Adverse Skin Reactions to Personal Protective Equipment Among Health-Care Workers During COVID-19 Pandemic: A Multicenter Cross-sectional Study in Indonesia
Adverse Skin Reactions to Personal Protective Equipment Among Health-Care Workers During COVID-19 Pandemic: A Multicenter Cross-sectional Study in Indonesia
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COVID-19 大流行期间医护人员对个人防护装备的不良皮肤反应：印度尼西亚的多中心横断面研究
DOI：
10.1097/jd9.0000000000000132
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
C. Cucunawangsih
中科院分区：
文献类型：
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作者：
P. Christopher;R. S. Roren;C. Tania;N. N. Jayadi;C. Cucunawangsih
目的：自2020年3月以来，印度尼西亚的卫生保健工作者（HCW）一直在参与抗击冠状病毒疾病的战争-2019。自那以后，医护人员经常使用不同水平的个人防护设备，并按照世界卫生组织的建议保持手部卫生。在印度尼西亚，对个人防护设备的不良皮肤反应尚未得到承认。本研究旨在研究的患病率和特点-，可能的危险因素-，并提出可能的解决方案，对不良皮肤反应PPE之间HCWs在多中心设置Indonesia.Methods：一个横断面调查进行了在线HCWs之间的西罗亚医院集团万丹省。于2020年6月1日至8月31日对万丹省的HCW进行了调查。结果：问卷调查有效人数为200人，有效回答率为40.2%，有效回答者为200人。调查对象平均年龄为（26.94±7.23）岁。报告的皮肤不良反应（66.5%）主要发生在女性（73.7%）中，她们是冠状病毒疾病非转诊中心的医生（82.7%）-2019年（60.2%），佩戴2级和3级PPE（分别为43.6%和37.6%）。脸颊和下巴是最常见的受累部位（69.9%），干燥/紧绷（63.9%）和痤疮（77.4%）是报告的最高症状和体征。性别、年龄组分类、PPE穿戴水平、手部卫生频率和PPE每日穿戴持续时间与PPE皮肤不良反应显著相关（P 0.05）。结论：印度尼西亚HCWs中PPE皮肤不良反应很常见。应提倡全面加强皮肤状况和皮肤不良反应意识。版权所有© 2021 Journal of Physical Chemistry. All rights reserved.
Objective:Health-care workers (HCWs) in Indonesia have been participating in the war against the coronavirus disease-2019 since March 2020. Ever since HCWs were exposed to the regular use of personal protective equipment (PPE) with varying levels and maintain hand hygiene more as recommended by the World Health Organization. Adverse skin reactions to PPE in Indonesia has yet to be acknowledged. This study aimed to study the prevalence and characteristics-, possible risk factors-, and suggest possible solutions towards adverse skin reactions to PPE among HCWs in a multi-center setting of Indonesia.Methods:A cross-sectional survey was conducted online among HCWs in the Siloam Hospitals Group of Banten province. HCWs of Banten Province were surveyed from June 1 to August 31, 2020. The data was obtained using avalidated online survey questionnaire including (1) demographic characteristics;(2) occupational-related characteristics;(3) adverse skin reactions.Results:A response rate of 40.2% was obtained and 200 valid respondents were yielded. The mean age of respondents was (26.94±7.23) years old. Adverse skin reactions (66.5%) were reported primarily in female (73.7%) working as doctors (82.7%) of a non-referral center for coronavirus disease-2019 (60.2%) wearing level 2 and 3 PPE (43.6% and 37.6%, respectively). The cheeks and chin was the most common site involved (69.9%) with dryness/tightness (63.9%) and acne (77.4%) as the highest symptoms and signs reported. Sex, age group classification, level of PPE worn, hand hygiene frequency, and duration of PPE worn daily were factors considerably associated with adverse skin reactions to PPE (P<0.05).Conclusions:Adverse skin reactions to PPE are common among HCWs in Indonesia. Comprehensive strengthening of the skin condition and awareness on adverse skin reactions should be advocated. Copyright © 2021 Journal of Physical Chemistry. All rights reserved.