Erdem Yasemin, Inal Sena, Sivaz Onur, Copur Sevkiye, Boluk Kubra N, Ugurer Ece, Kaya Hazel E, Gulsunay Ilayda E, Sekerlisoy Gul, Vural Osman, Altunay Ilknur K, Aksu Çerman Aslı, Özkaya Esen
Department of Dermatology, Health Science University, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Istanbul Faculty of Medicine, Department of Dermatology and Venereology, Istanbul University, Istanbul, Turkey.
Contact Dermatitis. 2021 Apr 1;85(2):215-24. doi: 10.1111/cod.13853.
Hand eczema (HE) has increased among healthcare workers (HCWs) working in coronavirus disease-2019 (COVID-19) units, and was associated with increased hand hygiene practices.
To compare the prevalence and clinical characteristics of HE, and hand hygiene practices in HCWs working in COVID-19 and non-COVID-19 units.
A total of 244 HCWs working in COVID-19 (n = 118) and non-COVID-19 patient care units (n = 126) were examined by dermatologists with regard to demographic parameters and hand hygiene practices. The COVID-19 and non-COVID-19 groups were matched at a 1:1 ratio according to age, atopy, and generalized dry skin.
HE was more frequent in the COVID-19 group (48.3% vs 12.7%, P < .001), whereas working years (P < .05) and additional housework at home (P < .001) were longer in the non-COVID-19 group. After the development of HE, moisturizing creams were reported to be more frequently used in the COVID group (P < .001). Topical corticosteroids were used in a minority (40% in the COVID group and 26.7% in the non-COVID group).
HCWs in COVID-19 units developed HE more frequently. A majority increased the frequency of moisturizer use, instead of using topical corticosteroids, after the development of HE for the purpose of treating eczema. New approaches are needed for the prevention and management of HE in HCWs, especially by facilitating access to dermatologists.
在2019冠状病毒病（COVID-19）病房工作的医护人员（HCW）手部湿疹（HE）患病率有所上升，且与手部卫生习惯增加有关。
比较在COVID-19病房和非COVID-19病房工作的医护人员手部湿疹的患病率、临床特征以及手部卫生习惯。
皮肤科医生对总共244名在COVID-19病房（n = 118）和非COVID-19病房（n = 126）工作的医护人员进行了人口统计学参数和手部卫生习惯检查。根据年龄、特应性和全身性干性皮肤，将COVID-19组和非COVID-19组按1:1比例匹配。
COVID-19组手部湿疹更常见（48.3%对12.7%，P <.001），而非COVID-19组的工作年限（P <.05）和在家额外做家务的时间（P <.001）更长。手部湿疹发生后，据报告COVID-19组更频繁使用保湿霜（P <.001）。少数人使用外用皮质类固醇（COVID-19组为40%，非COVID-19组为26.7%）。
在COVID-19病房工作的医护人员手部湿疹发病率更高。大多数人在手部湿疹发生后增加了保湿霜的使用频率，而不是使用外用皮质类固醇来治疗湿疹。需要采取新的方法来预防和管理医护人员的手部湿疹，特别是要方便他们看皮肤科医生。
