Hidden threat lurking behind the alcohol sanitizers in
            <scp>COVID</scp>
            ‐19 outbreak

Emami, Amir; Javanmardi, Fatemeh; Keshavarzi, Abdolkhalegh

doi:10.1111/dth.13627

Cited by 29 publications

(33 citation statements)

References 6 publications

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“…Those who use alcohol-based hand washing products have increased skin problems. 1,20,23 Contact dermatitis is an inflammatory response. 24 Irritant contact dermatitis is the most common form of occupational dermatoses.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of skin problems and dermatology life quality index in health care workers who use personal protection measures during COVID ‐19 pandemic

Daye

Ci̇han

Durduran

2020

Dermatologic Therapy

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The aim of this study was to evaluate the skin problems and dermatological life quality of the health care workers ( HCWs) due to personal protection equipment (PPE) use, who are at high risk for Covid‐19 infection. A questionnaire about HCWs' PPE use, their skin symptoms, and prevention, management methods and Dermatology Life Quality Index (DLQI) was fulfilled. The median age of 440 participants was 33.5 (21.0‐65.0) years old. Skin problems were found to be 90.2%, the most common were dryness, itching, cracking, burning, flaking, peeling and lichenification. The presence of skin problems ( P < 0.001) was higher in those who did not use moisturizers. Of all, 22.3% (n = 98) stated that the use of PPE increased the severity of their previously diagnosed skin diseases and allergies ( P < 0.01). Only 28.0% (n = 123) stated that they know the skin symptoms that may develop by using PPE. The proper hand washing rate was higher as education level increased ( P < 0.001). Skin problems were higher in those using mask with metal nose bridge (p:0.02; p:0.003, respectively). As the mask using period prolonged, acne was more common (p:0.02). DLQI was significantly affected in women ( P = 0.003), and with increased skin problems related to PPE ( P < 0.001).It is important to organize trainings on prevention and management of possible skin symptoms due to PPE use according to guidelines. This article is protected by copyright. All rights reserved.

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Section: Discussionmentioning

confidence: 99%

“…Although hand washing with soap is the most recommended method, products containing ethanol are used in cases where water cannot be reached. Those who use alcohol‐based hand washing products have increased skin problems 1,20,23 . Contact dermatitis is an inflammatory response 24 .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of skin problems and dermatology life quality index in health care workers who use personal protection measures during COVID ‐19 pandemic

Daye

Ci̇han

Durduran

2020

Dermatologic Therapy

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“…Consequently, this not only led to panic buying and overuse of sanitizers but also increased the supply of substandard products in the markets [ 14 ]. These products have limited antiviral activity, leading to the emergence and re-emergence of some microorganisms and dermatological problems [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

The Prevalence and Determinants of Hand and Face Dermatitis during COVID-19 Pandemic: A Population-Based Survey

Alsaidan

Abuyassin

Alsaeed

et al. 2020

Dermatology Research and Practice

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Background. During the current COVID-19 pandemic, prevention is the key to limiting the spread of this disease. The frequent handwashing and use of sanitizers resulted in notable skin changes among some individuals. The aim of the study was to determine the prevalence and determinants of the new onset of dermatitis during the COVID-19 pandemic in a university population from Saudi Arabia. Methods. A cross-sectional study was conducted using a self-administered online questionnaire by sending an invitation link to students and employees of Prince Sattam Bin Abdulaziz University in June 2020. A chi-squared test was used to note differences regarding hand and face dermatitis. Results. Of the total 2356 participants, 34.8% reported skin changes or symptoms over hands, and 15.3% reported skin changes on their face during this pandemic. 88.7% of the participants reported a change in handwashing habits during the COVID-19 pandemic, and 62.2% of participants were not using any hand sanitizers before COVID-19 but began using them during the pandemic. There were significantly higher percentage of skin conditions in females (on hands (ScH): 42.6% and face (ScF):19.2%), individuals working in environments requiring frequent handwashing (ScH: 40.3% vs. ScF: 17.2%), those working in facilities where they have to interact with people during the pandemic (ScH: 41.1% vs. ScF: 18.7%), those encountering COVID-19 patients (ScH: 48.6% vs. ScF: 24.8%), those exposed to chemicals (ScH: 48.6% vs. ScF: 24.8%), and healthcare workers (ScH: 51.3% vs. ScF: 24.3%). Conclusion. It was found that during the pandemic, skin changes were common among the general population as well as among healthcare workers. The frequency of handwashing and the use of alcohol-based sanitizers were contributing factors for dermatitis. Although hygiene is an extremely important preventive measure in this pandemic, maintaining skin integrity is also vital. Appropriate knowledge and good practice can prevent dermatitis in this pandemic, with regular hydration of the skin being a key factor.

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“…6). Emami reported that frequent use of alcohol based products can result in skin dryness and irritation [26]. Rundle reported that 98% of cases had irritant contact dermatitis due to frequent hand washing [9].…”

Section: % Hcws Who Answered the Question About The Types Of Face Masmentioning

confidence: 99%

Comparative Study upon using Sanitizers and Personal Protective Equipment during COVID-19 Pandemic between Saudi and Egyptian Health Care Providers

Mahmoud¹,

Almuaili²,

Shaheen³

et al. 2021

JPRI

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Wearing masks were effective in reducing the probability of infection with COVID-19, but wearing them for long time cause many problems. This paper was aimed to compare between Saudi and Egyptian HCWs upon using sanitizers and personal protective equipment (PPE) during COVID-19 pandemic. Data was collected through a well-structured questionnaire, among Saudi HCWs (online) and Egyptian HCWs through paper questionnaire interview. The questionnaire consists of 23 questions about Socio-demographic, types of masks, gloves and sanitizers they used during their works. It includes the adverse skin reactions on hands and face upon using PPE for long periods during COVID 19 pandemic. Our results revealed that most of Saudi & Egyptian HCWs wearing surgical masks (57.8% & 63.6%), > N95 (12.9% &18.2%), using latex surgical gloves (44.9% & 56.8%), > plastic gloves (11.1% &18.2%) respectively. The most affected area from wearing PPE are hands (49.8% & 54.5%) followed by Auricular area (44% & 40.9%), nasal bridge (28.9% & 22.7%), check (16.9% & 13.6%), whole face (15.6% & 25%) among Saudi & Egyptian HCWs respectively. About 70% of Egyptian HCWs from our participants used alcohol 70% in form of gel as sanitizer which was significantly higher than Saudi HCWs (59.1%). While no significant differences were found from using other sanitizers such as liquid alcohol 70% or Dettol. The most adverse reaction due to using sanitizers was skin dryness (55.1% & 63.6%) among Saudi & Egyptian HCWs respectively. We can conclude that significant increase was found among HCWs in Egypt either in wearing surgical and N95 masks or in wearing surgical and plastic gloves when compared to Saudi HCWs. According to the side effects on hands and face due to wearing PPE among HCWs either from KSA or Egypt, there were some variations by increase or decrease in the percentages. The most adverse reaction due to using sanitizers (specially alcohol 70% in form of gel) was skin dryness.

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Hidden threat lurking behind the alcohol sanitizers in COVID ‐19 outbreak

Cited by 29 publications

References 6 publications

Evaluation of skin problems and dermatology life quality index in health care workers who use personal protection measures during COVID ‐19 pandemic

Evaluation of skin problems and dermatology life quality index in health care workers who use personal protection measures during COVID ‐19 pandemic

The Prevalence and Determinants of Hand and Face Dermatitis during COVID-19 Pandemic: A Population-Based Survey

Comparative Study upon using Sanitizers and Personal Protective Equipment during COVID-19 Pandemic between Saudi and Egyptian Health Care Providers

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