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Prevention and occupational hazards for the skin during COVID-19 pandemic
Razvigor Darlenski1, Jana Kazandjieva2, Nikolai Tsankov3
1Department of Dermatology and Venereology, Acibadem City Clinic, Tokuda Hospital, Sofia, Bulgaria; Department of Dermatology and Venereology, Medical Faculty, Trakia University, Stara Zagora, Bulgaria.
Insights
The COVID-19 pandemic has caused significant occupational skin issues for healthcare professionals (HCPs). This study classifies these skin hazards and offers insights into their management and prevention.
Area of Science:
- Dermatology
- Occupational Health
- Infectious Diseases
Background:
- The COVID-19 pandemic has profoundly impacted healthcare professionals (HCPs) globally.
- HCPs are at the forefront, facing high risks of contracting COVID-19 and experiencing occupational health challenges.
- Skin issues represent a significant occupational hazard for HCPs during this pandemic.
Purpose of the Study:
- To classify and discuss the pathophysiology, clinical findings, treatments, and prevention strategies for occupational skin hazards faced by HCPs during the COVID-19 pandemic.
- To provide a framework for understanding the diverse skin reactions encountered by frontline workers.
- To guide dermatologists in managing and preventing these work-related skin conditions.
Main Methods:
- A classification system for occupational skin diseases in HCPs during the COVID-19 pandemic was proposed.
- The study discusses the pathophysiology, clinical manifestations, and management of these conditions.
- Literature review and clinical observation were likely employed to categorize the skin reactions.
Main Results:
- Occupational skin diseases in HCPs during the COVID-19 pandemic can be categorized into four main subgroups: mechanical skin injury, moisture-associated skin damage, contact reactions, and exacerbation of pre-existing dermatoses.
- The most frequently affected skin areas are those in direct contact with personal protective equipment (PPE).
- Clinical presentations of these skin conditions are varied and widespread.
Conclusions:
- Dermatologists must be aware of the wide range of occupational skin reactions occurring in HCPs during the COVID-19 pandemic.
- Implementing effective treatment and preventive strategies is crucial for mitigating these skin hazards.
- Addressing these occupational skin issues is essential for maintaining the well-being of frontline healthcare workers.
Abstract:
The life of medical specialists worldwide has dramatically changed due to the spread of the coronavirus disease 2019 (COVID-19) pandemic. Health care professionals (HCPs) have personally faced the outbreak by being on the first line of the battlefield with the disease and, as such, compose a significant number of people who have contracted COVID-19. We propose a classification and discuss the pathophysiology, clinical findings, and treatments and prevention of the occupational skin hazards COVID-19 poses to HCPs. The multivariate pattern of occupational skin diseases during the COVID-19 pandemic can be classified into four subgroups: mechanical skin injury, moisture-associated skin damage, contact reactions, and exacerbation of preexisting dermatoses. The clinical pattern is versatile, and the most affected skin sites were the ones in contact with the protective equipment. Dermatologists should recognize the plethora of HCPs' occupational skin reactions that are occurring during the COVID-19 pandemic and implement treatment and preventive strategies.
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