Occupational skin conditions on the front line: a survey among 484 Chinese healthcare professionals caring for Covid‐19 patients

Pei, Shiyao; Xue, Yadong; Nast, Alexander; Goldust, Mohamad; Chen, Xiang; Yin, Mingzhu

doi:10.1111/jdv.16570

Cited by 41 publications

(68 citation statements)

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“…Dryness or peeling, papules or erythema, maceration was most frequently found on the hands, cheeks and nose bridge. 16 Pei et al 8 experienced acne, facial dermatitis, and pigmentation in the nose bridge cheeks and chin, and acne was the most common problem related to N95. Occlusion and friction were mentioned as the underlying mechanism.…”

Section: Discussionmentioning

confidence: 99%

“…7 The use of PPE such as glasses, masks and protective clothing may impair skin integrity, so dermatological problems should be taken seriously. 8 It is pointed out that there is high cutaneous irritation due to the use of N95 masks and glasses. Cutaneous side effects related to the use of PPEs were also noted in the SARS-2 epidemic in previous reports.…”

Section: Introductionmentioning

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%

Section: Introductionmentioning

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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“…Three-level biosafety has been suggested for protectivity: (1) level 1 protection (disposable hats, disposable surgical masks, disposable isolation clothing, and disposable gloves) (Wang et al 2020c); (2) level 2 protection (level 1 but with medical protective masks such as N95, goggles or protective masks, and as outer cover a medical protective suit); (3) level 3 protection (level 2 but with the addition of face mask or a medical mask, goggles, or face mask to a full set or with an electric air filter respirator) (Pei et al 2020).…”

Section: Clothes and Face Maskmentioning

confidence: 99%

Environmental concern regarding the effect of humidity and temperature on 2019-nCoV survival: fact or fiction

Harmooshi

Shirbandi

Rahim

2020

Environ Sci Pollut Res

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The new coronavirus, called 2019-nCoV, is a new type of virus that was first identified in Wuhan, China, in December 2019. Environmental conditions necessary for survival and spread of 2019-nCoV are somewhat transparent but unlike animal coronaviruses. We are poorly aware of their survival in environment and precise factors of their transmission. Countries located in east and west of globe did not have a significant impact on prevalence of disease among communities, and on the other hand, north and south have provided a model for relative prediction of disease outbreaks. The 2019-nCoV can survive for up to 9 days at 25°C, and if this temperature rises to 30°C, its lifespan will be shorter. The 2019-nCoV is sensitive to humidity, and lifespan of viruses in 50% humidity is longer than that of 30%. Also, temperature and humidity are important factors influencing the COVID-19 mortality rate and may facilitate 2019-nCoV transmission. Thus, considering the available and recent evidence, it seems that low temperatures, as well as dry and unventilated air, may affect stability and transmissibility of 2019-nCoV.

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“…Therefore, frontline medical staff faced more intense workloads ( 6 – 8 ), higher risks of infection ( 9 ), and heavier physical ( 10 – 12 ) and mental stresses ( 13 – 16 ), which challenged their job satisfaction ( 17 ). The current research on frontline medical staff in this fight in China mainly includes skin conditions ( 18 ), sleep disturbances ( 19 , 20 ), mood symptoms ( 21 ), anxiety ( 22 ), depression ( 23 ), exercise rehabilitation ( 24 ), and other aspects. However, the job satisfaction of frontline medical staff in China was not involved.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Job Satisfaction of Frontline Medical Staff Fighting Against COVID-19: A Cross-Sectional Study in China

Zhao

et al. 2020

Front. Public Health

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The current research on frontline medical staff in China fighting against COVID-19 has not yet addressed job satisfaction. The purpose of this study is to investigate the job satisfaction of those who were sent to support Hubei province, China, or worked in local designated hospitals, and then analyze the associated influencing factors. Materials and Methods: A total of 455 medical staff who worked at the frontline of the prevention and control of COVID-19 in Hubei province was selected using simple random sampling. They were asked to fill out a self-developed general information questionnaire as well as the Minnesota Satisfaction Questionnaire (MSQ), from 10 January to 10 March 2020. Results: The average job satisfaction score of the participants was 82.58 ± 11.11. The influencing factors include education (P = 0.002), years of work experience (P = 0.006), anti-epidemic work duration (P = 0.048), daily sleep duration (P < 0.001), and the form of participation (P < 0.001). Conclusions: This study, for the first time, measures the job satisfaction of frontline medical staff in fighting against COVID-19 in China. The job satisfaction of frontline medical staff was at a "relatively decent" level, higher than the previous similar measures among medical staff. Related management departments should further improve the job satisfaction of frontline medical staff by meeting their reasonable demands, strengthening the emergency response and practical operation training of junior staff, and ensuring their ample time for sleep and rest. This study is of great reference value for improving the job satisfaction level of frontline medical staff during public health emergencies, developing medical staff security policies, and promoting the establishment of emergency response teams.

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Occupational skin conditions on the front line: a survey among 484 Chinese healthcare professionals caring for Covid‐19 patients

Abstract: Dermatitis (ETFAD) statement on severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2)-infection and atopic dermatitis.

Cited by 41 publications

References 3 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

Environmental concern regarding the effect of humidity and temperature on 2019-nCoV survival: fact or fiction

Factors Associated With Job Satisfaction of Frontline Medical Staff Fighting Against COVID-19: A Cross-Sectional Study in China

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