Department of Burns and Plastic Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Wound Care Center of Outpatient Department, Medical School of Nanjing University, Nanjing, China.
Adv Wound Care (New Rochelle). 2020 Jul;9(7):357-364. doi: 10.1089/wound.2020.1212. Epub 2020 Apr 27.
To investigate the prevalence, characteristics, and preventive status of skin injuries caused by personal protective equipment (PPE) in medical staff. A cross-sectional survey was conducted online for understanding skin injuries among medical staff fighting COVID-19 in February 8-22, 2020. Participants voluntarily answered and submitted the questionnaire with cell phone. The questionnaire items included demographic data, grade of PPE and daily wearing time, skin injury types, anatomical sites, and preventive measures. Univariable analyses and logistic regression analyses were used to explore the risk factors associated with skin injuries. A total of 4,308 respondents were collected from 161 hospitals and 4,306 respondents were valid. The overall prevalence of skin injuries was 42.8% (95% confidence interval [CI] 41.30-44.30) with three types of device-related pressure injuries, moist-associated skin damage, and skin tear. Co-skin injuries and multiple location injuries were 27.4% and 76.8%, respectively. The logistic regression analysis indicated that sweating (95% CI for odds ratio [OR] 87.52-163.11), daily wearing time (95% CI for OR 1.61-3.21), male (95% CI for OR 1.11-2.13), and grade 3 PPE (95% CI for OR 1.08-2.01) were associated with skin injuries. Only 17.7% of respondents took prevention and 45.0% of skin injuries were treated. This is the first cross-sectional survey to understand skin injuries in medical staff caused by PPE, which is expected to be a benchmark. The skin injuries among medical staff are serious, with insufficient prevention and treatment. A comprehensive program should be taken in the future.
调查个人防护装备（PPE）引起的医务人员皮肤损伤的流行情况、特征和预防状况。2020 年 2 月 8 日至 22 日，采用在线横断面调查方法了解参与抗击新冠肺炎疫情的医务人员皮肤损伤情况。参与者自愿用手机回答和提交问卷。问卷项目包括人口统计学数据、PPE 级别和每天佩戴时间、皮肤损伤类型、解剖部位和预防措施。采用单变量分析和逻辑回归分析探讨与皮肤损伤相关的危险因素。共从 161 家医院收集了 4308 名应答者，其中 4306 名应答者有效。皮肤损伤总患病率为 42.8%（95%置信区间[CI]41.30-44.30），包括三种器械相关压力性损伤、湿性相关性皮肤损伤和皮肤撕裂伤。共皮肤损伤和多处损伤分别为 27.4%和 76.8%。逻辑回归分析表明，出汗（优势比[OR]87.52-163.11 的 95%置信区间）、每日佩戴时间（OR 1.61-3.21 的 95%CI）、男性（OR 1.11-2.13 的 95%CI）和 3 级 PPE（OR 1.08-2.01 的 95%CI）与皮肤损伤有关。只有 17.7%的受访者采取了预防措施，45.0%的皮肤损伤得到了治疗。这是第一项了解医务人员因 PPE 引起的皮肤损伤的横断面调查，预计将成为一个基准。医务人员的皮肤损伤严重，预防和治疗不足。未来应采取全面的方案。
