in dermatology - Integrated in-patient-out-patient prevention of severe occupational dermatoses: Cornerstones for an effective integrated management in clinics and practices

Autor(en): John, S. M. 
Skudlik, C. 
Stichwörter: occupational skin diseases; primary, secondary and tertiary prevention; Public, Environmental & Occupational Health; RUBBER LATEX ALLERGY; SKIN; statutory employers' liability insurance
Erscheinungsdatum: 2006
Volumen: 68
Ausgabe: 12
Startseite: 769
Seitenende: 774
Occupational dermatoses (OD) are the most frequent occupational diseases in Germany and amount to more than 25 % of all suspected occupational diseases. Preventive measures have proven to be very effective in recent years, especially measures of primary and secondary prevention as components of a complex hierarchical prevention concept in wet work occupations. If employees are in danger of loosing their job due to a severe OD, intensive interdisciplinary measures of tertiary individual prevention (TIP) are required. TIP comprises 2-3 weeks of inpatient treatment plus intensive health-pedagogic counselling, followed by 3 consecutive weeks (or longer) of out-patient treatment by the local dermatologists (''Osnabrueck model''). Each patient will stay off work for a total of at least 6 weeks to allow full barrier-recovery. It could be shown that 2/3 of the patients successfully remained in their workplaces because of TIP. TIP reveals remarkable pertinent options for interdisciplinary disease management in severe OD in all risk professions. In Germany recently, a multi-centre study was started which will further standardise such preventive measures and evaluate their long-term success.
ISSN: 09413790
DOI: 10.1055/s-2006-927206

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