da Silva Brandao Euzeli, Sant'Ana Mandelbaum Maria Helena, Lanzillotti Regina Serrão, Granja Paula Dadalti, da Silva Liliane Faria, Tonole Renato
Fluminense University/UFF, Niterói, Rio de Janeiro, Brazil.
University of Vale do Paraíba - UNIVAP, São Paulo, Brazil.
J Wound Care. 2022 Dec 1;31(Sup12):S22-S28. doi: 10.12968/jowc.2022.31.Sup12.S22.
During the SARS-CoV-2 (COVID-19) pandemic, to prevent the transmission of the virus, the use of personal protection products and equipment were recommended by international and national organisations. The need to use it more frequently and for a long time can damage the skin of health professionals. The aim of this study was to estimate the prevalence and factors associated with skin lesions in health professionals resulting from the use of personal protective equipment (PPE).
This was a cross-sectional exploratory study through an online questionnaire. The first part of the questionnaire collected socio-labour characterisation data and the second part related to exposure factors. The variables were analysed according to the prevalence and the odds ratio (OR), within a 95% confidence interval (CI).
Of the 398 participants who met the inclusion criteria, 65.3% were self-diagnosed with skin lesions: 37.3% with pressure injury, 25.8% with contact/allergic dermatitis and 2.7% with acne. Regarding the use of PPE, of the 240 professionals who reported using an N95 mask, 80.4% developed injuries, 70.4% of which related to a work regime of >6 hours per day (OR: 2.08, 95% CI: 1.79-2.42).
The results of this study showed a significant prevalence of skin lesions in health professionals. Among exposure factors, the N95 mask and goggles stand out. Longer or more frequent exposure time to personal protective products and equipment proved to be important factors to be considered.
在严重急性呼吸综合征冠状病毒2（SARS-CoV-2，即新型冠状病毒肺炎）大流行期间，为防止病毒传播，国际和国家组织建议使用个人防护用品和设备。更频繁且长时间使用这些用品和设备可能会损害医护人员的皮肤。本研究的目的是评估因使用个人防护装备（PPE）导致医护人员出现皮肤损伤的患病率及相关因素。
这是一项通过在线问卷进行的横断面探索性研究。问卷的第一部分收集社会劳动特征数据，第二部分涉及暴露因素。根据患病率和比值比（OR）对变量进行分析，置信区间为95%（CI）。
在398名符合纳入标准的参与者中，65.3%的人自我诊断有皮肤损伤：37.3%为压力性损伤，25.8%为接触性/过敏性皮炎，2.7%为痤疮。关于PPE的使用，在240名报告使用N95口罩的专业人员中，80.4%出现了损伤，其中70.4%与每天工作时长>6小时的工作模式有关（OR：2.08，95%CI：1.79 - 2.42）。
本研究结果显示医护人员中皮肤损伤的患病率较高。在暴露因素中，N95口罩和护目镜较为突出。事实证明，更长时间或更频繁地接触个人防护用品和设备是需要考虑的重要因素。
