Keng Bryan M H, Gan Wee Hoe, Tam Yew Chong, Oh Choon Chiat
Khoo Teck Puat Hospital, Singapore, Singapore.
Department of Occupational and Environmental Medicine, Singapore General Hospital, Singapore, Singapore.
JAAD Int. 2021 Dec;5:85-95. doi: 10.1016/j.jdin.2021.08.004. Epub 2021 Sep 1.
Occupational dermatoses caused by personal protective equipment (PPE) in the ongoing COVID-19 pandemic are emerging occupational health challenges that must be promptly and effectively addressed to ease burden on our health care workers.
A systematic review was conducted to determine common PPE-related dermatoses, affected body sites, and implicated occupational contactants. We further proposed solutions to mitigate this problem.
Online databases were searched for articles on PPE-related dermatoses in health care workers during the COVID-19 pandemic written in English and published from January 1, 2020, to January 30, 2021.
Sixteen studies, including a total of 3958 participants, were included. The most common dermatoses were xerosis, pressure-related erythema, and contact dermatitis, mainly affecting the face and hands. The most widely implicated contactants were increased frequency of hand hygiene, gloves, N95 masks, and goggles. Proposed solutions were categorized as individual self-care, protection of the workforce, and long-term preventive measures.
Through measures such as regular basic skin care education, early access to specialty clinics via telemedicine, and designing of better-fit PPE, the challenges posed by PPE-related occupational dermatoses can be significantly reduced.
在当前的新冠疫情中，个人防护装备（PPE）引发的职业性皮肤病正成为新出现的职业健康挑战，必须迅速有效地加以应对，以减轻医护人员的负担。
进行一项系统综述，以确定常见的与个人防护装备相关的皮肤病、受影响的身体部位以及涉及的职业接触物。我们还提出了缓解这一问题的解决方案。
在在线数据库中搜索2020年1月1日至2021年1月30日期间以英文发表的关于新冠疫情期间医护人员中与个人防护装备相关的皮肤病的文章。
纳入了16项研究，共3958名参与者。最常见的皮肤病是皮肤干燥、压力性红斑和接触性皮炎，主要影响面部和手部。涉及最广泛的接触物是手部卫生频率增加、手套、N95口罩和护目镜。提出的解决方案分为个人自我护理、劳动力保护和长期预防措施。
通过定期进行基础皮肤护理教育、通过远程医疗尽早就诊于专科诊所以及设计更合身的个人防护装备等措施，可以显著减少与个人防护装备相关的职业性皮肤病带来的挑战。
