Irritant contact dermatitis in healthcare workers as a result of the COVID‐19 pandemic: a cross‐sectional study

Kiely, Lisa; Moloney, E; O’Sullivan, Grainne; Eustace, Joseph A.; Gallagher, J; Bourke, John

doi:10.1111/ced.14397

Cited by 57 publications

(81 citation statements)

References 7 publications

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“…These studies reported that the high frequency of handwashing was associated with the risk of HE, as in our study [ 7 , 10 , 11 ]. Kiely et al [ 12 ] mentioned that the frequency of handwashing increased during the COVID-19 pandemic, but its relationship with HE was not discussed in their study. Lin et al [ 13 ] showed that high frequency of handwashing was associated with HE in univariate analysis, but not in multivariate analysis.…”

Section: Discussionmentioning

confidence: 89%

“…Lin et al [ 13 ] reported that in their study, 63% of participating HCWs experienced adverse skin reactions on their hands. Kiely et al [ 12 ] reported that over 80% of their cohort was affected with irritant dermatitis, and hands were the most commonly affected site. In a recent study, Erdem et al [ 7 ] reported the prevalence of HE in HCWs as 50.5%.…”

Section: Discussionmentioning

confidence: 99%

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An Overlooked Risk for Healthcare Workers Amid COVID-19: Occupational Hand

Çelik

Özkars

2020

North Clin Istanbul

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OBJECTIVE: Hand hygiene, one of the most critical preventive methods against Coronavirus Disease-2019 (COVID-19) cross-transmission, has increased during the COVID-19 outbreak. The present study aims to investigate the prevalence and risk factors of hand eczema (HE) and associated symptoms in healthcare workers (HCWs) during the COVID-19 outbreak. METHODS: We distributed a self-administered online survey to physicians and nurses in Kahramanmaras, Turkey. The survey included questions about HE-associated symptoms and risk factors before and during the pandemic. RESULTS: Five hundred sixty-four individuals (349 physicians and 215 nurses) answered the survey. Post-COVID-19, the prevalence of HE increased from 6.6% to 11.7% and the prevalence of HE-associated symptoms increased from 39.5% to 79.3%. Female gender (odds ratio [OR]: 3.92; 95% confidence interval [CI]: 2.12–7.25), a history of atopic diseases (OR: 1.7; 95% CI: 1.03–2.8), more frequent handwashing (OR: 1.03; 95% CI: 1.01–1.05), and more frequent use of moisturizers (OR: 1.12; 95% CI: 1.01–1.24) were independently associated with the risk of HE-associated symptoms. CONCLUSION: Because of increased handwashing during the COVID-19 outbreak, there is a significant increase in HE-associated symptoms in HCWs. Proper education and preventive strategies for HE are urgently needed for HCWs fighting on the front lines of COVID-19.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

An Overlooked Risk for Healthcare Workers Amid COVID-19: Occupational Hand

Çelik

Özkars

2020

North Clin Istanbul

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“…The media of skin side events related to PPE was 75.13%, after conducting a random effect meta-analysis weighted by the study sample size, Figure S1. Thirteen studies explored cutaneous adverse events related to PPE [5][6][7][11][12][13][14][15][16][17][18][19][20] . Seven studies evaluated the prevalence of skin side events related to PPE [5][6][7][11][12][13][14] .…”

Section: What Is the Prevalence Of Skin Adverse Events Related General Personal Protective Equipment?mentioning

confidence: 99%

Skin adverse events related to personal protective equipment: a systematic review and meta‐analysis

Montero‐Vílchez

Cuenca‐Barrales

Martínez-López

et al. 2021

Acad Dermatol Venereol

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a global pandemic that has spread all over the word. To avoid the virus transmission, healthcare workers (HCWs) must wear adequate personal protective equipment (PPE). PPE is associated with several side events, including skin reactions. The objective of this study is to summarize the prevalence, type and risk factors for cutaneous adverse events related to PPE and prevention measures to avoid them. A systematic review and metanalysis was conducted using Medline, Scopus and Embase databases from conception to 21 st January 2021. All types of epidemiological studies regarding skin adverse events related to PPE were included. The literature search identified 1,007 references, 35 of them met the eligible criteria and were included for analysis, representing 31,453 participants. The media of skin side events related to PPE was 75.13%. The rate of cutaneous adverse events related to mask was 57.71% and those associated with gloves and hand hygiene products was 49.16%.Most common skin adverse events were contact dermatitis, acne and itching. The most damaged anatomical regions were the nasal bridge, the cheeks and the hands. The duration of PPE wearing was the most common risk factor. Frequent hand washing, gloves and masks were the agents most frequently related to skin reactions. N95 respirators were the most harmful mask type for the skin.Hydrocolloid use prevented from developing skin adverse events related to masks. In conclusion, the rate of cutaneous adverse events related to PPE use is high. A longer duration of PPE wearing was the most common risk factor. Using hydrocolloid could prevent from skin injuries related to mask use.

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“…However, evidence now suggests that such practices are damaging their skin integrity. The majority of health workers frequently report symptoms of irritant contact dermatitis (ICD) during this pandemic (Kiely et al 2021), though the same observation has been reported from decade long survey in tertiary care institutions (Quenan and Piletta 2020). The problem of hand-skin dryness has a statistically signi cant association with the use of alcohol-based hand sanitizers (Altunisik Toplu et al 2020).…”

Section: Adverse Effects On Long-term Usementioning

confidence: 83%

Unravelling the Enigma of Hand Sanitizer In COVID-19 – A Bibliometric Analysis of Related Publications Over the Year

Samuel

Babu

Arjunan

et al. 2021

Preprint

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Alcohol-based sand sanitizers (ABHSs) are effective in controlling the spread of COVID-19 and has been integrated to our daily life since the onset of the outbreak. However, the sudden and unprecedented global induction of ABHSs has not been smooth, as conflicting reports continued to pour into the public domain, not all for good reason. This review, therefore, attempts to identify the emerging aspects of ABHSs in the era of COVID-19. Articles indexed in Scopus and PubMed on “hand sanitizer” published between January 2020 and February 2021, were screened based on PRISMA guidelines, and classified into different thematic groups. Selected articles on hand sanitizers (101) primarily echo “health hazard” (40, 39.6%) associated with accidental/intentional exposure, methanol toxicity, or occupational irritant contact dermatitis. Articles on “formulations” (23, 22.8%) and “efficacy” (18, 17.8%) mainly refer to alcoholic preparations, though a small subset of formulations has been actually been tested against SARS-Cov-2. Articles on semi-alcoholic, non-alcoholic, or even ayurvedic preparations have been implicated without a standardized efficacy report. Quality concern (12, 11.9%), and shortage (8, 7.9%) have also been reflected in publications during the pandemic. However, this representation is somewhat overinflated given that 28% of total articles are of review, editorial, letters, and not actual case studies. Many potential studies designed in the pandemic might not have reached to publication stage. However, the implication from existing studies on the use of ABHSs can still be useful to build better public awareness, and prioritize interventional strategies among stakeholders.

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Irritant contact dermatitis in healthcare workers as a result of the COVID‐19 pandemic: a cross‐sectional study

Cited by 57 publications

References 7 publications

An Overlooked Risk for Healthcare Workers Amid COVID-19: Occupational Hand

An Overlooked Risk for Healthcare Workers Amid COVID-19: Occupational Hand

Skin adverse events related to personal protective equipment: a systematic review and meta‐analysis

Unravelling the Enigma of Hand Sanitizer In COVID-19 – A Bibliometric Analysis of Related Publications Over the Year

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