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COVID-19 疫情下的个人防护装备致皮肤损伤及预防措施:综合述评

Skin injuries due to Personal Protective Equipment and preventive measures in the COVID-19 context: an integrative review.

机构信息

Universidade Federal do Maranhão, Centro de Ciências Sociais, Saúde e Tecnologia, Imperatriz, MA, Brasil.

Bolsista da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil.

出版信息

Rev Lat Am Enfermagem. 2022 Apr 20;30:e3551. doi: 10.1590/1518-8345.5636.3551. eCollection 2022.

Abstract

OBJECTIVE

to identify the diverse scientific evidence on the types of skin lesions caused due to the use of Personal Protective Equipment in health professionals during the COVID-19 pandemic and to verify the recommended prevention measures.

METHOD

this is an integrative review carried out in the MEDLINE, CINAHL, LILACS, SCOPUS, Science Direct, Web of Science and SciELO databases. The search was conducted in a paired manner, constituting a sample of 17 studies categorized according to the types of skin lesions and preventive measures.

RESULTS

the main types of skin lesions related to mask use were stage 1 pressure ulcers, acne and cutaneous depression. Regarding the use of glasses and face shields, the most frequent were stage 1 and 2 pressure ulcers. Xerosis and irritant contact dermatitis occurred due to using gloves and protective clothing, respectively. The main preventive measures recommended were using hydrocolloid or foam dressing in the pressure regions, moisturizers and emollients.

CONCLUSION

a considerable number of skin lesions associated with using the equipment were noticed, and the data obtained can guide the professionals in identifying risks and promoting preventive measures to avoid their occurrence.

摘要

目的

识别在 COVID-19 大流行期间医护人员使用个人防护设备所导致的各种皮肤损伤类型的科学证据,并验证推荐的预防措施。

方法

这是一项在 MEDLINE、CINAHL、LILACS、SCOPUS、Science Direct、Web of Science 和 SciELO 数据库中进行的综合回顾。搜索是成对进行的,构成了根据皮肤损伤类型和预防措施分类的 17 项研究的样本。

结果

与口罩使用相关的主要皮肤损伤类型为 1 期压力性溃疡、痤疮和皮肤凹陷。关于眼镜和面罩的使用,最常见的是 1 期和 2 期压力性溃疡。使用手套和防护服分别导致皮肤干燥和刺激性接触性皮炎。推荐的主要预防措施包括在受压区域使用水胶体或泡沫敷料、保湿剂和润肤剂。

结论

注意到相当多与使用设备相关的皮肤损伤,所获得的数据可以指导专业人员识别风险并采取预防措施以避免其发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5419/9019902/46e791f24bd0/1518-8345-rlae-30-e3551-gf2.jpg

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