Skin damage among health care workers managing coronavirus disease-2019

Lan, Jian; Song, Zexing; Miao, Xiaoping; Li, Hang; Li, Yan; Dong, Liyun; Yang, Jinqiang; An, Xiangjie; Zhang, Yamin; Liu, Yang; Zhou, Nan; Li, Jun; Cao, Jing; Wang, Jianxiu; Tao, Juan

doi:10.1016/j.jaad.2020.03.014

Cited by 476 publications

(749 citation statements)

References 5 publications

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“…Protecting healthcare workers (HCWs) is crucial during Corona Virus Disease 2019 pandemic and requires wearing personal protective equipment (PPE) [1]. While most of the studies have focused on the skin reactions caused by gloves, other PPE such as gowns, respirator masks, face shields and goggles are also worn by HCWs for long hours during the current epidemic and skin irritations caused by these equipment may cause discouragement of health workers from using them [2]. In this letter we have focused on the reaction caused by non-glove PPE.…”

Section: To Editormentioning

confidence: 99%

“…Other dermatologic side-effects such as pressure injury, contact dermatitis, urticaria, xerosis and aggravation of underlying dermatosis might occur due to the impairment of the skin integrity during mechanical trauma of goggles [8]. A study by Lan et al, [2] revealed that 87.9% of HCWs, who were wearing goggles for more than 6 hours, developed skin reactions on their nasal bridge. Skin reactions such as acne, ACD, and irritant contact dermatitis (ICD) were mentioned following the use of goggles in HCWs.…”

Section: To Editormentioning

confidence: 99%

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

Gheisari

Araghi

Moravvej

et al. 2020

Acad Dermatol Venereol

102

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Section: To Editormentioning

confidence: 99%

Section: To Editormentioning

confidence: 99%

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

Gheisari

Araghi

Moravvej

et al. 2020

Acad Dermatol Venereol

102

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“…adjusting or touching the N95) over time 47 , increasing the risk of selfcontamination. • 97% of 542 first-line healthcare workers in China during the COVID-19 response had some form of skin damage, which increased with longer wear of N95 FFRs 48 . An accompanying editorial highlighted that this increases the likelihood of non-compliant FFR-wearing behaviour, and consequently an increased risk of viral transmission 49 .…”

Section: Extended Use Of N95 Ffrsmentioning

confidence: 99%

Rapid evidence summary on SARS-CoV-2 survivorship and disinfection, and a reusable PPE protocol using a double-hit process

Derraik

Anderson

Connelly

et al. 2020

Preprint

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In the COVID-19 pandemic caused by SARS-CoV-2, hospitals are stretched beyond capacity. There are widespread reports of dwindling supplies of personal protective equipment (PPE), which are paramount to protect frontline medical/nursing staff and to minimize further spread of the virus. We carried out a rapid review to summarize the existing evidence on SARS-CoV-2 survivorship and methods to disinfect PPE gear, particularly N95 filtering facepiece respirators (FFR). In the absence of data on SARS-CoV-2, we focused on the sister virus SARS-CoV-1. We propose a two-step disinfection process, which is conservative in the absence of robust evidence on SARS-CoV-2. This disinfection protocol is based on an initial storage of PPE for ≥4 days, followed by ultraviolet light (UVC), dry heat treatment, or chemical disinfection. Importantly, each of the two steps is based on independent disinfection mechanisms, so that our proposed protocol is a multiplicative system, maximising the efficacy of our disinfection process. This method could be rapidly implemented in other healthcare settings, while testing of each method is undertaken, increasing the frontline supply of PPE, and avoiding many of the upstream issues of supply chain disruption currently being faced.

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“…Recently, a high incidence of hand hygiene-induced skin damage was reported in first-line COVID-19 healthcare workers at the epicenter in China. Of 434 healthcare workers in Hubei province, 74% (321) performed hand hygiene more than ten times per day, and 76.6% (246) of these frequent washers reported hand skin damage with dermatitis symptoms [7]. A less common form of contact dermatitis is allergic contact dermatitis, which can occur when patients have hypersensitivity reactions to fragrances, preservatives, or chemical antimicrobials in detergents or disinfectants [12].…”

Section: Reportmentioning

confidence: 99%

Preventing adverse cutaneous reactions from amplified hygiene practices during the COVID-19 pandemic: how dermatologists can help through anticipatory guidance

MacGibeny

Wassef

2020

Arch Dermatol Res

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The COVID-19 pandemic has swept the globe with more than 2,000,000 confirmed cases of SARS-CoV-2 infection in 184 countries and territories. According to the Centers for Disease Control and Prevention (CDC), two crucial actions can reduce the risk of person-to-person viral transmission: frequent hand washing and surface decontamination with specific environmental protection agency (EPA)-registered disinfectants. As hygiene recommendations evolve during the COVID-19 pandemic and community members adopt changing practices, dermatologists are likely to see a rise in adverse cutaneous reactions from prolonged irritant exposures and widespread use of antimicrobials. The purposes of this report are to familiarize dermatologists with the hygiene practices recommended for COVID-19 prevention, to highlight adverse cutaneous reactions associated with repeated exposures to detergents and disinfectants, and to discuss strategies which patients can implement during the COVID-19 pandemic to minimize skin irritation white still performing hygiene practices effectively.Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Skin damage among health care workers managing coronavirus disease-2019

Cited by 476 publications

References 5 publications

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

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

Rapid evidence summary on SARS-CoV-2 survivorship and disinfection, and a reusable PPE protocol using a double-hit process

Preventing adverse cutaneous reactions from amplified hygiene practices during the COVID-19 pandemic: how dermatologists can help through anticipatory guidance

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