Adverse skin reactions to personal protective equipment against severe acute respiratory syndrome - a descriptive study in Singapore
Adverse skin reactions to personal protective equipment against severe acute respiratory syndrome - a descriptive study in Singapore
复制标题
DOI：
10.1111/j.1600-0536.2006.00953.x
复制
发表时间：
2006-11-01
影响因子：
5.5
通讯作者：
Goh, Chee-Leok
中科院分区：
文献类型：
--
作者：
Foo, Chris C. I.;Goon, Anthony T. J.;Goh, Chee-Leok
严重急性呼吸系统综合症（SARS）于2003年2月首次被发现。它是21世纪出现的第一种严重且易于传播的新疾病。受影响国家的医护人员经常使用个人防护设备（PPE），如N95口罩、手套和长袍。我们的目的是研究SARS爆发期间新加坡医护人员对PPE不良皮肤反应的患病率。国家皮肤中心和陈笃生医院的医护人员进行了问卷调查。在被要求参加的人中，322人（94.7%）同意。14.3%的受访者是医生，73.0%是护士，12.7%是其他辅助人员。受访者的平均年龄为32.4岁，大部分为女性（85.7%）和中国人（53.7%）。在307名经常使用口罩的工作人员中，有109名（35.5%）报告使用N95口罩导致痤疮（59.6%）、面部瘙痒（51.4%）和皮疹（35.8%）。在299名经常使用手套的患者中，64名（21.4%）报告皮肤干燥（73.4%）、瘙痒（56.3%）和皮疹（37.5%）。PPE的使用与皮肤不良反应的高发生率相关。有必要为受影响的工作人员找到合适的替代方案，并鼓励工作人员认识到皮肤科医生在其护理中的作用。
Severe acute respiratory syndrome (SARS) was first recognized in February 2003. It is the first severe and readily transmissible new disease to emerge in the 21st century. Healthcare workers in affected countries were exposed to the regular use of personal protective equipment (PPE) such as the N95 mask, gloves, and gowns. Our aim was to study the prevalence of adverse skin reactions to PPE among healthcare workers in Singapore during the SARS outbreak. Healthcare staff in the National Skin Centre and Tan Tock Seng Hospital were surveyed using questionnaires. Of those asked to participate, 322 (94.7%) agreed. 14.3% of the respondents were doctors, 73.0% nurses, and 12.7% other ancillary staff. Mean age of respondents was 32.4 years, with the majority being women (85.7%) and Chinese (53.7%). 109 (35.5%) of the 307 staff who used masks regularly reported acne (59.6%), facial itch (51.4%), and rash (35.8%) from N95 mask use. 64 (21.4%) of the 299 who used gloves regularly reported dry skin (73.4%), itch (56.3%), and rash (37.5%). The use of PPE is associated with high rates of adverse skin reactions. There is a need to find suitable alternatives for affected staff and to encourage awareness among staff of the role of dermatologists in their care.