Cutaneous manifestations in an Italian military COVID hub

Nunno, Donato Di; Laghi, Alessandro; Troiani, Giorgio; Marseglia, Bernardino; Anelli, Lorenzo; Farina, Elisa; Tarricone, Francesco; Mammana, Giacomo; Catalano, Carlo; Bonito, Alessandro; Capua, Antonio De; Caramanico, Guido; Blasioli, Sante; Astorino, Stefano

doi:10.23736/s0392-0488.20.06735-8

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…After accounting for potential overlap in cases, this study utilized 36 articles from 17 countries—the U.S. ( n = 17), Israel ( n = 2), Switzerland ( n = 2), and the United Kingdom ( n = 2) and one each from Belgium, Bolivia, Brazil, Canada, Djibouti, France, India, Italy, Norway, Philippines, South Korea, Sri Lanka, and Tunisia [ 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 ]. The Israel-based study by Talmy et al was solely used for the meta-analysis of specific symptoms since it was the only Israeli study reporting symptoms breakdown [ 58 ].…”

Section: Resultsmentioning

confidence: 99%

“…The following supporting information can be downloaded at: . References [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 ] are cited in the Supplementary Materials.…”

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confidence: 99%

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SARS-CoV-2 Transmission in the Military during the Early Phase of the Pandemic—A Systematic Analysis

Gwee

Chua

Pang

2022

IJERPH

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Militaries worldwide have been affected by COVID-19 pandemic. However, the impact and epidemiological characteristics of transmission during the early phase of the pandemic is not well-studied. This study aims to systematically estimate the baseline incidence of COVID-19 in the military worldwide and identify the potential risk factors of transmission and clinical characteristics of the cases. English and Chinese literature reporting COVID-19 cases in military worldwide published on four electronic databases (PubMed, Scopus, EMBASE, and CKNI) through 28 May 2021 were systematically screened and synthesized qualitatively. Forty-six studies involving at least 711,408 military personnel in 17 countries were synthesized. Low incidence of cases was observed in the military with pooled COVID-19 incidence of 0.19% (95%CI: 0.00–9.18%). We observed a higher incidence among those (1) with overseas exposure (39.85%; 95%CI: 0.00–95.87%) rather than local exposure (3.03%; 95%CI: 0.00–12.53%), (2) who were on either local/overseas military deployment (26.78%; 95%CI: 0.00–71.51%) as compared to those not deployed (4.37%; 95%CI: 0.00–17.93%), and (3) on overseas military deployment (39.84%; 95%CI: 0.00–95.87%) as compared to local military deployment (3.03%; 95%CI: 2.37–3.74%). The majority of the cases were symptomatic (77.90% (95%CI: 43.91–100.00%)); hospitalization and mortality rates were low at 4.43% (95%CI: 0.00–25.34%) and 0.25% (95%CI: 0.00–0.85%), respectively; and headache, anosmia, ageusia, myalgia, nasal congestion, and cough were the most commonly observed symptoms. Overseas and local deployment were observed to have higher risk of SARS-CoV-2 transmission. Sustainable, active SARS-CoV-2 surveillance strategies are crucial to detect and contain transmission early during military deployments.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

SARS-CoV-2 Transmission in the Military during the Early Phase of the Pandemic—A Systematic Analysis

Gwee

Chua

Pang

2022

IJERPH

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“…In 2019, an outbreak of SARS-CoV-2, responsible for the COVID-19, resulted in a worldwide pandemic concerning to both civilian and military populations [ 41 ]. COVID-19 is a multi-organ disease than can also affect the skin [ 42 ]. The six main clinical patterns to the COVID-19 associated cutaneous manifestations include urticarial rash, maculopapular rash, papulovesicular exanthem, chilblain-like lesions, livedo reticularis/racemosa-like pattern, and vasculitic pattern [ 43 ].…”

Section: Infectious Diseasesmentioning

confidence: 99%

“…The most common dermatologic diagnosis was xerosis in 11 (13.6%) military patients and 4 (26.7%) civilians. Other diagnoses included seborrheic dermatitis (3 cases in military group and 1 in civilian group), irritant CD (ICD) (3 cases in military group and 2 in civilian group), morbilliform rash (3 cases in military group and 1 in civilian group), petechial rash (2 cases in military group and 1 in civilian group), and urticaria (3 cases in military group and 0 in civilian group) [ 42 ].…”

Section: Infectious Diseasesmentioning

confidence: 99%

A review of skin disease in military soldiers: challenges and potential solutions

Singal,

Lipner

2023

Annals of Medicine

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Introduction: Military soldiers comprised 1,195 million United States active-duty members and 778,000 reserve members in 9/2021. Soldiers are often exposed to drastic climates, environments, and living conditions which may make them more susceptible to cutaneous diseases. Methods: A PubMed search of studies published between 1/1/2002 – 8/30/2022, using MeSH terms: ((("Military Personnel"[Majr]) OR "Military Hygiene"[Majr])) OR "Military Medicine"[Majr]) AND "Skin Diseases"[Majr]), the reference lists of select articles, and other applicable sources were reviewed to identify articles on skin conditions affecting military soldiers and treatment options. Discussion: In this article, we review skin conditions that affect military soldiers in both the deployed and non-deployed settings including infectious diseases, arthropod associated diseases, sexually transmitted infections, ultraviolet radiation related skin disease, acne, diseases of hair and hair follicles, dermatitis, onychocryptosis, and conditions caused by extreme weather conditions and occupational exposures. We also discuss treatment options and prevention methods as they relate to military settings. Conclusion: Dermatological conditions can considerably impact soldiers’ wellbeing and military performance, often lead to evacuation of military personnel, and are associated with high financial costs. Cutaneous disease is one of most common reasons for soldiers to seek medical care and may cause significant morbidity. Serving in the military often impacts and limits treatment options.

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Exploring burnout in the Italian Armed Forces amid the COVID-19 pandemic: a clustering approach to identify psychological preventing and risk factors

Mariani,

Di Monte,

Murgia

et al. 2024

Curr Psychol

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The Italian army played a crucial role in addressing the COVID-19 pandemic by supplying the country with military personnel, sanitary specialists, equipment, and infrastructure. This is the first Italian study involving the entire population of the National Armed forces with the aim of investigating the psychological factors that can protect or pose risks in effectively managing heightened distress. We explored how coping capability and the capacity to face uncertainty can contribute to predicting levels of burnout during the COVID-19 pandemic. A total of 4409 Italian military personnel completed questionnaires assessing burnout, coping style, and intolerance of uncertainty. In addition to the Burnout cut-off levels, a cluster analysis was conducted, integrating the variables of Depersonalization, Emotional Exhaustion, and Personal Gratification in order to identify risk profiles and specific characteristics. Based on the Burnout cut-off levels, military personnel are experiencing higher levels of burnout in the Personal Accomplishment dimension by 23.34% compared to other factors. The application of cluster analysis methodology revealed interesting results: four distinct clusters differed in terms of working factors, intolerance to uncertainty, and coping style. According to regression analysis, the most significant predictors of burnout were emotional-oriented coping and tolerance to uncertainty. The avoidance strategy demonstrated a specific coping function within the Armed Force, distinct from other populations. This study demonstrated that the most effective strategies for preventing burnout are task-oriented coping and tolerating uncertainty. These results implied specific training focusing on the competences could prevent burnout.

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Cutaneous manifestations in an Italian military COVID hub

Cited by 4 publications

References 7 publications

SARS-CoV-2 Transmission in the Military during the Early Phase of the Pandemic—A Systematic Analysis

SARS-CoV-2 Transmission in the Military during the Early Phase of the Pandemic—A Systematic Analysis

A review of skin disease in military soldiers: challenges and potential solutions

Exploring burnout in the Italian Armed Forces amid the COVID-19 pandemic: a clustering approach to identify psychological preventing and risk factors

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