Adverse skin reactions related to PPE among healthcare workers managing COVID‐19

Sharma, Priyanka; Goel, N K; Dogar, Kanika; Bhalla, Mala; Thami, G P; Punia, Kavita

doi:10.1111/jdv.17290

Cited by 4 publications

(2 citation statements)

References 8 publications

(13 reference statements)

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“…Two more articles were identified via relevant citations from some of the full‐text articles. After assessing full‐length articles, 20 studies were excluded for the following reasons: did not provide usable statistics 8–10 ( n = 3), characterized the dermatoses poorly or did not specify the location of dermatoses 11–24 ( n = 14), only included patients presenting to dermatological clinic already with mask‐related dermatoses 25 ( n = 1), all patients had pre‐existing facial dermatoses 26,27 ( n = 2). After these exclusions, 37 published studies were included in the meta‐analysis 28–64 …”

Section: Resultsmentioning

confidence: 99%

Facial dermatoses induced by face masks: A systematic review and meta‐analysis of observational studies

Justin

Yew

2022

Contact Dermatitis

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The use of masks for infection control was common in the COVID‐19 pandemic. As numerous cross‐sectional studies have suggested a link between the use of such masks and various facial dermatoses, a systematic review and meta‐analysis of published studies was conducted to evaluate this association, as well as potential risk factors for the development of such facial dermatoses. Observational studies were searched for in MEDLINE, EMBASE and the Cochrane Central Register. Thirty‐seven observational studies with a total of 29 557 study participants were identified. This study was performed according to the Preferred Reporting Items for Systematic reviews and Meta‐Analyses (PRISMA) 2020 checklist and quality was assessed via the Newcastle‐Ottawa Quality Assessment Scale., Overall prevalence of facial dermatoses was 55%. Individually, acne, facial dermatitis, itch and pressure injuries were consistently reported as facial dermatoses, with a pooled prevalence of 31%, 24%, 30% and 31%, respectively. Duration of mask‐wear was the most significant risk factor for the development of facial dermatoses (95% CI: 1.31–1.54, p < 0.001). Overall, facial dermatoses associated with mask wear are common, and consist of distinct entities. They are related to duration of use. Appropriate and tailored treatment is important to improve the outcomes for these affected patients.

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Section: Resultsmentioning

confidence: 99%

Facial dermatoses induced by face masks: A systematic review and meta‐analysis of observational studies

Justin

Yew

2022

Contact Dermatitis

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“…Stratum corneum breakdown reduced the overall tolerance to mechanical loading and caused adverse skin reactions in 70-97% of HCWs. [9][10][11] Several studies have reported adverse skin reactions to hand hygiene and PPE, including erythema, papules, urticaria, dry skin, scales, maceration, and itching. The most commonly affected site was the nose, hand, and cheeks.…”

Section: Introductionmentioning

confidence: 99%

Adverse Skin Reaction to Hand Hygiene and Personal Protective Equipment among Health-Care Workers during COVID-19 Pandemic in Dr. Mohammad Hoesin General Hospital Palembang

Nopriyati¹,

Deddy²,

Thaha³

et al. 2022

Bioscmed

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Background: Indonesian health-care workers (HCWs) are at the front liners battling against the Coronavirus-2019 disease (COVID-19) pandemic since March 2020 and must protect themselves by hand hygiene and using personal protective equipment (PPE). Hand hygiene and the use of PPE are associated with an adverse skin reactions. This study aimed to find out the prevalence, characteristics, and risk factors for adverse skin reactions to hand hygiene and PPE among HCWs in Indonesia during the COVID-19 pandemic. Methods: A cross-sectional online questionnaire-based survey among HCWs in Dr. Mohammad Hoesin General Hospital Palembang on April 1-30, 2022. The data were collected, including demographic characteristics, occupational-related characteristics, and adverse skin reactions. Results: The study included 134 respondents, the majority of the respondents were female (57,5%), with a mean age was 31,18 ± 4,89 years old. Adverse skin reactions were reported only on 16,4% of respondents. Hands (40,9%) were the most common site affected. The highest symptom and lesion were itch (54,5%), erythema (59,1%) and scales (59,1%). There was a significant association between adverse skin reactions to hand hygiene (p <0,001) and PPE (p = 0,001) before and during the pandemic. However, adverse skin reactions were not associated with increased frequency of hand hygiene and duration of PPE worn. History of pre-existing inflammatory skin condition is the risk factor for adverse skin reactions to hand hygiene and PPE. Conclusion: Adverse skin reactions to hand hygiene and PPE are increasing among Indonesian HCWs during the COVID-19 pandemic.

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Human thermal physiological response of wearing personal protective equipment: An educational building semi-open space experimental investigation

Fang

Mao

Zhu

et al. 2023

Science of The Total Environment

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Adverse skin reactions related to PPE among healthcare workers managing COVID‐19

Abstract: Hands 244 (49.8%) Chin 40 (8.1%) Neck 22 (4.4%) Trunk 02 (0.4%) Axilla 01 (0.2%) Groin 05 (1%)

Cited by 4 publications

References 8 publications

Facial dermatoses induced by face masks: A systematic review and meta‐analysis of observational studies

Facial dermatoses induced by face masks: A systematic review and meta‐analysis of observational studies

Adverse Skin Reaction to Hand Hygiene and Personal Protective Equipment among Health-Care Workers during COVID-19 Pandemic in Dr. Mohammad Hoesin General Hospital Palembang

Human thermal physiological response of wearing personal protective equipment: An educational building semi-open space experimental investigation

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