scholarly journals Skin reactions to non‐glove personal protective equipment: an emerging issue in the COVID‐19 pandemic

Author(s):  
M. Gheisari ◽  
F. Araghi ◽  
H. Moravvej ◽  
M. Tabary ◽  
S. Dadkhahfar
Author(s):  
Nkemjika Abiakam ◽  
Peter Worsley ◽  
Hemalatha Jayabal ◽  
Kay Mitchell ◽  
Michaela Jones ◽  
...  

2020 ◽  
Author(s):  
Thamir Alkubaisi

Abstract Backgrounds: the medical staff remains liable to COVID-19. Healthcare institutions must give offer to the supply of "personal protective equipment" to them, with the prolonged contact with this equipment that may cause a variety of skin diseases.Purpose: To shed light on the cutaneous abnormal reactions to the "personal protective equipment" among the medical staff and offers solutions.Methods: This cross-sectional study conducted for the medical staff that involved doctors, dentists, pharmacists, and nurses in the high-risk Ramadi General Teaching Hospital and low-risk Private Clinics, between 4-10 July 2020, at the time after the rise in COVID-19 patients in Anbar governorate, Iraq. A thorough quantitative descriptive research included age, gender, the duration and type of used masks, gloves, Goggles/face shield, and/or gown. About 23 questions described the adverse skin reactions chiefly that involve the skin. Results: A total of 196 participants were recruited for the online questionnaire, including (49.5%) doctor, (15.3%) dentist, (16.8%) pharmacist, and (18.4%) nurse, with a significant involvement between 20-29 years old age. The use of the mask and glove were associated significantly with an adverse skin reaction, like a wound, dry lips, Acne and/or folliculitis, hand dryness, erythema, itching, wrinkle, nail fracture. While workers who regularly used gowns had a negative correlation with adverse skin reactions including erythema with pruritus of trunk and shoulders, miliaria, and pityriasis versicolor. Goggles/face shield did not report adverse skin problems,Conclusions: The medical staff uses personal protective equipment that may develop mild dermatological adverse effects. It needs early diagnosis and treatment. There is dermatological advice that may be helpful to avoid these unwanted effects.


Author(s):  
Madiha Rabie Mahmoud ◽  
Jomana Adel Jasim Almuaili ◽  
Safaa Malek Shaheen ◽  
Manal Nasser Zaben Alatifi ◽  
Osama Gad Abdelaziz ◽  
...  

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.


2021 ◽  
Vol 6 (4) ◽  
pp. 122-131
Author(s):  
N. I. Galimova

Aim. Analysis of the incidence of personal protective equipment (PPE)-associated dermatoses among medical workers during the COVID-19 pandemic.Materials and Methods. Screening of the papers indexed by PubMed, EMBASE, Google Scholar, eLibrary, and UpToDate databases, written in English and published from January 1, 2020 to October, 2021. The search keywords were: "medical workers", "skin", "dermatoses", "professional", and "personal protective equipment" in combination with "COVID-19" and "SARS-CoV-2".Results. Occupational contact dermatitis is responsible for 20% of all cases of contact dermatitis which accounts for 90% of all skin disease cases. During the COVID-19 pandemic, from 42.8% to 97.0% of medical workers reported about skin lesions provoked by prolonged wearing of PPE in combination with regular disinfection. About 61.7% of them noted the deterioration of a pre-existing skin disease, and 90.5% reported the appearance of new skin lesion symptoms associated with the PPE usage. The most common symptoms of skin lesions among medical workers were dryness, itching, burning, soreness, and skin rash. Irritant and allergic contact dermatitis, acne, rosacea, and seborrheic dermatitis were the most prevalent skin disorders among the interviewed medical workers. Risk factors for the development of PPE-associated dermatoses were the type and material of PPE, the duration of PPE wearing, and past medical history of skin diseases. Due to the increased incidence of PPE-associated dermatoses among the medical staff, some countries have developed recommendations on the prevention and treatment of undesirable PPE-associated skin reactions in medical professionals. Current research are focused on developing special tools and devices that would serve as a protective barrier between the skin and PPE, ameliorating the damaging effect of the latter.Conclusion. PPE-associated dermatoses are currently widespread among the medical workers, highlighting the need in novel materials for PPE manufacturing to minimise the risk of developing PPE-associated skin lesions.


2020 ◽  
Vol 3 (2) ◽  
Author(s):  
I Gusti Ayu Nitya Indira ◽  
I Made Sutha Saskara

Since declared as a global pandemic by World Health Organizations on 11th March 2020, per early July 2020, COVID-19 total confirmed cases count had surpassed 11 million cases. COVID-19 poses a new challenge to healthcare workers with a new standard of care and managing COVID-19 patients. Healthcare workers must adhere to stricter hand hygiene, and the new Personal Protective Equipment (PPE) protocol brings forth new problems for healthcare workers. Skin problems have become the most common and preventable adverse effects of the daily and prolonged use of PPE. This could inadvertently cause protocol breaches, such as mask touching, scratching, or off-protocol PPE adjustment. Damage in the skin could also cause discomfort, and skin exposure may serve as a new port of entry for a secondary infection. In this study, we review various studies regarding the adverse effects, prevention, and therapy of the skin problems related to COVID-19 PPE use.


Sign in / Sign up

Export Citation Format

Share Document