COVID-19 and dermatological personal protective equipment considerations

Area of Science:

• Dermatology
• Occupational Health
• Infectious Disease Control

Background:

• The COVID-19 pandemic significantly increased the incidence of skin injury and irritation among healthcare workers.
• Pre-existing issues from frequent handwashing and glove use were exacerbated by prolonged wear of personal protective equipment (PPE).
• Specific concerns include handwashing-induced xerosis, irritant contact dermatitis, and reactions to N95 respirators and surgical masks.

Purpose of the Study:

• To review and discuss the dermatologic conditions experienced by healthcare workers during the COVID-19 pandemic.
• To present recommendations for preventing and treating PPE-related skin injuries.
• To integrate these recommendations with broader guidelines for virus mitigation.

Main Methods:

• Review of reported increases in skin conditions such as xerosis and dermatitis.
• Analysis of the impact of prolonged PPE use (masks, goggles, gloves) on skin integrity.
• Incorporation of guidelines from the American Academy of Dermatology.

Main Results:

• Healthcare workers reported substantial increases in skin problems, including xerosis, irritant dermatitis, and contact dermatitis.
• Masks, goggles, and gloves caused abrasions, itching, pain, and aggravated existing skin conditions.
• PPE-related skin injuries pose a serious occupational health risk.

Conclusions:

• Personal protective equipment (PPE) use during the COVID-19 pandemic has led to a significant rise in occupationally induced dermatologic conditions.
• Preventive and therapeutic strategies are crucial for managing these skin injuries.
• Adherence to dermatologic recommendations alongside infection control measures is essential for healthcare worker well-being.