Department of Dermatology, West China Hospital, Sichuan University, Chengdu, China.
Laboratory of Dermatology, Clinical Institute of Inflammation and Immunology, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, China.
Front Public Health. 2023 Jul 20;11:1189190. doi: 10.3389/fpubh.2023.1189190. eCollection 2023.
During the outbreak of Coronavirus disease 2019 (COVID-19), health care workers wore personal protective equipment including masks, gloves and goggles for a long time. In order to reduce the transmission routes of the virus, public places were sprayed with disinfectant. Moreover, the body, hands and clothing were frequently disinfected and washed for hygiene purposes. Studies have shown that these practices could easily irritate the skin and damage the skin barrier. Long-term irritation or exposure to allergens may lead to the occurrence of contact dermatitis (CD).
Subject headings were searched via the National Library of Medicine (PubMed) and web of science databases: COVID-19; contact dermatitis; adverse skin reaction; PPE; dermatitis; mask; glory; hand hygiene, disinfection; face shield; goggle; protect cloth. A total of 246 and 646 articles were retrieved from the two databases, respectively. 402 articles remained after removing duplicates. Reviews, non-English articles, articles that could not be accessed to read or did not conform to our topic were excluded. Finally, a total of 32 cross-sectional studies, 9 case reports and 2 randomized controlled trials were included.
This article reviews reports of CD caused by various prevention and hygiene measures during the COVID-19 pandemic. The amount of skin damage caused by COVID-19 prevention measures could be decreased by improved education about skin management.
在 2019 年冠状病毒病（COVID-19）爆发期间，医护人员长时间佩戴个人防护设备，包括口罩、手套和护目镜。为了减少病毒的传播途径，公共场所喷洒了消毒剂。此外，为了卫生，经常对身体、手和衣物进行消毒和清洗。研究表明，这些做法容易刺激皮肤并破坏皮肤屏障。长期刺激或接触过敏原可能导致接触性皮炎（CD）的发生。
通过美国国立医学图书馆（PubMed）和 web of science 数据库检索主题词：COVID-19；接触性皮炎；不良皮肤反应；PPE；皮炎；口罩；护目镜；手部卫生，消毒；面罩；眼镜；防护布。从两个数据库中分别检索到 246 篇和 646 篇文章，删除重复项后剩余 402 篇。排除综述、非英语文章、无法获取阅读或不符合我们主题的文章。最终，共纳入 32 项横断面研究、9 份病例报告和 2 项随机对照试验。
本文回顾了 COVID-19 大流行期间各种预防和卫生措施引起的 CD 报告。通过加强皮肤管理教育，可以减少 COVID-19 预防措施对皮肤造成的损害。
