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Adverse skin reactions to personal protective equipment during COVID-19 pandemic in Italian health care workers.
Proietti, Ilaria; Borrelli, Ivan; Skroza, Nevena; Santoro, Paolo Emilio; Gualano, Maria Rosaria; Bernardini, Nicoletta; Mambrin, Alessandra; Tolino, Ersilia; Marchesiello, Anna; Marraffa, Federica; Michelini, Simone; Rossi, Giovanni; Volpe, Salvatore; Ricciardi, Walter; Moscato, Umberto; Potenza, Concetta.
  • Proietti I; Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit "Daniele Innocenzi", "A. Fiorini" Hospital, Sapienza University of Rome, Terracina, Italy.
  • Borrelli I; Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
  • Skroza N; Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit "Daniele Innocenzi", "A. Fiorini" Hospital, Sapienza University of Rome, Terracina, Italy.
  • Santoro PE; Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
  • Gualano MR; Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
  • Bernardini N; Department of Public Health Sciences and Paediatrics, University of Torino, Torino, Italy.
  • Mambrin A; Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit "Daniele Innocenzi", "A. Fiorini" Hospital, Sapienza University of Rome, Terracina, Italy.
  • Tolino E; Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit "Daniele Innocenzi", "A. Fiorini" Hospital, Sapienza University of Rome, Terracina, Italy.
  • Marchesiello A; Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit "Daniele Innocenzi", "A. Fiorini" Hospital, Sapienza University of Rome, Terracina, Italy.
  • Marraffa F; Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit "Daniele Innocenzi", "A. Fiorini" Hospital, Sapienza University of Rome, Terracina, Italy.
  • Michelini S; Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit "Daniele Innocenzi", "A. Fiorini" Hospital, Sapienza University of Rome, Terracina, Italy.
  • Rossi G; Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit "Daniele Innocenzi", "A. Fiorini" Hospital, Sapienza University of Rome, Terracina, Italy.
  • Volpe S; Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit "Daniele Innocenzi", "A. Fiorini" Hospital, Sapienza University of Rome, Terracina, Italy.
  • Ricciardi W; Department of Medico-Surgical Sciences and Biotechnologies, Dermatology Unit "Daniele Innocenzi", "A. Fiorini" Hospital, Sapienza University of Rome, Terracina, Italy.
  • Moscato U; Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
  • Potenza C; Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Dermatol Ther ; 35(6): e15460, 2022 06.
Article in English | MEDLINE | ID: covidwho-1752530
ABSTRACT
To avoid exposure to SARS-COV-2, healthcare professionals must use personal protective equipment (PPE). Their use has been related to a series of adverse effects; the most frequent adverse events were headache, dyspnoea, and pressure injuries. Skin adverse effects are very common, including contact dermatitis, itching, erythema, and acneiform eruptions. The objective of this study is to evaluate the skin problems caused by personal protection equipment (PPE) in health care workers (HCWs) and to individuate eventual risk factors. From May to June 2020 a retrospective observational multi-centric study conducted by an online survey sent by email, involving 10 hospital centers, was performed. We considered as independent variables gender and age, occupational group and sector, time of utilization, type and material of PPE. We tested 3 types of PPE gloves, bonnet, and mask for different time of utilization (<1, 1-3, 3-6, >6 h). We performed a multiple logistic regression model to correlate them with skin adverse events occurrence. Among all the 1184 participants, 292 workers reported a dermatological pathology 45 (15.41%) had psoriasis, 54 (18.49%) eczema, 38 (13.01%) acne, 48 (16.44%) seborrheic dermatitis, and 107 (36.64%) other. In our sample previous inflammatory dermatological conditions, female sex, prolonged use of PPE were significant risk factors for developing skin related adverse events considering all the PPE considered. The use of PPE is still mandatory in the hospital setting and skin adverse reactions still represent a global problem. Although data from Europe are limited, our study highlighted the importance of the problem of PPE skin reactions in a large sample of Italian healthcare professionals.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Personal Protective Equipment / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans Language: English Journal: Dermatol Ther Journal subject: Dermatology Year: 2022 Document Type: Article Affiliation country: Dth.15460

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Personal Protective Equipment / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans Language: English Journal: Dermatol Ther Journal subject: Dermatology Year: 2022 Document Type: Article Affiliation country: Dth.15460