The Effects of the Face Mask on the Skin Underneath: A Prospective Survey During the COVID-19 Pandemic.
The Effects of the Face Mask on the Skin Underneath: A Prospective Survey During the COVID-19 Pandemic.
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DOI：
10.1177/2150132720966167
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发表时间：
2020-01
影响因子：
3.6
通讯作者：
Kosalaraksa P
中科院分区：
文献类型：
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作者：
Techasatian L;Lebsing S;Uppala R;Thaowandee W;Chaiyarit J;Supakunpinyo C;Panombualert S;Mairiang D;Saengnipanthkul S;Wichajarn K;Kiatchoosakun P;Kosalaraksa P
该研究旨在探讨在泰国建议公众佩戴口罩后，在持续的 COVID-19 期间预防与口罩相关的皮肤不良反应的流行率和可能的风险因素。与口罩相关的皮肤不良反应发生率为454例（54.5%），其中痤疮最为常见（399例；39.9%），其次是面部皮疹（154例；18.4%）和瘙痒症状（130例；15.6%）。与布口罩相比，佩戴外科口罩出现皮肤不良反应的风险更高，OR (95% CI) = 1.54 (1.16-2.06)。与每天更换口罩相比，每天佩戴口罩时间超过 4 小时以及重复使用口罩会增加皮肤不良反应的风险，调整后 OR(95% CI) = 1.96 (1.29-2.98) 和 1.5 (1.11-2.02)。建议非医护人员 (HCW) 佩戴布口罩，以降低与口罩相关的皮肤不良反应的风险。这一建议可能有助于减少对外科口罩的需求，在当前的 COVID-19 大流行期间，外科口罩应保留给医护人员。
The study aimed to explore the prevalence and possible risk factors to prevent the face mask related adverse skin reactions during the ongoing COVID-19 after a recommendation of face mask wearing for public use in Thailand. The prevalence of face mask related adverse skin reactions was 454 cases (54.5%), of which acne was the most frequent (399; 39.9%), followed by rashes on the face (154; 18.4%), and itch symptoms (130; 15.6%). Wearing a surgical mask showed a higher risk of adverse skin reaction compared to a cloth mask, OR (95% CI) = 1.54 (1.16-2.06). A duration of face mask wearing of more than 4 hours/day and the reuse of face masks increased the risk of adverse skin reactions compared to changing the mask every day, adjusted OR(95% CI) = 1.96 (1.29-2.98), and 1.5 (1.11-2.02). Suggestions were made for wearing a cloth mask in non-health care workers (HCW) to decrease the risk of face mask related adverse skin reactions. This suggestion could potentially help in decreasing the demand of surgical masks which should be reserved for the HCW population during the ongoing COVID-19 pandemic.