The adverse skin reactions of health care workers using personal protective equipment for COVID-19
The adverse skin reactions of health care workers using personal protective equipment for COVID-19
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DOI：
10.1097/md.0000000000020603
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发表时间：
2020-06-01
期刊：
影响因子：
1.6
通讯作者：
Zhou, Xiang
中科院分区：
文献类型：
--
作者：
Hu, Kaihui;Fan, Jing;Zhou, Xiang
2019年12月，中国湖北省武汉市发现新型冠状病毒，并在全国迅速蔓延，引起全球关注。2月11日，世界卫生组织（WHO）正式将这种由2019-nCoV冠状病毒病（COVID-19）引起的疾病命名为2019。随着病例数量的增加，来自全国各地的医护人员自愿到湖北省工作。由于COVID-19的传染性很强，医护人员需要佩戴个人防护设备（PPE），如N95口罩、乳胶手套和防护服。由于长期使用PPE，可能会发生许多不良皮肤反应。为了解医务人员使用PPE后皮肤不良反应的发生情况，本研究采用问卷调查法，对医务人员使用PPE后皮肤不良反应的发生率进行定量研究，共回收有效问卷61份。佩戴N95口罩的医护人员最常见的皮肤不良反应是鼻梁瘢痕（68.9%）和面部瘙痒（27.9%）。戴乳胶手套的医护人员最常见的皮肤不良反应是皮肤干燥（55.7%）、瘙痒（31.2%）和皮疹（23.0%）。穿戴防护服的医务人员最常见的皮肤不良反应为皮肤干燥（36.1%）和瘙痒（34.4%），大多数医务人员在长时间穿戴PPE后会出现皮肤不良反应。N95口罩皮肤不良反应发生率为95.1%，乳胶手套皮肤不良反应发生率为88.5%，防护服皮肤不良反应发生率为60.7%。
In December 2019, a new coronavirus was found in Wuhan, Hubei Province, China, and spread rapidly throughout the country, attracting global attention. On February 11, the World Health Organization (WHO) officially named the disease caused by 2019-nCoV coronavirus disease 2019 (COVID-19). With the increasing number of cases, health care workers (HCWs) from all over China volunteered to work in Hubei Province. Because of the strong infectivity of COVID-19, HCWs need to wear personal protective equipment (PPE), such as N95 masks, latex gloves, and protective clothing. Due to the long-term use of PPE, many adverse skin reactions may occur. Therefore, the purpose of this study is to explore the adverse skin reactions among HCWs using PPE.Questionnaires were used for the research; a quantitative study was carried out to determine the incidence of adverse skin reactions among HCWs using PPE.A total of 61 valid questionnaires were collected. The most common adverse skin reactions among HCWs wearing N95 masks were nasal bridge scarring (68.9%) and facial itching (27.9%). The most common adverse skin reactions among HCWs wearing latex gloves were dry skin (55.7%), itching (31.2%), and rash (23.0%). The most common adverse skin reactions among HCWs wearing protective clothing were dry skin (36.1%) and itching (34.4%).When most HCWs wear PPE for a long period of time, they will experience adverse skin reactions. The incidence of adverse skin reactions to the N95 mask was 95.1%, that to latex gloves was 88.5%, and that to protective clothing was 60.7%.