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5.1 KESIMPULAN

1. Tidak terdapat hubungan lama kerja dengan kejadian dermatitis kontak akibat kerja pada pekerja cleaning service.

2. Angka kejadian dermatitis kontak akibat kerja pada pekerja cleaning service di RSUP Haji Adam Malik Medan adalah 62 orang (33,2%).

3. Prevalensi dermatitis kontak pada pria dan wanita pekerja cleaning service di RSUP Haji Adam Malik Medan adalah 15 orang (24,2%) dan 47 orang (75,8%).

4. Lama kontak pada pekerja yang bersentuhan dengan zat kimia adalah >2 jam sebanyak 187 orang (100%).

5. Pemakaian APD pada pekerja cleaning service adalah sebanyak 167 orang pada saat ini (89,3%) ,7 orang bukan pada saat ini (7%), dan 7 orang tidak pernah memakai APD (3,7%).

6. Tingkat pendidikan cleaning service di RSUP Haji Adam Malik Medan paling banyak adalah SMA sebanyak 111 orang (59,4%).

7. Suku terbanyak yang menderita dermatitis kontak adalah suku Batak dengan jumlah 48 orang ( 61,6%).

5.2 SARAN

1. Bagi Pekerja

a. Edukasi pada pekerja cleaning service penderita dermatitis kontak berupa mencuci tangan beserta sarung tangannya untuk yang alergi sarung tangan.

b. Pekerja disarankan untuk memperhatikan frekuensi paparan bahan kimia dalam sehari.

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Universitas Sumatera Utara 2. Bagi Pemilik Usaha

Melakukan pemeriksaan awal dan berkala kepada pekerja cleaning service di RSUP Haji Adam Malik Medan.

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Universitas Sumatera Utara DAFTAR PUSTAKA

Affandi, A.b.M. 2014, ‘Nickel Contact Dermatitis’, accessed 26 November 2019, Available at : http://www.myhealth.gov.my/en/nickel-contact-dermatitis/.

Afifah, A., Ernawati, D. and Sudaryanto, S., 2012. Faktor-faktor yang berhubungan dengan terjadinya dermatitis kontak akibat kerja pada karyawan binatu (Doctoral dissertation, Fakultas Kedokteran). Agarwal, U.S., Besarwal, R.K., Gupta, R., Agarwal, P. and Napalia, S., 2014. Hand eczema. Indian journal of dermatology, 59(3), p.213.

Al-Otaibi, S. T. 2016, ‘Prevention of occupational contact dermatitis’, Journal of the American Academy of Dermatology, 23(4), pp. 742–748. doi:

10.1016/0190-9622(90)70284-O.

Alqahtani, Al-Otaibi,S. 2015, ‘The Management of Contact Dermatitis’, The Principles and Practice of Contact and Occupational Dermatology in the Asia-Pacific Region. Saudi Society of Dermatology and Dermatologic Surgery, pp. 71–73. doi: 10.1142/9789812811462_0011.

Anderson, S.E. and Meade, B.J., 2014. Potential health effects associated with dermal exposure to occupational chemicals. Environmental health insights, 8, pp.EHI-S15258.

Aneja, S., 2019.‘Irritant Contact Dermatitis’. accessed 26 November 2019, Available at : https://emedicine.medscape.com/article/1049353-overview#a5.

Attwa, E. and El‐Laithy, N., 2009. Contact dermatitis in car repair workers. Journal of the European Academy of Dermatology and Venereology, 23(2), pp.138-145.

Behroozy, A., Keegel, T. G. 2014, ‘Wet-work exposure: A main risk factor for occupational hand dermatitis’, Safety and Health at Work. Elsevier Ltd, 5(4), pp. 175–180. doi: 10.1016/j.shaw.2014.08.001.

Benítez, J. M., Montáns, F. J. 2017, ‘The mechanical behavior of skin: Structures and models for the finite element analysis’, Computers and Structures, 190, pp. 75–107. doi: 10.1016/j.compstruc.2017.05.003.

Bepko, J. and Mansalis, K., 2016. Common Occupational Disorders: Asthma, COPD, Dermatitis, and Musculoskeletal Disorders. American family physician, 93(12).

Bhatia R, Alikhan A, Maibach HI. 2009, ‘Contact urticaria: present scenario. Indian J Dermatol. 2009 Jul-Sep;54(3):264-8’. doi: 10.4103/0019-5154.55639.

PubMed PMID: 20161861; PubMed Central PMCID: PMC2810696.

Canadian Centre for Occupational Health and Safety. 2016, Dermatitis, Allergic,

Contact. Available at :

https://www.ccohs.ca/oshanswers/diseases/allergic_derm.html

52

Universitas Sumatera Utara Cassler, N. M., Burris, A. M., Nguyen, J. C. 2014, ‘Asteatotic eczema in

hypoesthetic skin: A case series’, JAMA Dermatology, 150(10), pp. 1088–

1090. doi: 10.1001/jamadermatol.2014.394.

Centers for Disease Control and Prevention 2013, Skin Exposure & Effects,

accessed 15 May 2019, Available at :

https://www.cdc.gov/niosh/topics/skin/default.html.

Chafidz, M., Dwiyanti, E. 2018, 'Hubungan Lama Kontak, Jenis Pekerjaan Dan Penggunaan Apd Dengan Kejadian Dermatitis Kontak Pada Pekerja Tahu, Kediri'. The Indonesian Journal of Occupational Safety and Health, 6(2), 156. https://doi.org/10.20473/ijosh.v6i2.2017.156-165

Chen, Y. X., Cheng, H. Y. and Li, L. F. (2017) ‘Prevalence and risk factors of contact dermatitis among clothing manufacturing employees in Beijing: A cross-sectional study’, Medicine (United States), 96(12). doi:

10.1097/MD.0000000000006356.

Chew, A. L., Maibach, H. I. 2010, ‘Ten genotypes of irritant contact dermatitis’, Irritant Dermatitis, pp. 5–9. doi: 10.1007/3-540-31294-3_1.

Cohen, D.E. 2018, Fourth Edition Dermatology, Elsevier, United States, accessed 16 May 2019, Available at : https://www.clinicalkey.com/#!/content/book/3-s2.0-B9780702062759000155.

Det Nationale Forskningscenter for Arbejdsmiljø, NOSQ-2002, accessed 31 May 2019, Available at : http://nfa.dk/da/Vaerktoejer/Sporgeskemaer/NOSQ-2002/Engelsk-udgave-af-NOSQ-2002

Douwes, J. et al. (2017) ‘Determinants of hand dermatitis, urticaria and loss of skin barrier function in professional cleaners in New Zealand’, International Journal of Occupational and Environmental Health. Taylor & Francis, 23(2), pp. 110–119. doi: 10.1080/10773525.2018.1427307.

Ferri, Fred F., M.D., F.A.C.P, Ferri's Clinical Advisor 2019, Elsevier, United States, accessed 16 May 2019, Available at : https://www.clinicalkey.com/#!/topic/contact%20dermatitis?scrollTo=%23h l0000134

Ghazali M.V., Sastroamihardjo S., Soedjarwo, S.R., Soelaryo, T., Pramulyo, H.S.

2014, 'Dasar-dasar Metodologi Penelitian Klinis',CV. Sagung Seto, Jakarta.

Gómez De Carvallo, M, Calvo,B., Benach,J., Pujol,R., Arnau-A.M.G . 2012,

‘Assessment of the Mathias criteria for establishing occupational causation of contact dermatitis’, Actas Dermo-Sifiliograficas. AEDV, 103(5), pp. 411–

421. doi: 10.1016/j.adengl.2012.06.015.

Gupta, S. K., Monika, Gupta, V. 2016, ‘An Overview of Airborne Contact Dermatitis’, Air & Water Borne Diseases, 5(1), pp. 77–83. doi: 10.4172/2167-7719.1000128.

Universitas Sumatera Utara Hafizhatun Nadia, M. C. Y. 2017, ‘Analisis Risiko Keselamatan dan Kesehatan

Kerja pada Petugas Kebersihan di Rumah Sakit Umum Daerah Tugurejo Semarang Tahun 2017’, Jurnal , Program Studi Kesehatan Masyarakat Universitas Dian Nuswantoro, pp. 1–16.

Health and Safety Authority 2009, Guidelines on Occupational Dermatitis,

accessed 15 May 2019, Available at :

https://www.hsa.ie/eng/Publications_and_Forms/Publications/Occupational_

Health/Guidelines_on_Occupational_Dermatitis.html.

Helm, T.N., 2019.‘What are the race, sex, and age-related demographics of allergic contact dermatitis?’accessed 26 November 2019, Available at : https://www.medscape.com/answers/1049216-4816/what-are-the-race-sex-and-age-related-demographics-of-allergic-contact-dermatitis

Indrawan, I.A., Suwondo, A. and Lestantyo, D., 2014. Faktor-faktor yang berhubungan dengan kejadian dermatitis kontak iritan pada pekerja bagian premix di PT. X Cirebon. Jurnal Kesehatan Masyarakat (e-Journal), 2(2), pp.110-118.

Ivanov, D. I. 2011, The Global Occupational Health Network, accessed 7 December 2019, Available at : https://www.who.int/ceh/gohnet_18_3.pdf.

James, W., Elston, D.M., Treat, J.R., Rosenbach, M.A., Neuhaus, I.M. 2016, Andrews’ Diseases of The Skin, Twelfth Edition. United States : Elsevier.

James G. M., Jeffrey J.M 2019, Lookingbill and Marks' Principles of Dermatology (Sixth Edition), accessed 16 May 2019, Available at : https://www.sciencedirect.com/topics/medicine-and-dentistry/langerhans-cell.

Keck, M., Lumenta, D. B., Kamolz, L. P. 2014, ‘Skin tissue engineering’, Dermal Replacements in General, Burn, and Plastic Surgery: Tissue Engineering in Clinical Practice, 9783709115862, pp. 13–25. doi: 10.1007/978-3-7091-1586-2_2.

Kementerian Kesehatan RI Direktorat Jenderal Bina Upaya Kesehatan Rumah Sakit Umum Pusat H.Adam Malik 2015, 'Kebijakan Kebersihan Lingkungan di RSUP Haji Adam Malik, accessed 16 May 2019, Available at : http://rsham.co.id/wp-content/uploads/2015/06/Kebijakan-Kebersihan-Lingkungan-di-RSUP-H.Adam-Malik.pdf.

Keputusan Menteri Keshehatan RI No.1204/Menkes/SK/X/2004 , accessed 15 May

2019, Available at :

http://www.pdpersi.co.id/peraturan/kepmenkes/kmk12042004.pdf

Kusworo, N.S.R. 2015, Hubungan Antara Lama Kontak dengan Kejadian Dermatitis Kontak Akibat Kerja pada Pekerja Bengkel Kendaraan Bermotor,

accessed 15 May 2019, Available at :

http://eprints.ums.ac.id/39577/10/NASKAH%20PUBLIKASI.pdf.

54

Universitas Sumatera Utara Kvam, M. S., Alfonso, J.H., Berents, T.L., Randem, B.G., and Stylianou, E. (2019)

‘Work-related hand eczema’, accessed 26 November 2019, Available at :

https://tidsskriftet.no/en/2019/02/klinisk-oversikt/work-related-hand-eczema.

Lopez, O.W , Pandey, D.A., Oakley AM 2019, Anatomy, Skin (Integument),

accessed at 16 May 2019, Available at :

https://www.ncbi.nlm.nih.gov/books/NBK441980/#_NBK441980_pubdet_. Luckhaupt, S. E. , Dahlhamer, J.M., Ward, B.W., Sussell, A.L., Sweeney M.H. ,

Sestito, J.P. , dan Calvert, G.M. 2013, ‘Prevalence of dermatitis in the working population, United States, 2010 National Health Interview Survey’, American Journal of Industrial Medicine, 56(6), pp. 625–634. doi:

10.1002/ajim.22080.

Lysdal, S. H. (2011) ‘PhD thesis Occupational hand eczema and its career consequences among trained hairdressers : a register based questionnaire study’.

Marco, C.A. 2018, Rosen's Emergency Medicine: Concepts and Clinical Practice, Ninth Edition, Elsevier, United States, accessed 16 May 2019, Available at :

https://www.clinicalkey.com/#!/content/book/3-s2.0-B9780323354790001100?indexOverride=GLOBAL.

McGrath, J.A. 2019, McKee's Pathology of the Skin, Elsevier, United States,

accessed 16 May 2019, Available at :

https://www.clinicalkey.com/#!/content/book/3-s2.0-B9780702069833000013?scrollTo=%23hl0001075.

Mekonnen, T. H., Yenealem, D. G. and Tolosa, B. M., 2019 ‘Self-report occupational-related contact dermatitis: Prevalence and risk factors among healthcare workers in Gondar town, Northwest Ethiopia, 2018 - A cross-sectional study’, Environmental Health and Preventive Medicine.

Environmental Health and Preventive Medicine, 24(1), pp. 1–9. doi:

10.1186/s12199-019-0765-0.

Milam, E. C., Cohen, D. E. (2019) ‘Contact Dermatitis: Emerging Trends’, Dermatologic Clinics. Elsevier Inc, 37(1), pp. 21–28. doi:

10.1016/j.det.2018.07.005.

Minamoto, K., Watanabe, T. and Diepgen, T. L., 2016 ‘Self-reported hand eczema among dental workers in Japan – a cross-sectional study’, Contact Dermatitis, 75(4), pp. 230–239. doi: 10.1111/cod.12656.

Modjtahedi, S.P. and Maibach, H.I., 2002. Ethnicity as a possible endogenous factor in irritant contact dermatitis: comparing the irritant response among Caucasians, blacks, and Asians. Contact dermatitis, 47(5), pp.272-278.

Mortz, C. G., Brockow K., Bindslev-Jensen C., Broesby-Olsen S. 2019, ‘It looks like childhood eczema but is it?’, Clinical and Experimental Allergy, pp. 0–

Universitas Sumatera Utara 1. doi: 10.1111/cea.13381.

Moyes,C., Blessing K. 2019, Underwood's Pathology a clinical approach, Elsevier, United States, accessed 16 May 2019, Available at:

https://www.clinicalkey.com/#!/content/book/3-s2.0-B9780702072123000244?indexOverride=GLOBAL.

Mukriani 2016,Analisis Kesejahteraan Cleaning Service di Rumah Sakit Umum Daerah (RSUD) Cut Nyak Dhien Meulaboh Kecamatan Johan Pahlawan Kabupaten Aceh Barat, accessed at 15 May 2019, Available at : http://repository.utu.ac.id/583/1/I-V.pdf .

Nixon, R.L. , Mowad, C.M., Marks J.G. 2018, Fourth Edition Dermatology, Elsevier,United States, accessed 16 May 2019, Available at :

https://www.clinicalkey.com/#!/content/book/3-s2.0-B9780702062759000143.

Noiesen, E., Munk, M.D., Larsen, K., Høyen, M. and Agner, T., 2009. Gender differences in topical treatment of allergic contact dermatitis. Acta dermato-venereologica, 89(1), pp.79-81.

Nopa, I., Nababan, K. A. 2019, ‘Prevalensi dermatitis kontak di satuan medis fungsional kulit dan kelamin rsup . H . Adam malik prevalence of contact dermatitis in functional medical units dermatovenereology rsup . H . Adam malik period of january-december 2010’, E-Issn, 4(1), pp. 1–8.

Oakley, A.and Koch, K. (2018). ‘Hand dermatitis’, accessed 26 November 2019, Available at : https://dermnetnz.org/topics/hand-dermatitis/

Pacheco, K.A., 2018. Occupational dermatitis: How to identify the exposures, make the diagnosis, and treat the disease. Annals of Allergy, Asthma &

Immunology, 120(6), pp.583-591.

Paendong, R. M., Pandaleke, H., Mawu, F. 2017, ‘Gambaran Kejadian Dermatitis Kontak Akibat Kerja pada Petugas’, Jurnal e-Clinic (eCl), 5(2), pp. 156–162.

Pradaningrum, S., Lestantyo, D. and Jayanti, S., 2018. HUBUNGAN PERSONAL HYGIENE, LAMA KONTAK, DAN MASA KERJA DENGAN GEJALA DERMATITIS KONTAK IRITAN PADA PENGRAJIN TAHU MRICAN SEMARANG. Jurnal Kesehatan Masyarakat (e-Journal), 6(4), pp.378-386.

Rahma., resi A., Setyaningsih., Y., Jayanti, S. 2017. 'Analisis Hubungan Faktor Eksogen Dan Endogen Terhadap Kejadian Dermatitis Akibat Kerja Pada Pekerja Penyamakan Kulit Pt. Adi Satria Abadi Piyungan, Bantul'.

KESEHATAN MASYARAKAT (e-Journal), 5, 173–183.

Riset Kesehatan Dasar 2008, 'Laporan Nasional 2007', Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan, Republik Indonesia.

Rustemeyer, T., Hoogstraten, I. M. W. Van, Blomberg, B. M. E. Von, & Scheper, R. J. 2019, 'Mechanisms of Allergic Contact Dermatitis'.

56

Universitas Sumatera Utara Saftarina, F., Sibero, H. T., Aditya, M., Dinanti, B. R. 2015, Prevalensi Dermatitis

Kontak Akibat Kerja dan Faktor yang Mempengaruhinya pada Pekerja Cleaning Service di Rumah Sakit Umum Abdul Moeloek. 19–25. Retrieved from http://fk.unila.ac.id/wp-content/uploads/2016/06/4.pdf

Salmon, J.E. 2016, Goldman-Cecil Medicine Twenty-Fifth Edition, Elsevier, United States, accessed 16 May 2019, Available at :

https://clinicalkey.com/#!/content/book/3-s2.0-B9781455750177000477?indexOverride=GLOBAL.

Schwarz, T. 2018, Fourth Ediiton Dermatology, Elsevier, United States, accessed 16 May 2019, Available at : https:/www.clinicalkey.com/#!/content/book/3-s2.0- B9780702062759000040?scrollTo=%23h10000621

Smedley, Julia , OCHEU, B. D. G. D. G. 2010, 'Concise Guidance : Diagnosis, Management and Prevention of Occupational Contact Dermatitis', 10(5), 487–490. https://doi.org/10.7861/clinmedicine.10-5-487

Sundaram, J. 2019, Basal Cells, Keratinocytes and Melanocytes. Retrieved from

https://www.news-medical.net/health/Basal-Cells-Keratinocytes-and-Melanocytes.aspx

Walls, C. and Duckett, H. 2012, ‘Occupational dermatitis in New Zealand cleaners’, 570(May).

Weston, W.L, Howe, W. 2019., Patient education : Contact dermatitis (including latex dermatitis)(Beyond the Basics). Available at : https://www.uptodate.com/contents/contact-dermatitis-including-latex-dermatitis-beyond-the-basics

Wikinson, S.M. 2018, Dermatology, Fourth Edition. United States : Elsevier. pp.

274-285, accessed 16 May 2019, Available at :

https://www.clinicalkey.com/#!/content/book/3-s2.0-B9780702062759000167.

Yagi, M., Yonei, Y. 2018, ‘Review article Glycative stress and anti-aging : 7.

Glycative stress and skin aging’, 5(1), pp. 50–54, accessed 16 May 2019, Available at : http://www.toukastress.jp/webj/article/2018/GS18-08.pdf.

Yousef H, Alhajj, M. , Sharma, S. 2019,Anatomy, Skin ( Integument), Epidermis, StatPearls Publishing LLC, accessed 16 May 2019, Available at : https://www.ncbi.nlm.nih.gov/books/NBK470464/#_NBK470464_pubdet_.

Universitas Sumatera Utara LAMPIRAN 1. Biodata Penulis

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