Frequent Hand Washing for COVID-19 Prevention Can Cause Hand Dermatitis: Management Tips

Beiu, Cristina; Mihai, Mara Mădălina; Popa, Liliana Gabriela; Cima, Luiza; Popescu, Marius

doi:10.7759/cureus.7506

Cited by 126 publications

(175 citation statements)

References 8 publications

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“…To support this interpretation, cough , chills , nasal discharge , myalgia , sore throat , malaise , fatigue , and sinus pain were also reported less frequently during the Measures period in 2019 in Germany, suggesting that seasonal changes are reflected in the data. The increased reporting of dry hands following the measures is consistent with more frequent handwashing during the Measures period, as expected by dermatologists [ 12 , 13 ]. Increased reports of pruritic eyes and pruritic nasal cavity following the measures could be a consequence of seasonal hay fever (known to be worse in spring than during winter months due to increased pollen in the air [ 40 ]), as these symptoms were found to be associated with increased sunshine (presumably when people spend more time outdoors).…”

Section: Discussionsupporting

confidence: 76%

“…For instance, as people are distressed due to social isolation and the economic fallout of the crisis, an upsurge in the incidence and severity of mental health problems has been predicted [ 5 - 11 ]. Increased handwashing (a primary recommendation to reduce transmission of COVID-19) is expected to result in increased skin irritation and dermatitis [ 12 , 13 ]. Other implications are related to more indirect factors such as delays and cancellations of surgeries and nonurgent treatments for patients with cancer and other diseases [ 14 - 16 ], interruptions in drug and commodities supply chains [ 17 , 18 ], and drops in vaccination rates for vaccine-preventable diseases [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

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Syndromic Surveillance Insights from a Symptom Assessment App Before and During COVID-19 Measures in Germany and the United Kingdom: Results From Repeated Cross-Sectional Analyses

Mehl¹,

Bergey²,

Cawley³

et al. 2020

JMIR Mhealth Uhealth

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Background Unprecedented lockdown measures have been introduced in countries worldwide to mitigate the spread and consequences of COVID-19. Although attention has been focused on the effects of these measures on epidemiological indicators relating directly to the infection, there is increased recognition of their broader health implications. However, assessing these implications in real time is a challenge, due to the limitations of existing syndromic surveillance data and tools. Objective The aim of this study is to explore the added value of mobile phone app–based symptom assessment tools as real-time health insight providers to inform public health policy makers. Methods A comparative and descriptive analysis of the proportion of all self-reported symptoms entered by users during an assessment within the Ada app in Germany and the United Kingdom was conducted between two periods, namely before and after the implementation of “Phase One” COVID-19 measures. Additional analyses were performed to explore the association between symptom trends and seasonality, and symptom trends and weather. Differences in the proportion of unique symptoms between the periods were analyzed using a Pearson chi-square test and reported as log2 fold changes. Results Overall, 48,300-54,900 symptomatic users reported 140,500-170,400 symptoms during the Baseline and Measures periods in Germany. Overall, 34,200-37,400 symptomatic users in the United Kingdom reported 112,100-131,900 symptoms during the Baseline and Measures periods. The majority of symptomatic users were female (Germany: 68,600/103,200, 66.52%; United Kingdom: 51,200/71,600, 72.74%). The majority were aged 10-29 years (Germany: 68,500/100,000, 68.45%; United Kingdom: 50,900/68,800, 73.91%), and about one-quarter were aged 30-59 years (Germany: 26,200/100,000, 26.15%; United Kingdom: 14,900/68,800, 21.65%). Overall, 103 symptoms were reported either more or less frequently (with statistically significant differences) during the Measures period as compared to the Baseline period, and 34 of these were reported in both countries. The following mental health symptoms (log2 fold change, P value) were reported less often during the Measures period: inability to manage constant stress and demands at work (–1.07, P<.001), memory difficulty (–0.56, P<.001), depressed mood (–0.42, P<.001), and impaired concentration (–0.46, P<.001). Diminished sense of taste (2.26, P<.001) and hyposmia (2.20, P<.001) were reported more frequently during the Measures period. None of the 34 symptoms were found to be different between the same dates in 2019. In total, 14 of the 34 symptoms had statistically significant associations with weather variables. Conclusions Symptom assessment apps have an important role to play in facilitating improved understanding of the implications of public health policies such as COVID-19 lockdown measures. Not only do they provide the means to complement and cross-validate hypotheses based on data collected through more traditional channels, they can also generate novel insights through a real-time syndromic surveillance system.

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Section: Discussionsupporting

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Syndromic Surveillance Insights from a Symptom Assessment App Before and During COVID-19 Measures in Germany and the United Kingdom: Results From Repeated Cross-Sectional Analyses

Mehl¹,

Bergey²,

Cawley³

et al. 2020

JMIR Mhealth Uhealth

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“…Hand dermatitis induced by frequent hand washing includes a spectrum of findings: cutaneous xerosis, dyshidrotic eczema, and ICD especially in patients with underlying atopic dermatitis (AD) [93]. The distribution may be localized to the finger webs and finger tips or involve the wrist and dorsal or ventral aspects of the hand.…”

Section: Irritant Contact Dermatitismentioning

confidence: 99%

“…Repeated use of alcohol-based sanitizers can quickly lead to skin dryness and subsequent ICD. Beiu and colleagues reported on hand ICD and eczema flare due to frequent hand washing in the context of COVID-19 [93]. Prolonged and/or frequent glove wearing in the setting of compromised skin integrity can further exacerbate hand dermatitis due to an added inflammatory response.…”

Section: Irritant Contact Dermatitismentioning

confidence: 99%

Cutaneous Manifestations in Adult Patients with COVID-19 and Dermatologic Conditions Related to the COVID-19 Pandemic in Health Care Workers

Mawhirt

Frankel

Diaz³

2020

Curr Allergy Asthma Rep

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Purpose of Review COVID-19 (coronavirus viral disease 2019), due to the novel SARS-CoV-2, may present with different types of cutaneous manifestations of varying pathophysiology. During the ongoing pandemic, publications reporting dermatologic findings in COVID-19 continue to emerge. Recent Findings Cutaneous vasculopathy and microthrombus-related changes including acral and sacral lesions, retiform purpura, livedo reticularis, and cutaneous vasculitis are notable findings in adult patients. Other exanthems include urticaria or angioedema, morbilliform/maculopapular exanthems, erythema multiforme, and vesicular eruptions. Increased recognition of these findings, especially those consistent with cutaneous microthrombi or vasculitis, is of particular importance. Additionally, occupational dermatologic disease related to extended personal protective equipment (PPE) use, such as skin damage and irritant or allergic contact dermatitis (ACD), represents another emerging problem amidst the pandemic. Summary In this review, we highlight the various cutaneous manifestations associated with COVID-19 in adult patients and occupational dermatitis in health care workers (HCWs) caring for this patient population. Keywords COVID-19. SARS-CoV-2. Cutaneous manifestations. Dermatologic. Rash. Contact dermatitis Abbreviations AAD American Academy of Dermatology ACD Allergic contact dermatitis ACE2 Angiotensin-converting enzyme 2 AD Atopic dermatitis AGEP Acute generalized exanthematous pustulosis ARDS Acute respiratory distress syndrome COVID-19 Coronarvirus viral disease 2019 CSSV Cutaneous small vessel vasculitis DIC Disseminated intravascular coagulation DiHS/DRESS Drug-induced hypersensitivity syndrome/drug reaction with eosinophilia and systemic symptoms HCW Health care worker ICD Irritant contact dermatitis ITP Immune thrombocytopenic purpura PPE Personal protective equipment PT Patch test RT-PCR Reverse transcriptase polymerase chain reaction SARS-CoV-2 Severe acute respiratory distress syndrome coronavirus 2 SDRIFE Symmetrical drug-related intertriginous and flexural exanthema This article is part of the Topical Collection on Allergic Skin Diseases

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“…[32] Ancak bu ürünlerin sık kullanımı da kuruluk ve tahrişe neden olabildiği belirtilmiştir. [33] Beklendiği gibi bu çalışmada katılımcılardan kolonya ve el dezenfektanı kullananlarda da yüksek oranda cilt sorunu geliştiği saptandı. Wolfe ve ark.…”

Section: Discussionunclassified

COVID-19 salgını sırasında Türk toplumunun sosyal el yıkama bilgi ve tutumunun değerlendirilmesi

Uğurlu

Durgun

Nemutlu

et al. 2020

Journal of Contemporary Medicine

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Amaç: COVID-19 pandemisi sürecinde Türk toplumunun el yıkama konusundaki bilgi ve tutumunu değerlendirmek amaçlanmıştır. Gereç ve Yöntem: Tanımlayıcı türdeki çalışmada katılımcılar elektronik olarak çalışmaya davet edildi. Veriler 21 Mayıs ve 25 Mayıs 2020 tarihleri arasında, Kişisel Bilgi Formu ile Sosyal El Yıkama Bilgi ve Tutum Anketi kullanarak toplandı. Çalışmada istatistiksel analizler için IBM SPSS Statistics 22 (IBM SPSS, Türkiye) programı kullanıldı. Bulgular: Çalışmaya toplam 1660 katılımcı dahil edildi. Katılımcıların yaş ortalamasının 26,76±9,46 yıl, %69,2'sinin kadın, %69,8'inin bekar, %71,3'ünün üniversite ve üzeri mezunu ve %63,9'unun çalışmadığı belirlendi. Kadınların ve öğrenim durumu üniversite ve üzeri olanların bilgi puan ortalamasının, evli olanların, orta gelir düzeyinde olanların ve kadınların tutum puan ortalamasının istatistiksel açıdan farklılık gösterdiği (p<0,05) saptandı. Katılımcıların COVID-19 salgını sürecinde %79,8'inin el yıkama yönelik bilgilerinin, %89,4'ünün el yıkama sıklığının artmış olduğu saptandı. El yıkama esnasında kolonya ve el dezenfektanı kullananlarda cilt sorunu gelişme durumu arasında pozitif yönde istatistiksel olarak anlamlı bir ilişki bulunmakla birlikte, bu ilişkinin kolonya kullananlarda zayıf, el dezenfektanı kullananlarda güçlü düzeyde olduğu saptandı (r:0,052, p:0,033; r:0,071, p:0,004; p<0,05). Ayrıca yıkama sıklığı ile ellerde gelişen cilt sorunlarının gelişme durumu arasında da pozitif yönde istatistiksel olarak anlamlı bir ilişki saptandı (r:0,124; p:0,001). Sonuç: Bu çalışmanın sonuçlarına göre katılımcıların el yıkama ile ilgili bilgi ve tutumlarının bazı sosyodemografik özelliklerden etkilendiği, COVID-19 salgını sürecinde el hijyenini sağlamaya yönelik bilgi ve tutumlarının artmış olduğu, sık el yıkama, kolonya ve el dezenfektanı kullanımının cilt sorunlarının gelişiminde rol oynadığı söylenebilir.

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Frequent Hand Washing for COVID-19 Prevention Can Cause Hand Dermatitis: Management Tips

Cited by 126 publications

References 8 publications

Syndromic Surveillance Insights from a Symptom Assessment App Before and During COVID-19 Measures in Germany and the United Kingdom: Results From Repeated Cross-Sectional Analyses

Syndromic Surveillance Insights from a Symptom Assessment App Before and During COVID-19 Measures in Germany and the United Kingdom: Results From Repeated Cross-Sectional Analyses

Cutaneous Manifestations in Adult Patients with COVID-19 and Dermatologic Conditions Related to the COVID-19 Pandemic in Health Care Workers

COVID-19 salgını sırasında Türk toplumunun sosyal el yıkama bilgi ve tutumunun değerlendirilmesi

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