{
  "schema_version": 1,
  "kind": "condition",
  "id": "hand-hygiene-dermatitis",
  "name": "Hand Hygiene-Related Contact Dermatitis",
  "category": "chronic",
  "sources": "BAD Guidelines for Management of Hand Eczema 2021 · WHO Guidelines on Hand Hygiene in Health Care 2009 · Hydrocortisone 1% cream SmPC section 4.2 (eMC product 13103)",
  "review_status": "reviewed",
  "verified_against": "BAD Guidelines for Management of Hand Eczema 2021 · Hydrocortisone 1% cream SmPC section 4.2 (eMC product 13103)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 849,
      "generic": "Liquid paraffin + White soft paraffin",
      "line": 1,
      "is_adjunct": false,
      "form": "topical",
      "strength_mg": null,
      "adult_dose": "Apply liberally to hands after every handwashing, before sleep, and as often as needed (min 4-6 times daily)",
      "adult_duration": "long-term baseline care",
      "dose_source": "BAD Guidelines for Management of Hand Eczema 2021",
      "rationale": "Cornerstone emollient repair for hand barrier breakdown secondary to frequent alcohol rubs and soaps",
      "cautions": [
        "Apply emollient immediately after patting hands dry to trap moisture.",
        "Use soap substitutes for washing.",
        "Avoid hot water and dry skin gently."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Apply liberally to children's hands after washing",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "hand-hygiene-dermatitis"
    },
    {
      "id": 850,
      "generic": "Hydrocortisone",
      "line": 1,
      "is_adjunct": true,
      "form": "topical",
      "strength_mg": null,
      "adult_dose": "Apply sparingly to active erythematous hand lesions twice daily",
      "adult_duration": "7-14 days",
      "dose_source": "Hydrocortisone 1% cream SmPC section 4.2 (eMC product 13103)",
      "rationale": "Mild topical corticosteroid that dampens the inflammatory response of irritated skin, added short-term to emollient and barrier care for actively inflamed lesions rather than used as ongoing treatment.",
      "cautions": [
        "For severe hand eczema, switch to moderate steroid under supervision.",
        "Limit a course in a child to 7-10 days, and remember the face and scalp absorb far more than limb skin.",
        "Hydrocortisone is for short-term use for active inflammation only."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Apply sparingly twice daily for up to 7 days in children",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "NOVACORTIN 1% CREAM 15 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHAROPHARMA",
          "price_egp": 4.75,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "NOVACORTIN 1% OINT. 15 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHAROPHARMA",
          "price_egp": 4.75,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MICORT 1% CREAM 20 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MISR",
          "price_egp": 12.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "HYDROCORTISONE 1% OINT. 20 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MISR",
          "price_egp": 21.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "hand-hygiene-dermatitis"
    }
  ]
}