scholarly journals Therapeutic approach to skin reactions caused by personal protective equipment ( PPE ) during COVID ‐19 pandemic: An experience from a tertiary hospital in Granada, Spain

2020 ◽  
Vol 33 (6) ◽  
Author(s):  
Francisco José Navarro‐Triviño ◽  
Ricardo Ruiz‐Villaverde
Author(s):  
Darlington E Obaseki ◽  
Iriagbonse I Osaigbovo ◽  
Esohe O Ogboghodo ◽  
Omokhoa Adeleye ◽  
Obehi A Akoria ◽  
...  

Abstract Africa was the last continent to be affected by the COVID-19 pandemic. Much of the discourse on Africa's response captured in scientific journals revolves around nations, public health agencies and organizations, but little is documented about how individual healthcare facilities have fared. This article reports the challenges faced in a tertiary hospital in Nigeria, including space constraints, diagnostic challenges, shortages in personal protective equipment and health worker infections. The opportunities and strengths that aided the response are also highlighted. The lessons learned will be useful to similar facilities. More information about health facility response at various levels is needed to comprehensively assess Africa's response to the pandemic.


Author(s):  
Nkemjika Abiakam ◽  
Peter Worsley ◽  
Hemalatha Jayabal ◽  
Kay Mitchell ◽  
Michaela Jones ◽  
...  

2020 ◽  
Author(s):  
Saidu Yusuf Yakubu

Abstract Objectives: Data was collected to determine the level of preparedness and fears of anaesthesia staff regarding the management of COVID-19 patients in a low resource tertiary hospital in Zaria, Nigeria. Information obtained was used to request for missing equipment from the hospital management and to allay the fears of staff during the COVID-19 pandemic. Results: Data reported was from the survey of consenting anaesthesia staff at the Ahmadu Bello University Teaching Hospital Zaria. Information obtained include age, gender, marital status, professional role, level of preparedness, availability of working materials/equipment, fear of COVID-19, level of stress, stigmatization and the willingness or otherwise to volunteer in the management of COVID-19 patients. All 45 respondents stated that they do not have a life insurance. Forty four (97.8%) lack access to COVID-19 testing while 36 (80%) have not received any training on COVID-19 and the use of personal protective equipment. Twenty eight of 43 staff said that they were not willing or prepared to participate in the management of COVID-19 patients. Data will be useful to other researchers with a similar challenge. Data obtained was deposited at https://dx.doi.org/10.17632/stdmys22gk.1.


2020 ◽  
Author(s):  
Thamir Alkubaisi

Abstract Backgrounds: the medical staff remains liable to COVID-19. Healthcare institutions must give offer to the supply of "personal protective equipment" to them, with the prolonged contact with this equipment that may cause a variety of skin diseases.Purpose: To shed light on the cutaneous abnormal reactions to the "personal protective equipment" among the medical staff and offers solutions.Methods: This cross-sectional study conducted for the medical staff that involved doctors, dentists, pharmacists, and nurses in the high-risk Ramadi General Teaching Hospital and low-risk Private Clinics, between 4-10 July 2020, at the time after the rise in COVID-19 patients in Anbar governorate, Iraq. A thorough quantitative descriptive research included age, gender, the duration and type of used masks, gloves, Goggles/face shield, and/or gown. About 23 questions described the adverse skin reactions chiefly that involve the skin. Results: A total of 196 participants were recruited for the online questionnaire, including (49.5%) doctor, (15.3%) dentist, (16.8%) pharmacist, and (18.4%) nurse, with a significant involvement between 20-29 years old age. The use of the mask and glove were associated significantly with an adverse skin reaction, like a wound, dry lips, Acne and/or folliculitis, hand dryness, erythema, itching, wrinkle, nail fracture. While workers who regularly used gowns had a negative correlation with adverse skin reactions including erythema with pruritus of trunk and shoulders, miliaria, and pityriasis versicolor. Goggles/face shield did not report adverse skin problems,Conclusions: The medical staff uses personal protective equipment that may develop mild dermatological adverse effects. It needs early diagnosis and treatment. There is dermatological advice that may be helpful to avoid these unwanted effects.


Author(s):  
Madiha Rabie Mahmoud ◽  
Jomana Adel Jasim Almuaili ◽  
Safaa Malek Shaheen ◽  
Manal Nasser Zaben Alatifi ◽  
Osama Gad Abdelaziz ◽  
...  

Wearing masks were effective in reducing the probability of infection with COVID-19, but wearing them for long time cause many problems. This paper was aimed to compare between Saudi and Egyptian HCWs upon using sanitizers and personal protective equipment (PPE) during COVID-19 pandemic. Data was collected through a well-structured questionnaire, among Saudi HCWs (online) and Egyptian HCWs through paper questionnaire interview. The questionnaire consists of 23 questions about Socio-demographic, types of masks, gloves and sanitizers they used during their works. It includes the adverse skin reactions on hands and face upon using PPE for long periods during COVID 19 pandemic. Our results revealed that most of Saudi & Egyptian HCWs wearing surgical masks (57.8% & 63.6%), > N95 (12.9% &18.2%), using latex surgical gloves (44.9% & 56.8%), > plastic gloves (11.1% &18.2%) respectively. The most affected area from wearing PPE are hands (49.8% & 54.5%) followed by Auricular area (44% & 40.9%), nasal bridge (28.9% & 22.7%), check (16.9% & 13.6%), whole face (15.6% & 25%) among Saudi & Egyptian HCWs respectively. About 70% of Egyptian HCWs from our participants used alcohol 70% in form of gel as sanitizer which was significantly higher than Saudi HCWs (59.1%). While no significant differences were found from using other sanitizers such as liquid alcohol 70% or Dettol. The most adverse reaction due to using sanitizers was skin dryness (55.1% & 63.6%) among Saudi & Egyptian HCWs respectively. We can conclude that significant increase was found among HCWs in Egypt either in wearing surgical and N95 masks or in wearing surgical and plastic gloves when compared to Saudi HCWs. According to the side effects on hands and face due to wearing PPE among HCWs either from KSA or Egypt, there were some variations by increase or decrease in the percentages. The most adverse reaction due to using sanitizers (specially alcohol 70% in form of gel) was skin dryness.


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