Personal protective equipment related dermatoses among health care workers of a tertiary care hospital
DOI:
https://doi.org/10.66344/jpad.v36i1.3202Keywords:
Infection control, Personal protective equipment, Skin lesionAbstract
Background Personal protective equipment although is the need of the hour to prevent and stay safe from unknown infectious diseases but its use has advantages and disadvantages all depending on its type and duration of use. Objective To assess personal protective equipment related dermatoses among health care workers attending patients at a tertiary care hospital of Pakistan. Methods The study was carried out in the department of Pathology (Microbiology), Army Medical College/National University of Medical Sciences from June 10th 2021 to July 10th 2021. A self-administered Performa consisting of multiple-choice items was designed using Google forms. It was distributed electronically to health care workers attending patients at a tertiary care hospital. Data was collected through snowball sampling technique. Questionnaire consisted of type and duration of personal protective equipment used, site of skin lesion, sociodemographic data, department of the hospital, prior dermatological history. Data was analyzed using SPSS version 27.0. Results The cutaneous manifestations were varied, the most common being acneiform eruption (41%) followed by ulcerating lesions (21%) and erythema with vesicular lesions (9.6%). Conclusion Use of personal protective equipment plays a crucial role in combating infections but its continuous use brings wide array of dermatological manifestations. In order to avoid these complications, safety measures should be taken. Discovering a balance between this critical protection and methods to mitigate the harmful effects on the skin health is the key.References
Keng BMH, Gan WH, Tam YC, Oh CC. Personal protective equipment-related occupational dermatoses during COVID-19 among health care workers: A worldwide systematic review. JAAD Int. 2021;5:85-95.
Lan J, Song Z, Miao X, Li H, Li Y, Dong L, et al. Skin damage among health care workers managing coronavirus disease-2019. J Am Acad Dermatol. 2020;82(5):1215-6.
Foo CCI, Goon ATJ, Leow Y, Goh C. Adverse skin reactions to personal protective equipment against severe acute respiratory syndrome-a descriptive study in Singapore. Contact Dermatitis. 2006;55(5):291-4.
Singh M, Pawar M, Bothra A, Maheshwari A, Dubey V, Tiwari A, et al. Personal protective equipment induced facial dermatoses in healthcare workers managing Coronavirus disease 2019. J Eur Acad Dermatol Venereol. 2020;34(8):e378.
Gheisari M, Araghi F, Moravvej H, Tabary M, Dadkhahfar S. Skin reactions to non‐glove personal protective equipment: an emerging issue in the COVID‐19 pandemic. J Eur Acad Dermatol Venereol. 2020;34(7):e297.
Al Badri FM. Surgical mask contact dermatitis and epidemiology of contact dermatitis in healthcare workers. Curr Allerg Clin Immunol. 2017;30(3):183-8.
Lee HC, Goh CL. Occupational dermatoses from Personal Protective Equipment during the COVID‐19 pandemic in the tropics-A Review. J Eur Acad Dermatol Venereol. 2021;35(3):589-96.
Lujia C, Hanlong Z, Hui S, Jieying T, Jianmin Y, Weiwei L. Mask‐related adverse skin reactions in orientals during COVID‐19: Prevalence, social‐psychological impacts and risk factors for acne exacerbation. J Cosmet Dermatol. 2023;22(2):370-7.
Daye M, Cihan FG, Durduran Y. Evaluation of skin problems and dermatology life quality index in health care workers who use personal protection measures during COVID‐19 pandemic. Dermatol Ther. 2020;33(6):e14346.
Zhong S, Lai Y, Na J, Wu Y. Mask wearing impacts skin barrier function and microbiome profile in sensitive skin. Sci Rep. 2024;14(1):24209.
Zhang J, Jiang P, Zhang Y, Liu W, Kong S, Hou X, et al. Effects of wearing masks during COVID-19 pandemic on the composition and diversity of skin bacteria and fungi in medical workers. Front Microbiol. 2023;14:1274050.
Uthayakumar AK, Panagou E, Manam S, Schauer A, Veraitch O, Walker S, et al. PPE-associated dermatoses: effect on work and wellbeing. Future Healthc J. 2021;8(1):e67-9.
Ashraf M, Bibi S, Rizwan M, Liaquat M. Dermatological Manifestations in Healthcare Workers Due to Use of Personal Protective Equipment During COVID-19 Pandemic. Journal of Islamabad Medical & Dental College. 2025;14(3):284-9.
Park SJ, Han HS, Shin SH, Yoo KH, Li K, Kim BJ, et al. Adverse skin reactions due to use of face masks: a prospective survey during the COVID‐19 pandemic in Korea. J Eur Acad Dermatol Venereol. 2021;35(10):e628.
Abdali S, Yu J. Occupational dermatoses related to personal protective equipment used during the COVID-19 pandemic. Dermatol Clin. 2021;39(4):555-68.
Pei S, Xue Y, Zhao S, Alexander N, Mohamad G, Chen X, et al. 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.
Skiveren JG, Ryborg MF, Nilausen B, Bermark S, Philipsen PA. Adverse skin reactions among health care workers using face personal protective equipment during the coronavirus disease 2019 pandemic: a cross‐sectional survey of six hospitals in Denmark. Contact Dermatitis. 2022;86(4):266-75.
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