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PPE-associated dermatoses: effect on work and wellbeing.

Aarthy K Uthayakumar1, Evangelia Panagou1, Seshi Manam1

  • 1University College London Hospitals NHS Foundation Trust, London, UK.

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Summary

Healthcare workers experienced increased skin issues like hand dermatitis and acne due to personal protective equipment (PPE) during COVID-19. Prompt dermatological treatment improved their work and wellbeing.

Keywords:
PPEdermatologyhand dermatitisoccupational dermatoseswellbeing

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Area of Science:

  • Dermatology
  • Infectious Disease Control
  • Occupational Health

Background:

  • The COVID-19 pandemic necessitated enhanced infection control measures in hospitals.
  • Increased use of personal protective equipment (PPE) by healthcare workers (HCWs) became standard practice.
  • A rise in skin conditions related to PPE use among HCWs was observed.

Purpose of the Study:

  • To analyze the incidence and types of PPE-related dermatoses in HCWs during the COVID-19 pandemic.
  • To assess the impact of these skin conditions on HCWs' work and wellbeing.
  • To highlight the importance of recognizing and treating PPE-related dermatoses.

Main Methods:

  • Retrospective analysis of HCWs referred to a dermatology self-referral service during the initial peak of the COVID-19 pandemic.
  • Identification of common dermatological diagnoses.
  • Evaluation of the effects of dermatoses on work and wellbeing, and the outcomes of treatment.

Main Results:

  • A diverse range of HCWs were affected by PPE-related skin conditions.
  • Irritant hand dermatitis and acneiform eruptions were the most frequent diagnoses.
  • These dermatoses significantly impacted HCWs' professional duties and overall wellbeing.
  • Assessment and treatment by dermatology led to improvements in affected staff members.

Conclusions:

  • PPE-related dermatoses are a significant occupational health issue for HCWs, exacerbated by the COVID-19 pandemic.
  • These skin conditions have considerable physical and emotional consequences for HCWs.
  • Early recognition and prompt dermatological intervention are crucial for improving HCW wellbeing and maintaining workforce capacity.