Department of Dermatology and Allergy, University Hospital, Ludwig Maximilian University (LMU), Munich, Germany.
Department of Dermatology and Allergy, University Hospital, Ludwig Maximilian University (LMU), Munich, Germany, Dr. Phillip Frost Department of Dermatology & Cutaneous Surgery, University of Miami, Miller School of Medicine, USA.
Eur J Dermatol. 2020 Dec 1;30(6):668-673. doi: 10.1684/ejd.2020.3923.
Since the outbreak of SARS-CoV-2, authorities have preached the importance of personal hygiene, including hand washing and disinfection.
To evaluate changes in the frequency of hand washing and hand care, the onset of hand eczema (HE) and risk factors associated with HE since the outbreak of SARS-CoV-2 in Munich in January 2020.
MATERIALS & METHODS: All dermatologic outpatients at the university hospital between April 6 and April 19 were asked to complete a structured questionnaire.
Data of 512 patients with a median age of 49 years (243 females, 267 males) were analysed. The frequency of hand washing and hand disinfection increased after the outbreak of SARS-CoV-2 (p < 0.001, respectively). While symptoms associated with HE were reported by 29.9% (149/499) of patients, the actual diagnosis of HE was reported less frequently by 11.2% (53/473) with a median duration of 120 days. Frequent hand disinfection (p = 0.039), atopic dermatitis (p = 0.006) and young age (p = 0.0499) were identified as risk factors for symptoms of HE. Hand care was performed more frequently during the pandemic than before (p < 0.001). A high frequency of hand care during the pandemic was not significantly associated with symptoms of HE (p = 0.172), but was associated with self-recognition of HE symptoms (p = 0.002).
After the outbreak of SARS-CoV-2, the frequency of hand hygiene measures increased. A considerably high prevalence of HE symptoms was associated with frequent hand disinfection, atopic dermatitis and young age. Awareness of HE should be raised in order for preventive measures to be taken earlier.
自 SARS-CoV-2 爆发以来，当局一直在强调个人卫生的重要性，包括勤洗手和消毒。
评估自 2020 年 1 月 SARS-CoV-2 在慕尼黑爆发以来，手卫生和手部护理的频率、手部湿疹 (HE) 的发病情况以及与 HE 相关的危险因素的变化。
2020 年 4 月 6 日至 4 月 19 日期间，所有在大学医院就诊的皮肤科患者均被要求填写一份结构化问卷。
共分析了 512 名年龄中位数为 49 岁（女性 243 名，男性 267 名）患者的数据。自 SARS-CoV-2 爆发以来，手洗和手部消毒的频率增加（分别为 p<0.001）。虽然有 29.9%（499/499）的患者报告了与 HE 相关的症状，但实际诊断为 HE 的患者较少，为 11.2%（53/473），中位持续时间为 120 天。频繁的手部消毒（p=0.039）、特应性皮炎（p=0.006）和年轻（p=0.0499）被确定为 HE 症状的危险因素。与疫情前相比，疫情期间手部护理的频率更高（p<0.001）。疫情期间频繁的手部护理与 HE 症状无显著相关性（p=0.172），但与对 HE 症状的自我识别相关（p=0.002）。
SARS-CoV-2 爆发后，手部卫生措施的频率增加。相当高的 HE 症状患病率与频繁的手部消毒、特应性皮炎和年轻有关。应提高对手部湿疹的认识，以便更早采取预防措施。
