Print Email Facebook Twitter Evaluation of 2 self-administered questionnaires to ascertain dermatitis among metal workers and its relation with exposure to metalworking fluids Title Evaluation of 2 self-administered questionnaires to ascertain dermatitis among metal workers and its relation with exposure to metalworking fluids Author van Wendel de Joode, B. Vermeulen, R. Heederik, D. van Ginkel, K. Kromhout, H. TNO Kwaliteit van Leven Publication year 2007 Abstract We performed an exploratory study to evaluate 2 self-administered questionnaires assessing hand dermatitis and investigate a possible exposure-response relationship between dermal exposure to semi-synthetic metalworking fluids (SMWF) and dermatitis. In a cross-sectional survey on dermatitis, a symptom-based questionnaire and a picture-based skin screening list were applied in 80 SMWF-exposed workers and 67 referents. To evaluate the accuracy of the questionnaires, 47 subjects were examined by a dermatologist. Dermal exposure levels to SMWF were assessed on hands, forearms, and face with a observational method that was validated using a fluorescent tracer method. The symptom-based questionnaire had a relatively high sensitivity (0.86) but moderate specificity (0.64), and the skin screening list had a low sensitivity (0.36) and a relatively high specificity (0.84). The skin screening list seemed to represent the more severe cases of dermatitis and showed a significant relation with exposure for dermatitis on hands, forearms, or face. In epidemiological surveys where workers are not seen by a dermatologist, the skin screening list seems to be more appropriate to detect cases of dermatitis, as its higher specificity results in less false positives. Alternatively, it would be preferable applying the symptom-based questionnaire; workers with symptoms should be seen by a dermatologist to identify false positives. © 2007 Blackwell Munksgaard. Subject SafetyFood and Chemical Risk AnalysisAllergic contact dermatitisCutting fluidsDermal exposureEpidemiologyIrritant contact dermatitisMachine operatorsOccupationalSkin complaintsValidationAdultCross-Sectional StudiesDermatitis, Allergic ContactDermatitis, OccupationalHand DermatosesHazardous SubstancesHumansMaleMetallurgyNetherlandsPredictive Value of TestsQuestionnairesSelf Disclosure To reference this document use: http://resolver.tudelft.nl/uuid:e62fe5cd-e296-4262-9936-8fe3c74b8956 DOI https://doi.org/10.1111/j.1600-0536.2007.01111.x TNO identifier 240008 ISSN 0105-1873 Source Contact Dermatitis, 56 (6), 311-317 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.