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面部个人防护设备:材料、再消毒方法和职业性皮肤病的管理。

Facial Personal Protective Equipment: Materials, Resterilization Methods, and Management of Occupation-Related Dermatoses.

机构信息

From the Department of Dermatology, Massachusetts General Hospital.

Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

出版信息

Dermatitis. 2021;32(2):78-85. doi: 10.1097/DER.0000000000000699.

DOI:10.1097/DER.0000000000000699
PMID:33273243
Abstract

BACKGROUND

The coronavirus infectious disease 2019 pandemic has resulted in health care workers donning personal protective equipment (PPE) for extended periods.

OBJECTIVES

The aims of the study were to review facial PPE (surgical masks and N95 respirators) ingredients, to identify facial PPE resterilization techniques, and to recommend strategies for prevention and management of facial PPE-related dermatoses.

METHODS

Twenty-one facial PPE (11 N95 respirators, 10 surgical masks) were reviewed. Resterilization techniques were identified. Personal protective equipment-induced occupational dermatoses and management strategies were explored.

RESULTS

Polypropylene is the most common chemical identified in facial PPE. Most masks contain aluminum at the nosepiece. Two surgical masks released nickel. Facial PPE dermatoses include irritant contact dermatitis, allergic contact dermatitis, acne, and contact urticaria. Strategies for prevention and management of facial PPE occupational dermatoses are discussed.

CONCLUSIONS

There are increasing reports of occupational dermatoses associated with facial PPE. This review discusses the components of facial PPE, mask resterilization methods, and strategies for prevention and management of facial PPE dermatoses.

摘要

背景

2019 年冠状病毒病大流行导致医护人员长时间佩戴个人防护设备(PPE)。

目的

本研究旨在回顾面部 PPE(外科口罩和 N95 呼吸器)的成分,确定面部 PPE 的再消毒技术,并为预防和管理面部 PPE 相关皮肤病提出策略。

方法

对 21 种面部 PPE(11 个 N95 呼吸器,10 个外科口罩)进行了回顾。确定了再消毒技术。探讨了个人防护设备引起的职业性皮肤病及其管理策略。

结果

聚丙稀是面部 PPE 中最常见的化学物质。大多数口罩在鼻梁处含有铝。两个外科口罩释放出镍。面部 PPE 皮肤病包括刺激性接触性皮炎、过敏性接触性皮炎、痤疮和接触性荨麻疹。讨论了预防和管理面部 PPE 职业性皮肤病的策略。

结论

越来越多的报告显示与面部 PPE 相关的职业性皮肤病。本综述讨论了面部 PPE 的组成部分、口罩再消毒方法以及预防和管理面部 PPE 皮肤病的策略。

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