Skin protection concept, three-stage

General information
This section has been translated automatically.

Tertiary prevention in occupational dermatoses starts with the so-called three-stage skin protection concept. This dermatological concept integrates three interrelated pillars: protection (skin protection), regeneration (skin care) and decontamination (skin cleansing). For this purpose, individual manufacturers offer industry and company-specific skin protection plans with coordinated individual components (skin protection, skin cleansing and skin care products).
In the guideline "Occupational skin products", skin protection, skin care and skin cleansing products for occupational use are understood and summarised under occupational skin products.
The application of refatting skin-texterna as well as gentle skin cleansing can help the skin to better tolerate the stresses and strains at the workplace and to regenerate more quickly when stress occurs.
The success of a skin protection program ultimately depends not only on the fact that the skin protection, skin cleansing and skin care products offered are coordinated and selected according to the individual workplace exposure, but also on the fact that the employees are informed in an appropriate manner about the skin protection measures offered.
Skin protection preparations (see below skin protection preparations, industrial preparations) are legally considered to be cosmetics. Like all cosmetic products they are subject to the Cosmetics Directive of the European Union (EU). The legal basis in the Federal Republic of Germany is the Foodstuffs and Consumer Goods Act (LMBG) with the Cosmetics Ordinance. In addition, occupational skin protection products are also recognized as part of personal protective equipment (PPE) according to the PPE User Directive of the EU. In contrast to other cosmetics, occupational skin protection products can be prescribed in individual cases at the expense of the accident insurance institutions as part of medically initiated preventive measures in the event of an imminent occupational disease. In Germany this is regulated within the framework of the dermatologist procedure as part of the medical treatment provided by the employers' liability insurance association.
Skin care as a second supporting pillar has long played an essential and important role in dermatology, but in the context of occupational skin stress it is often also "only" considered as pure cosmetics. Skin care is not a therapy and does not take effect within a few days. However, it should be emphasized that as part of the integrative skin protection concept it essentially strengthens the protective functions of the skin.
As a third pillar skin cleansing products complete the integrative skin protection concept. Nowadays skin cleansing is more and more oriented towards the consumer and his concerns. Consequently, the trend is towards products which are becoming more and more skin friendly while offering good cleansing performance and environmentally friendly alternatives for the use of solvents and preservatives.

Literature
This section has been translated automatically.

Dicke W, Funk-Stendel I, Marschner B, Zuther F (2005) Everything about skin protection, skin cleansing, skin care. Wirtschaftsverlag NW, publishing house for new science GmbH, Bremerhaven, p. 440
Fartasch M et al. (2008) Guideline (Status: 03.05.2008, http://abd.dermis.net/content/e03abd/e10diensteinfo/index_ger.html) "Occupational skin products
Joint guideline of the Arbeitsgemeinschaft für Berufs- und Umweltdermatologie (ABD) in the Deutsche Dermatologische Gesellschaft (DDG) and the GD Gesellschaft für Dermopharmazie e.V. guideline "Occupational Skin Protection Products" in the version of 2 April 2003, http://www.gd-online.de