Personal protective equipment related skin reactions in healthcare professionals during COVID-19.
Personal protective equipment related skin reactions in healthcare professionals during COVID-19.
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DOI：
10.1111/iwj.13534
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发表时间：
2021-06
影响因子：
3.1
通讯作者：
Bader D
中科院分区：
文献类型：
--
作者：
Abiakam N;Worsley P;Jayabal H;Mitchell K;Jones M;Fletcher J;Spratt F;Bader D
自COVID - 19大流行爆发以来，临床医生不得不长时间使用个人防护装备（PPE）。这与有害影响有关，特别是与皮肤健康有关。本研究对卫生保健工作者（HCWs）进行了全面调查，以描述他们在管理COVID - 19患者时使用PPE的经验，特别关注皮肤不良反应。设计了一项24小时患病率研究和多中心前瞻性调查，以了解PPE对医院工作人员皮肤健康的影响。问卷包含了参与者的人口统计数据、PPE类型、使用时间和移除频率。参与者报告任何相应的皮肤不良反应的性质和部位。患病率研究包括来自单一中心的重症监护的所有工作人员，而前瞻性研究使用了来自英国三家急症护理提供者的方便样本。患病率研究共招募了108名工作人员，而来自不同专业背景和人口统计数据的307名医护人员参与了前瞻性研究。患病率研究报告了各种皮肤不良反应，鼻梁（69%）和耳朵（30%）受影响最大。在前瞻性研究记录的六种皮肤不良反应中，最常见的是发红、变白（33%）、瘙痒（22%）和压伤（12%）。这些主要发生在鼻梁和耳朵。皮肤不良反应与PPE平均每日使用时间和PPE解除次数均有显著相关（P < 0.05）。综合研究表明，个人防护装备的使用会导致HCWs面部不同部位的一系列皮肤反应。需要改进个人防护装备使用指南，以保护皮肤健康。此外，需要修改PPE设计以适应各种脸型和适当的材料，以提高设备安全性。
Since the outbreak of COVID‐19 pandemic, clinicians have had to use personal protective equipment (PPE) for prolonged periods. This has been associated with detrimental effects, especially in relation to the skin health. The present study describes a comprehensive survey of healthcare workers (HCWs) to describe their experiences using PPE in managing COVID‐19 patients, with a particular focus on adverse skin reactions. A 24‐hour prevalence study and multi‐centre prospective survey were designed to capture the impact of PPE on skin health of hospital staff. Questionnaires incorporated demographics of participants, PPE type, usage time, and removal frequency. Participants reported the nature and location of any corresponding adverse skin reactions. The prevalence study included all staff in intensive care from a single centre, while the prospective study used a convenience sample of staff from three acute care providers in the United Kingdom. A total of 108 staff were recruited into the prevalence study, while 307 HCWs from a variety of professional backgrounds and demographics participated in the prospective study. Various skin adverse reactions were reported for the prevalence study, with the bridge of the nose (69%) and ears (30%) being the most affected. Of the six adverse skin reactions recorded for the prospective study, the most common were redness blanching (33%), itchiness (22%), and pressure damage (12%). These occurred predominantly at the bridge of the nose and the ears. There were significant associations (P < .05) between the adverse skin reactions with both the average daily time of PPE usage and the frequency of PPE relief. The comprehensive study revealed that the use of PPE leads to an array of skin reactions at various facial locations of HCWs. Improvements in guidelines are required for PPE usage to protect skin health. In addition, modifications to PPE designs are required to accommodate a range of face shapes and appropriate materials to improve device safety.
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DOI：
10.2147/mder.s121712
发表时间：
2016
期刊：
Medical devices (Auckland, N.Z.)
影响因子：
--
作者：
Worsley PR;Prudden G;Gower G;Bader DL
通讯作者：
Bader DL
影响因子：
3.6
作者：
Yan, Yicen;Chen, Hui;Li, Hang
通讯作者：
Li, Hang
影响因子：
5.5
作者：
Hua, Wei;Zuo, Ying;Li, Li
通讯作者：
Li, Li
影响因子：
1.9
作者：
Gefen, Amit;Ousey, Karen
通讯作者：
Ousey, Karen
影响因子：
1.6
作者：
Hu, Kaihui;Fan, Jing;Zhou, Xiang
通讯作者：
Zhou, Xiang