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频繁清洁和洗手的另一面。

The flip side of frequent sanitising and hand washing.

机构信息

The South African Institute of Dermatology, Bloemfontein, South Africa; and, Department of Dermatology, Faculty of Health Science, University of the Free State, Bloemfontein.

出版信息

S Afr Fam Pract (2004). 2023 Jan 11;65(1):e1-e4. doi: 10.4102/safp.v65i1.5595.

DOI:10.4102/safp.v65i1.5595
PMID:36744490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9983292/
Abstract

The stratum corneum is the outermost layer of the epidermis. It acts as an interface with the external environment and functions as a barrier that prevents microorganisms and allergens from penetrating the skin, while preventing bodily fluids, electrolytes and proteins from being lost in a process aimed at maintaining homeostasis. With the novel coronavirus disease 2019 (COVID-19) outbreak, there has been an increase in hygiene practice, particularly hand washing and the use of hand sanitisers. These practices have undoubtedly assisted a great deal in combatting the rate of transmission and contributed immensely to saving lives. However, repeated hand washing and the use of sanitisers have both been linked with marked skin dryness and contact dermatitis. This especially holds true when the above-mentioned practices are carried out in the absence of intermittent hand moisturiser usage.

摘要

角质层是表皮的最外层。它作为与外部环境的界面,起到屏障的作用,防止微生物和过敏原穿透皮肤,同时防止体液、电解质和蛋白质在维持体内平衡的过程中流失。随着 2019 年新型冠状病毒病(COVID-19)的爆发,人们更加注重卫生习惯,特别是洗手和使用手部消毒剂。这些做法无疑在很大程度上有助于控制传播速度,对拯救生命起到了巨大的作用。然而,反复洗手和使用消毒剂都与明显的皮肤干燥和接触性皮炎有关。如果上述做法没有间歇性使用手部保湿剂,这种情况尤其如此。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4733/9983292/d0ccd6d784bf/SAFP-65-5595-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4733/9983292/1324332883ab/SAFP-65-5595-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4733/9983292/c7a9f29218a6/SAFP-65-5595-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4733/9983292/d0ccd6d784bf/SAFP-65-5595-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4733/9983292/1324332883ab/SAFP-65-5595-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4733/9983292/c7a9f29218a6/SAFP-65-5595-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4733/9983292/d0ccd6d784bf/SAFP-65-5595-g003.jpg

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本文引用的文献

1
Importance of nose wires in face masks: A reply to "Diagnostic and management considerations for "maskne" in the era of COVID-19".口罩中鼻夹的重要性:对“COVID-19时代‘口罩痘’的诊断与管理考量”的回应
J Am Acad Dermatol. 2021 Sep;85(3):e151-e152. doi: 10.1016/j.jaad.2021.04.101. Epub 2021 Jun 5.
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Behavioural response to the Covid-19 pandemic in South Africa.南非对新冠疫情的行为反应。
PLoS One. 2021 Apr 16;16(4):e0250269. doi: 10.1371/journal.pone.0250269. eCollection 2021.
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Hand hygiene: a COVID beneficiary?手部卫生:新冠疫情的受益者?
J Hosp Infect. 2021 May;111:4-5. doi: 10.1016/j.jhin.2021.03.017. Epub 2021 Mar 22.
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Hand Hygiene Practices and Risk and Prevention of Hand Eczema during the COVID-19 Pandemic.新冠疫情期间的手部卫生习惯与手部湿疹的风险及预防
Indian Dermatol Online J. 2020 Jul 13;11(4):540-543. doi: 10.4103/idoj.IDOJ_448_20. eCollection 2020 Jul-Aug.
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Hand hygiene during COVID-19: Recommendations from the American Contact Dermatitis Society.COVID-19 期间的手部卫生:美国接触性皮炎学会的建议。
J Am Acad Dermatol. 2020 Dec;83(6):1730-1737. doi: 10.1016/j.jaad.2020.07.057. Epub 2020 Jul 22.
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COVID-19 Pandemic & Skin Care Guidelines for Health Care Professionals.《2019冠状病毒病大流行与医护人员皮肤护理指南》
Pak J Med Sci. 2020 May;36(COVID19-S4):S115-S117. doi: 10.12669/pjms.36.COVID19-S4.2748.
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Challenges of COVID-19 pandemic for dermatology.COVID-19 大流行给皮肤科带来的挑战。
Dermatol Ther. 2020 Sep;33(5):e13430. doi: 10.1111/dth.13430. Epub 2020 Apr 30.
8
Hygiene and emollient interventions for maintaining skin integrity in older people in hospital and residential care settings.在医院和寄宿护理机构中,为维护老年人皮肤完整性而采取的卫生和润肤干预措施。
Cochrane Database Syst Rev. 2020 Jan 23;1(1):CD011377. doi: 10.1002/14651858.CD011377.pub2.
9
Cleansers and their role in various dermatological disorders.洁面产品及其在各种皮肤病中的作用。
Indian J Dermatol. 2011 Jan;56(1):2-6. doi: 10.4103/0019-5154.77542.
10
Dermatological aspects of a successful introduction and continuation of alcohol-based hand rubs for hygienic hand disinfection.成功引入并持续使用含酒精洗手液进行手部卫生消毒的皮肤学方面问题。
J Hosp Infect. 2003 Sep;55(1):1-7. doi: 10.1016/s0195-6701(03)00223-8.