Skin adverse events related to personal protective equipment: a systematic review and meta-analysis.


Journal

Journal of the European Academy of Dermatology and Venereology : JEADV
ISSN: 1468-3083
Titre abrégé: J Eur Acad Dermatol Venereol
Pays: England
ID NLM: 9216037

Informations de publication

Date de publication:
Oct 2021
Historique:
received: 04 03 2021
accepted: 21 05 2021
pubmed: 3 6 2021
medline: 21 9 2021
entrez: 2 6 2021
Statut: ppublish

Résumé

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a global pandemic that has spread all over the word. To avoid the virus transmission, healthcare workers must wear adequate personal protective equipment (PPE). PPE is associated with several side events, including skin reactions. The objective of this study was to summarize the prevalence, type and risk factors for cutaneous adverse events related to PPE and prevention measures to avoid them. A systematic review and meta-analysis was conducted using MEDLINE, Scopus and EMBASE databases from conception to 21 January 2021. All types of epidemiological studies regarding skin adverse events related to PPE were included. The literature search identified 1007 references, 35 of them met the eligible criteria and were included for analysis, representing 31 453 participants. The media of skin side events related to PPE was 75.13%. The rate of cutaneous adverse events related to mask was 57.71%, and those associated with gloves and hand hygiene products was 49.16%. Most common skin adverse events were contact dermatitis, acne and itching. The most damaged anatomical regions were the nasal bridge, the cheeks and the hands. The duration of PPE wearing was the most common risk factor. Frequent handwashing, gloves and masks were the agents most frequently related to skin reactions. N95 respirators were the most harmful mask type for the skin. Hydrocolloid use prevented from developing skin adverse events related to masks. In conclusion, the rate of cutaneous adverse events related to PPE use is high. A longer duration of PPE wearing was the most common risk factor. Using hydrocolloid could prevent from skin injuries related to mask use.

Identifiants

pubmed: 34077565
doi: 10.1111/jdv.17436
doi:

Types de publication

Journal Article Meta-Analysis Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1994-2006

Informations de copyright

© 2021 The Authors. Journal of the European Academy of Dermatology and Venereology published by John Wiley & Sons Ltd on behalf of European Academy of Dermatology and Venereology.

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Auteurs

T Montero-Vilchez (T)

Department of Dermatology, Virgen de las Nieves University Hospital, Granada, Spain.
Biosanitary Institute of Granada (ibs.GRANADA), Granada, Spain.

C Cuenca-Barrales (C)

Department of Dermatology, Virgen de las Nieves University Hospital, Granada, Spain.
Biosanitary Institute of Granada (ibs.GRANADA), Granada, Spain.

A Martinez-Lopez (A)

Department of Dermatology, Virgen de las Nieves University Hospital, Granada, Spain.
Biosanitary Institute of Granada (ibs.GRANADA), Granada, Spain.

A Molina-Leyva (A)

Department of Dermatology, Virgen de las Nieves University Hospital, Granada, Spain.
Biosanitary Institute of Granada (ibs.GRANADA), Granada, Spain.

S Arias-Santiago (S)

Department of Dermatology, Virgen de las Nieves University Hospital, Granada, Spain.
Biosanitary Institute of Granada (ibs.GRANADA), Granada, Spain.
Cell Production and Tissue Engineering Unit, Virgen de las Nieves University Hospital, Andalusian Network of Design and Translation of Advanced Therapies, Granada, Spain.
Department of Dermatology, Faculty of Medicine, University of Granada, Granada, Spain.

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