Occupational dermatology in the time of the COVID‐19 pandemic: a report of experience from London and Manchester, UK

Ferguson, Felicity J.; Street, G.; Cunningham, Louise; White, Ian R.; McFadden, John; Williams, Jason D.

doi:10.1111/bjd.19482

Cited by 24 publications

(30 citation statements)

References 7 publications

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“…We found acne was the most common facial skin problem ahead of facial eczema and facial pressure injury from PPE. This is in contrast with other groups,23 who found facial eczema was more common.…”

contrasting

confidence: 99%

Mask related acne is a problem for healthcare workers and those with pigmented skins

Goldsmith

Gao

Rajpopat

et al. 2021

BMJ

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contrasting

confidence: 99%

Mask related acne is a problem for healthcare workers and those with pigmented skins

Goldsmith

Gao

Rajpopat

et al. 2021

BMJ

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“…In China, where the severe acute respiratory syndrome–coronavirus 2 (SARS–Cov‐2) virus was first reported, up to 97% of frontline HCWs reported skin changes related to new infection control practices 1,2 . A recent study of 146 HCWs from Manchester and London diagnosed irritant contact dermatitis (ICD) in 97·1%, with high rates of pressure‐related facial dermatitis caused by masks and goggles 3 …”

Section: Diagnosis N (%)mentioning

confidence: 99%

Occupational dermatoses during the COVID‐19 pandemic: a multicentre audit in the UK and Ireland

et al. 2020

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These findings suggest that at PDAI ≥ 7, every incremental increase in PDAI had a smaller detrimental impact on QoL. For the ABSIS, there was no significant difference in slopes before and after a given score, along with a higher P-value overall. Our results support previous findings 6 that the PDAI is superior to the ABSIS at capturing disease severity, especially at the lower end of disease activity (Figure 1c,d).To significantly improve QoL for patients with mucosal and nonmucosal PV, complete disease clearance may be necessary. Small amounts of worsening activity have an increasingly significant impact on QoL at the lower end of the spectrum. Above mild levels of activity, increasing activity has linear but detrimental smaller effects on QoL. The findings for patients with mucosal PV further support this, likely because oral erosions are painful and impact eating. Consistent with prior findings, 2 the Skindex-S best correlates with PDAI score in all patients.A notable limitation of this study is that our population had milder disease, with a median PDAI of 6Á75 and ABSIS of 11Á75. However, we are still able to show a change in QoL as the PDAI decreases, even at lower PDAI levels. Our findings have important clinical implications in determining appropriate outcomes for therapies. 7 Unlike dermatomyositis and systemic lupus erythematosus, 4 in patients with PV, complete clearance should be the goal.

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“…It is understandable that researchers are trying to give advice to clinicians to help them reduce skin breakdown. Topical dressings, such as hydrocolloid dressing or silicone perforated tape over the bridge of the nose are being recommended to healthcare workers to reduce skin damage and ulceration [ [14] , [15] , [16] , 29 ]. However, these studies are mostly based on a recommendation or qualitative analyses, which are known to be not as sensitive or specific as QNFT analyses.…”

Section: Discussionmentioning

confidence: 99%

Comparing the quantitative fit-testing results of half-mask respirators with various skin barriers in a crossover study design: a pilot study

Trehan

McDonnell

McCoy

et al. 2021

Journal of Hospital Infection

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Clinicians around the world are experiencing skin breakdown due to the prolonged usage of masks while working long hours to treat patients with COVID-19. The skin damage is a result of the increased friction and pressure at the mask-skin barrier. Throughout the COVID-19 pandemic, clinicians have been applying various skin barriers to prevent and ameliorate skin breakdown. However, there are no studies to our knowledge that assess the safety and efficacy of using these skin barriers without compromising a sufficient mask-face seal. We report the largest study to date of various skin barriers and seal integrity with quantitative fit testing (QNFT). Our pilot study explores whether the placement of a silicone scar sheet (ScarAway®), Cavilon™, or Tegaderm™ affects 3M™ half-face mask respirator barrier integrity when compared to no barrier using QNFT. We collected data from nine clinicians at an academic Level 1 trauma center in New Jersey. We found that the silicone scar sheet resulted in the lowest adequate fit while Cavilon™ provided the highest fit factor when compared to other interventions (p<0.05). Our findings help inform clinicians considering barriers for comfort when wearing facemasks during the COVID-19 pandemic and for future pandemics.

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Occupational dermatology in the time of the COVID‐19 pandemic: a report of experience from London and Manchester, UK

Cited by 24 publications

References 7 publications

Mask related acne is a problem for healthcare workers and those with pigmented skins

Mask related acne is a problem for healthcare workers and those with pigmented skins

Occupational dermatoses during the COVID‐19 pandemic: a multicentre audit in the UK and Ireland

Comparing the quantitative fit-testing results of half-mask respirators with various skin barriers in a crossover study design: a pilot study

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