Dermatological Morbidity Induced by the use of Personal Protective Measures in Frontline Doctors During COVID Pandemic
DOI:
https://doi.org/10.66344/jpad.v31i3.1821Abstract
Background Frontline doctors performing duties during Covid-19 pandemic have to use the personal protective equipment to avoid exposure and decrease the risk of Covid-19 infection. These protective measures can lead to various cutaneous manifestations and problems which affect their working.
Objective To assess dermatological morbidity due to use of personal protective equipment (PPE).
Methods This descriptive observational study was conducted on 220 doctors performing duties on frontline in Covid-19 pandemic. Data was collected through e- questionnaire regarding demography, daily duty, daily PPE wearing time, cutaneous manifestation, their type and site. Participants voluntarily allowed and submitted the questionnaire through cell phones.
Results 52% of frontline doctors using PPEs while performing duties in Covid-19 pandemic showed dermatological morbidity. Most of them belonged to the age group >35 years, males, married, having postgraduate qualification. Most of the frontline doctors having dermatological manifestation were performing regular OPD duties for > 4 hours. Presence of comorbidities and hand washing for more than 10 times were also associated factors.
Conclusion There is 52% dermatological morbidity in frontline doctors using PPEs while performing duties in Covid-19 pandemic and it was statistically significantly associated with male gender, postgraduate qualification, >4 hours/ day OPD duty, presence of comorbidities and hand washing >10 times per day.
References
1. Jiang Q, Song S, Zhou J et al. The prevalence, characteristics and prevention status of skin injury caused by personal protective equipment among medical staff in fighting COVID-19, a multi-centre, cross sectional study. Adv Wound Care.2020;9(7): 357-64.
2. Al Khateeb B. Primary health care and family physicians provide front line care to the dermatology patients during the era of COVID-19: Recommendations and future directions. J Fam Med Prim Care.2020; 9(12):5862-66.
3. Padula WW, Cuddigan J, Ruotsil et al. Best practices for preventing skin injury beneath personal protective equipment during the COVID-19 pandemic: A position paper from the National Pressure Injury Advisory Panel. J Clin Nurs.2021;10.1111/jocn. 15682.
doi: 10.1111/jocn.15682.
4. Schwartz D, Magen YK, Levy A, Gefen A. Effects of humidity on skin friction against medical textiles as related to prevention of pressure injuries. Int Wound J.2018;15(6):866-74. https://doi.org/10.1111/iwj.12937.
5. Guan WJ, NI ZY, Hy Y et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med.2020;382(18):1708-20.(EPUB ahead of print) DOI: 10.156/NEJ Moa 2002032. Cross ref, google scholar.
6. Yuan X, Xi H, Le Y, Xu H, Wang J, et al. (2021) Online survey on healthcare skin reactions for wearing medical-grade protective equipment against COVID-19 in Hubei Province, China. PLoS One.2021; 16(4):e0250869.
https://doi.org/10.1371/journal.pone.0250869
7. Brakat Johnson- M, Barnett C, Wand T et al. Medical device related pressure injuries: an exploratory descriptive study in an acute tertiary hospital in Australia. J Tissue Viability.2017;26:246-253. Cross ref, medline, google scholar.
8. Saha M, Podder I, Das A. Skin damage induced by enhanced protective measures in frontline doctors during COVID-19 pandemic: A web based descriptive study. Indian J Dermatol.2021;66(2):145.
9. Lin P, Zhu S, Huang Y et al. Adverse skin reactions among health care workers during the coronavirus disease 2019 outbreak: A survey in Wuhan and its surrounding regions. Br J Dermatol.2020;183:190-2.
10. Singh M, Pawar M, Bothra A. Personal protective equipment induced facial dermatosis in healthcare workers managing coronavirus disease. J Eur Acad Dermatol Venereol.2020;34(8):e378-e380.
11. Swaminathan R, Mukundadura BP, Prasad S. Impact of enhanced personal protective equipment on the physical and mental well being of health care workers during COVID-19. Postgrad Med J.2020;postgradmedj-2020-139150.
12. Battista RA, Ferraro M, Picciano LO. Personal protective equipment (PPE) in COVID-19 Pandemic: related symptoms and adverse reactions in health care workers and general population. J Occup Environ Med.2021;63(2): e80.
13. Coelho MME, Cavalcante VMV, Moraes JJ et al. Pressure injury related tot he use of personal protective equipment in COVID-19 pandemic. Rev Bras Enferm.2020;73. https: // doimorg/ 10.1590/ 0034-7167-2020-0670
14. Seirafiapour F, Sodagar S, Mohammad et al. Cutaneous manifestations in COVID -19 pandemic: a systematic review. Dermatol Ther.2020;33(6):e13986.
15. Pei S, Xue Y, Zhao S, Alexander N, Mohamad G, Chen X, Yin M. Occupational skin conditions on the front line: a survey among 484 Chinese healthcare professionals caring for Covid-19 patients. J Eur Acad Dermatol Venereol.2020;34(8):e354-e357. http://dx.doi.org/10.1111/jdv.16570.Whitehead.
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