Assessment of hand hygiene strategies on skin barrier function during COVID-19 pandemic: A randomized clinical trial.


Journal

Contact dermatitis
ISSN: 1600-0536
Titre abrégé: Contact Dermatitis
Pays: England
ID NLM: 7604950

Informations de publication

Date de publication:
Apr 2022
Historique:
revised: 20 12 2021
received: 08 11 2021
accepted: 23 12 2021
pubmed: 27 12 2021
medline: 16 3 2022
entrez: 26 12 2021
Statut: ppublish

Résumé

Coronavirus disease 2019 (COVID-19) has increased the frequency of handwashing. There is scarce evidence regarding the impact of different hand hygiene procedures on skin barrier function in clinical practice. To compare the impact on skin barrier function of different hand hygiene measures in healthcare workers in daily practice. A randomized controlled clinical trial was conducted. Participants were randomized to sanitize their hands with water and soap, alcohol-based hand sanitizers (ABHSs), or disinfectant wipes during their 8-hour working shift. Epidermal barrier functional parameters, such as transepidermal water loss (TEWL), and the microbial load were assessed before and immediately after the working day. Tolerance and acceptability of each product were recorded after work. Sixty-two participants were included and 20, 21, and 21 were randomized to use water and soap, ABHS, and disinfectant wipes, respectively. After the 8-hour shift, TEWL increase was higher with disinfectant wipes than with soaps or ABHS (+5.45 vs +3.87 vs -1.46 g h Daily hand hygiene with ABHS showed the lowest rates of skin barrier disruption and the highest reduction of CFU.

Identifiants

pubmed: 34954837
doi: 10.1111/cod.14034
doi:

Substances chimiques

Soaps 0
Ethanol 3K9958V90M

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

276-285

Informations de copyright

© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Références

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Auteurs

Trinidad Montero-Vilchez (T)

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

Antonio Martinez-Lopez (A)

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

Carlos Cuenca-Barrales (C)

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

Maria I Quiñones-Vico (MI)

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.

Alvaro Sierra-Sanchez (A)

Cell Production and Tissue Engineering Unit, Virgen de las Nieves University Hospital, Andalusian Network of Design and Translation of Advanced Therapies, Granada, Spain.

Alejandro Molina-Leyva (A)

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

Margarida Gonçalo (M)

Serviço de Dermatologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Serviço de Dermatologia, Faculdade de Medicina, Universidade de Coimbra, Coimbra, Portugal.

Jacobo Cambil-Martin (J)

Department of Nursing, Faculty of Health Sciences, University of Granada, Granada, Spain.

Salvador 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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