University of Siena.
1- Department of Medicine, Surgery and Neuroscience - Plastic and Reconstructive Surgery Unit - University of Siena - Italy.
Acta Biomed. 2021 May 12;92(2):e2021185. doi: 10.23750/abm.v92i2.11006.
Background The Sars-Cov-2 virus is characterized by a being highly contagiousness, and this is the reason why massive use of personal protective equipment is required by medical and paramedical staff of the COVID-19 dedicated departments. The aim of this manuscript is to describe and share our experience in the prevention and treatment of the personal protective equipment related pressure sores and other skin alterations in the medical and paramedical staff. Materials and methods All healthcare workers with PPE-related skin damages were registered at time 0. Age, sex, profession, type of skin damage, diseases and possible drugs were registered. Results Two strategies were emplyed: the first strategy was to immediately treat the skin and the second one was to prevent pressure wounds formation both in already affected healthcare workers and the recurrence in healed staff. Three weeks after the two strategies were used, the incidence rate PPE-related skin damage was reduced in a statistically significant way. Conclusions Proper management helps in reducing the incidence of pressure ulcers related to personal protective devices in CoVid-19 Units. Skin prevention and hydration, have been obtained achieved by using products applied at home, autonomously.
背景 新冠病毒的传染性极强，这也是 COVID-19 专门部门的医护和辅助医护人员需要大量使用个人防护设备的原因。本文旨在描述并分享我们在预防和治疗医护人员个人防护装备相关压力性溃疡和其他皮肤改变方面的经验。
材料与方法 在时间 0 时登记所有出现与 PPE 相关皮肤损伤的医护人员。登记年龄、性别、职业、皮肤损伤类型、疾病和可能的药物。
结果 采用了两种策略：第一种策略是立即治疗皮肤，第二种策略是预防已经受影响的医护人员出现压疮和已愈合人员复发。使用这两种策略 3 周后，PPE 相关皮肤损伤的发生率明显降低。
结论 适当的管理有助于降低 CoVid-19 病房中与个人防护设备相关的压疮发生率。通过在家中自主使用产品进行皮肤预防和保湿，已经实现了这一目标。
