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医护人员使用新冠病毒病个人防护装备时的皮肤不良反应

The adverse skin reactions of health care workers using personal protective equipment for COVID-19.

作者信息

Hu Kaihui, Fan Jing, Li Xueqin, Gou Xin, Li Xinyuan, Zhou Xiang

机构信息

Department of Urology, the First Affiliated Hospital, Chongqing Medical University.

Chongqing Key Laboratory of Molecular Oncology and Epigenetics, Chongqing, China.

出版信息

Medicine (Baltimore). 2020 Jun 12;99(24):e20603. doi: 10.1097/MD.0000000000020603.

Abstract

In December 2019, a new coronavirus was found in Wuhan, Hubei Province, China, and spread rapidly throughout the country, attracting global attention. On February 11, the World Health Organization (WHO) officially named the disease caused by 2019-nCoV coronavirus disease 2019 (COVID-19). With the increasing number of cases, health care workers (HCWs) from all over China volunteered to work in Hubei Province. Because of the strong infectivity of COVID-19, HCWs need to wear personal protective equipment (PPE), such as N95 masks, latex gloves, and protective clothing. Due to the long-term use of PPE, many adverse skin reactions may occur. Therefore, the purpose of this study is to explore the adverse skin reactions among HCWs using PPE.Questionnaires were used for the research; a quantitative study was carried out to determine the incidence of adverse skin reactions among HCWs using PPE.A total of 61 valid questionnaires were collected. The most common adverse skin reactions among HCWs wearing N95 masks were nasal bridge scarring (68.9%) and facial itching (27.9%). The most common adverse skin reactions among HCWs wearing latex gloves were dry skin (55.7%), itching (31.2%), and rash (23.0%). The most common adverse skin reactions among HCWs wearing protective clothing were dry skin (36.1%) and itching (34.4%).When most HCWs wear PPE for a long period of time, they will experience adverse skin reactions. The incidence of adverse skin reactions to the N95 mask was 95.1%, that to latex gloves was 88.5%, and that to protective clothing was 60.7%.

摘要

2019年12月,中国湖北省武汉市发现一种新型冠状病毒,并迅速在全国传播,引起全球关注。2月11日,世界卫生组织(WHO)将2019-nCoV冠状病毒引起的疾病正式命名为2019冠状病毒病(COVID-19)。随着病例数量的增加,来自中国各地的医护人员自愿前往湖北省工作。由于COVID-19传染性强,医护人员需要佩戴个人防护装备(PPE),如N95口罩、乳胶手套和防护服。由于长期使用PPE,可能会出现许多不良皮肤反应。因此,本研究的目的是探讨使用PPE的医护人员中的不良皮肤反应。本研究采用问卷调查;进行定量研究以确定使用PPE的医护人员中不良皮肤反应的发生率。共收集到61份有效问卷。佩戴N95口罩的医护人员中最常见的不良皮肤反应是鼻梁瘢痕(68.9%)和面部瘙痒(27.9%)。佩戴乳胶手套的医护人员中最常见的不良皮肤反应是皮肤干燥(55.7%)、瘙痒(31.2%)和皮疹(23.0%)。穿着防护服的医护人员中最常见的不良皮肤反应是皮肤干燥(36.1%)和瘙痒(34.4%)。当大多数医护人员长时间佩戴PPE时,他们会出现不良皮肤反应。N95口罩的不良皮肤反应发生率为95.1%,乳胶手套为88.5%,防护服为60.7%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/418c/7302613/aecffde4f0cb/medi-99-e20603-g005.jpg

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