<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532020000100075</article-id>
<article-id pub-id-type="doi">10.31252/rpso.04.04.2020</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[RISCO BIOLÓGICO E/ OU QUÍMICO EVENTUALMENTE ASSOCIADO AO USO DE ADEREÇOS PELO TRABALHADOR (COMO ANEIS, ALIANÇAS, RELÓGIOS, PULSEIRAS)]]></article-title>
<article-title xml:lang="en"><![CDATA[BIOLOGICAL AND/ OR CHEMICAL RISK EVENTUALLY ASSOCIATED WITH WORKER USE OF JEWELLERY (SUCH AS RINGS, ALLIANCES, WATCHES, BRACELETS)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Revista Portuguesa de Saúde Ocupacional online  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Católica Portuguesa Escola de Enfermagem Instituto da Ciências da Saúde]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Escola Superior de Saúde Vale do Ave  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade Católica Portuguesa  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>9</volume>
<fpage>S40</fpage>
<lpage>S47</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532020000100075&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532020000100075&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532020000100075&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução/ enquadramento/ objetivos: Existem algumas normas/ manuais de Boas Práticas, em alguns setores profissionais, que salientam a necessidade do trabalhador evitar ou não usar determinados adereços estéticos (como anéis, alianças, relógio, pulseiras e/ ou equivalentes), quer ponderando a potenciação do contato com agentes biológicos e/ ou químicos, quer de terceiros o fazerem, por seu intermédio. Os estudos dedicados a este tema são muito escassos e referentes aos profissionais de saúde; contudo, em muitos outros setores esta temática é relevante, nomeadamente na produção alimentar, tatuagem, elaboração de utensílios/ equipamentos que necessitem de estar estéreis e qualquer setor que lide com agentes químicos relevantes, por exemplo.  Metodologia: Trata-se de uma Scoping Review, iniciada através de uma pesquisa realizada em dezembro de 2019 nas bases de dados &#8220;CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina, Scopus e RCAAP&#8221;.  Conteúdo: O uso de anéis diminui a eficácia da lavagem das mãos, uma vez que algumas bactérias podem permanecer nas irregularidades microscópicas e/ ou por baixo. Para além disso, podem rasgar as luvas de proteção; mas o uso destes equipamentos atenua a carga microbiana dos anéis. Contudo, alguns investigadores defendem que não há evidência estatística robusta de que o uso de anéis altere a taxa de infeção pós-operatório. Ainda assim fará sentido que alguns profissionais retirem os anéis para trabalhar, sobretudo os que forem rugosos/ com relevos - quer pela carga microbiana, quer pela capacidade de rasgar a luva. Os que têm superfícies lisas, como as alianças convencionais, não parecem ser tão problemáticos. Quanto aos relógios e pulseiras, pensa-se que eles não contribuem para um aumento significativo da taxa de infeção; ainda assim alguns investigadores recomendam que estes sejam retirados, antes mesmo da lavagem das mãos. O uso de verniz ungueal diminui a eficácia da lavagem das mãos, uma vez que algumas bactérias podem permanecer nas irregularidades microscópicas do verniz; no entanto não há evidência estatística robusta de que o uso de vernizes altere a taxa de infeção pós-operatório, por exemplo. Unhas compridas apresentam maior carga microbiana, sobretudo se recobertas por verniz irregular (com alguns dias). Para além disso, unhas alongadas também podem aumentar a probabilidade de rasgar a luva, sejam naturais ou com extensões. Logo, fará sentido que alguns profissionais as usem curtas. Uma vez que a evidência científica que correlaciona a infeção hospitalar ao uso de joias ou unhas artificiais entre profissionais de saúde é pouco robusta, as normas associadas não são uniformes entre instituições e/ ou existem mais no formato de recomendação.  Conclusões: Os estudos são escassos e não aparentam por vezes evidências concordantes ou robustas, pelo que seria útil que investigações rigorosas fossem executadas, ou seja, que uma equipa de Saúde Ocupacional a exercer numa empresa com risco biológico e/ ou químico delineasse e executasse tal projeto e, posteriormente, divulgasse os seus resultados em revista da especialidade. Na dúvida, até surgir evidência clara, objetos como anéis, alianças, relógios e pulseiras deverão ser removidos antes do trabalho e da lavagem das mãos e o tamanho das unhas/ uso de verniz ou de extensões ungueais deverá ser bem ponderado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction/ background/ objectives: There are some manuals of Good Practices, in some professional sectors, that highlight the need to stop use jewelry at work (such as finger rings, watches, bracelets and/ or equivalent), relating to the potentialization of contact with biological and/ or chemical agents. The studies dedicated to this theme are very scarce and all related to health professionals; although, in many other sectors, it is a relevant topic, like in food production, tattooing, preparation of equipment that needs to be sterile and any sector that deals with chemical agents, for example.  Methodology: It is a Scoping Review, initiated through a research conducted in December 2019 in the databases &#8220;CINALH plus with full text, Medline with full text, Database of Effects Review Abstracts, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Record, Nursing and Allied Health Collection: comprehensive, MedicLatina, Scopus and RCAAP &#8221;.  Content: The use of finger rings decreases efficacy of hand washing, since some bacteria can remain in microscopic irregularities under the ring. In addition, they can tear the protective gloves; even so, the use of this individual protective equipment attenuates the microbial load of the rings. However, some investigators argue that there is no statistical evidence that the use of rings will alter postoperative infraction rates. Those with smooth surfaces, like classic wedding rings, do not appear to be so problematic. As for watches and bracelets, it appears that they do not contribute to a significant increase in the rate of infringement; yet some researchers recommend that they should be removed, before hand washing. The use of nail varnish decreases efficacy of hand washing, since some bacteria can remain in the microscopic irregularities of the varnish; however, there is no robust statistical evidence that the use of varnishes alters the rate of postoperative infection, for exemple. Long nails have a higher microbial load, especially if recovered by irregular varnish (with a few days). In addition, big nails can also increase the likelihood of tearing the glove, whether natural or artificial. So it makes sense that some professionals use them short. Since scientific evidence that correlates hospital infection to the use of artificial jewelry or nails among healthcare professionals is not very robust, the norms at some institutions are in the format of recommendations only.  Conclusions: Studies are scarce and do not appear to be concordant or robust on several occasions, so it would be useful that Occupational Health teams, from companies with biological and/ or chemical risk, design and carry out studies and, subsequently, publish it to specialty magazines. In doubt, until clear evidence appears, objects such as finger rings, rings, watches and bracelets should be removed before work and hand washing and the size of long/ artificial nails or varnish must be carefully pondered.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[risco biológico]]></kwd>
<kwd lng="pt"><![CDATA[risco químico]]></kwd>
<kwd lng="pt"><![CDATA[anéis]]></kwd>
<kwd lng="pt"><![CDATA[alianças]]></kwd>
<kwd lng="pt"><![CDATA[relógios]]></kwd>
<kwd lng="pt"><![CDATA[pulseiras]]></kwd>
<kwd lng="pt"><![CDATA[saúde ocupacional e medicina do trabalho]]></kwd>
<kwd lng="en"><![CDATA[biological risk]]></kwd>
<kwd lng="en"><![CDATA[chemical risk]]></kwd>
<kwd lng="en"><![CDATA[rings]]></kwd>
<kwd lng="en"><![CDATA[watches]]></kwd>
<kwd lng="en"><![CDATA[bracelets]]></kwd>
<kwd lng="en"><![CDATA[occupational health and occupational medicine]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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