scholarly journals Skin lesions associated with personal protective equipment in medical workers during the COVID-19 pandemic

2021 ◽  
Vol 6 (4) ◽  
pp. 122-131
Author(s):  
N. I. Galimova

Aim. Analysis of the incidence of personal protective equipment (PPE)-associated dermatoses among medical workers during the COVID-19 pandemic.Materials and Methods. Screening of the papers indexed by PubMed, EMBASE, Google Scholar, eLibrary, and UpToDate databases, written in English and published from January 1, 2020 to October, 2021. The search keywords were: "medical workers", "skin", "dermatoses", "professional", and "personal protective equipment" in combination with "COVID-19" and "SARS-CoV-2".Results. Occupational contact dermatitis is responsible for 20% of all cases of contact dermatitis which accounts for 90% of all skin disease cases. During the COVID-19 pandemic, from 42.8% to 97.0% of medical workers reported about skin lesions provoked by prolonged wearing of PPE in combination with regular disinfection. About 61.7% of them noted the deterioration of a pre-existing skin disease, and 90.5% reported the appearance of new skin lesion symptoms associated with the PPE usage. The most common symptoms of skin lesions among medical workers were dryness, itching, burning, soreness, and skin rash. Irritant and allergic contact dermatitis, acne, rosacea, and seborrheic dermatitis were the most prevalent skin disorders among the interviewed medical workers. Risk factors for the development of PPE-associated dermatoses were the type and material of PPE, the duration of PPE wearing, and past medical history of skin diseases. Due to the increased incidence of PPE-associated dermatoses among the medical staff, some countries have developed recommendations on the prevention and treatment of undesirable PPE-associated skin reactions in medical professionals. Current research are focused on developing special tools and devices that would serve as a protective barrier between the skin and PPE, ameliorating the damaging effect of the latter.Conclusion. PPE-associated dermatoses are currently widespread among the medical workers, highlighting the need in novel materials for PPE manufacturing to minimise the risk of developing PPE-associated skin lesions.

2021 ◽  
Vol 15 ◽  
pp. 117863022110483
Author(s):  
Aiggan Tamene

Background: Occupational skin diseases are the second leading occupational disease, accounting for almost 25% of all missed workdays. Occupational contact dermatitis (OCD) accounts for 70% to 90% of all skin disorders in the workplace. Only a few occupational epidemiology studies have looked into the prevalence and risk factors of occupation-induced dermatitis among narcotic crop farm workers around the world. Related studies in Ethiopia are even fewer. Methods: A cross-sectional survey was conducted in the Dirashe district of Southern Ethiopia from March 23 to April 12, 2021. Data was collected using a standardized interviewer-administered questionnaire. The history of contact dermatitis was determined using the standardized Nordic Occupational Skin Questionnaire version 2002 (NOSQ-2002). A total of 578 farm laborers took part in the study, which was conducted using a systematic random sampling. Descriptive statistics and multivariable regression were used to characterize the data and identify factors associated with occupational contact dermatitis. Result: The prevalence of self-reported occupational contact dermatitis in the past 12 months among workers of large-scale Khat farms was (AOR: 67.80%, 95% CI [61.00, 76.23]). In the multivariable regression, being older (AOR: 5.51, 95% CI [1.79, 7.24]), working as a bundle binder (AOR: 5.74, 95% CI [2.12, 15.55]), not wearing personal protective equipment (PPE) (AOR: 2.50, 95% CI [1.64, 3.81]), and having poor knowledge of pesticides use, storage, and disposal methods (AOR: 2.50, 95% CI [1.64, 3.81]) were associated with occupational contact dermatitis. Conclusion: Contact dermatitis caused by work is very common among Khat farm laborers. Measures to promote safe practices and reduce exposure to hazards, such as removing expired and/or banned chemicals, purchasing alternative pesticides that meet legislative requirements, job rotation and routine training of staff on safe practices, increasing safety signage, and performing risk assessments, as well as improving the quantity and quality of institutional protective equipment supplies may thus contribute to the enhancement of safe work practices.


2015 ◽  
Vol 13 (2) ◽  
Author(s):  
Lathiefah Ekawati ◽  
NurHaidah . ◽  
Marlik .

Leather tanning is an industry that processes raw hides into finished leather. This  process useschromium. Chromium will be in contact with workers’  skin. The purpose of this study is to describeskin disease in tanning workers in Mojopurno Village, Sub District of Ngariboyo, Magetan 2015.This is a descriptive study conducted by illustrating skin diseases in tanning workers. Thedescription of skin diseases in the study includes characteristicsof skin disease, knowledge,attitudes and actions of workers as well as environmental factors. The population of this study wastanning  workers of Mojopurno Village, Magetan.The result shows that there were 24 out of 103 workers who suffered from skin problems. Most ofthe sufferers were  41-50 years of 41.6%.  Exposure duration with Chromium was ≥ 8 hours / dayof  95.8% with doses of Chromium of 80 mcg / m3. 12.5% of the sufferers possessed  history ofallergy to chemicals. 54.2% Suffererspossessed  fairly good knowledge on occupational skindiseases. 100% sufferers performed good attitude and 66.7% sufferers performed good action.Work environment (temperature, humidity and ventilation) in the leather tanning of  Mojopurno Village, Magetan have qualified. Home Industry owners are advised to provide education on health and safety at work particularlyonoccupational disease, provideand enforce policies in the use the equipment. Workers areexpected to always usecomplete Personal Protective Equipment (PPE). Community around Leathertanning Home industry should submit suggestions and complaints to the owner of Home Industry.


Allergic contact dermatitis is a late hypersensitivity reaction caused after the skin is exposed to a specific allergen. Temporary henna tattoos have become very popular in children and adults.The organic compound, p-phenylendiamine (PPD) is frequently added to the henna pigment to make it darker. A 13 year old patient with a personal history of asthma and allergic rhinitis with immunotherapy for sensitization to Dermatophagoides farinae and Dermatophagoides pteronyssinus who presented since once week prior to consultation,skin lesions consisting of pruritic erythematous papules on his right forearm 3 days after applying a henna tattoo. During the physical examination, the skin lesions were marked in the shape and definition of the tattoo and mild desquamation was observed. Skin patch tests (Bial Aristegui Standard Contact Dermatitis Panel, Spain) were applied with positive results to p-phenylendiamine 1% with 2++ (strong positive reaction with vesicular erythema, infiltration and papules) in the first reading 48 hours later. The second reading was performed upon 96 hours of applying the tests, finding a 3 +++ (extreme positive reaction with intense erythema and infiltration, coalescing vesicles, bullous reaction) result and confirming it 7 days later. The patient was treated with a medium potency topical corticosteroid, mometasone 0.1% and cetirizine 10 mg twice a day for 7 days showing resolution of his skin lesions and symptoms. Temporary henna tattoos have been associated with a variety of inflammatory skin reactions.


2021 ◽  
Vol 1 (1) ◽  
pp. 26-31
Author(s):  
Muhammad Agung Pratama

Abstract. Skin disease is currently still a health problem for people in the world, including in Indonesia. The prevalence of all forms of dermatitis was 4.66%. Dermatitis often occurs in factory workers, such as garment factory workers, with 25.7% suffering from Occupational Contact Dermatitis (DKAK), which is related to the use of colored fabrics for fabrics. The use of personal protective equipment (PPE) in this case gloves can minimize the risk of contact dermatitis. The aim of this study was to assess the effectiveness of the use of personal protective equipment in reducing the incidence of contact dermatitis in workers. This type of research is the Scooping Review with article searches from Google Scholar, Science Direct and Springer Link. There were 83 articles that matched the inclusion criteria and those that matched the exclusion criteria were 3. The study was conducted March 2019- December 2020. The results of the analysis showed that the effectiveness of using personal protective equipment is very important to avoid the incidence of contact dermatitis in workers, especially to prevent factors -factors that put workers in contact with allergens and irritants. Abstrak. Penyakit Kulit saat ini masih menjadi masalah kesehatan bagi masyarakat di dunia, tak terkecuali di Indonesia. Prevalensi dari semua bentuk dermatitis adalah 4,66%. Dermatitis sering terjadi pada pekerja pabrik,  seperti misalnya pekerja pabrik garment sebesar 25,7 % menderita Dermatitis Kontak Akibat Kerja (DKAK), yang terkait penggunaan bahan warna untuk kain. Pemakaian Alat Pelindung Diri (APD) dalam hal ini sarung tangan dapat meminimalkan risiko terjadinya dermatitis kontak. Tujuan penelitian untuk menilai efektivitas penggunaan alat pelindung diri dalam mengurangi kejadian dermatitis kontak pada pekerja. Jenis penelitian yang digunakan adalah Scooping Review dengan pencarian artikel dari Google Scholar, Science Direct dan Springer Link. Artikel yang sesuai dengan kriteria inklusi sebanyak 83 artikel  dan yang sesuai dengan kriteria eksklusi adalah 3. Penelitian dilakukan Maret 2019- Desember 2020. Hasil telaah  analisis didapat efektivitas penggunaan alat pelindung diri sangat  penting  untuk menghindari kejadian dermatitis kontak pada para pekerja, terutama untuk mencegah faktor-faktor yang  membuat para pekerja berkontak dengan bahan-bahan alergen dan iritan.


2018 ◽  
Author(s):  
Seth R Stevens

This review describes eczematous dermatitis, or eczema, a skin disease that is characterized by erythematous vesicular, weeping, and crusting patches; atopic dermatitis, a common chronic inflammatory dermatosis that generally begins in infancy; and the ichthyoses, a group of diseases of cornification that are characterized by excessive scaling. The purpose of this review is to examine the major variants, epidemiology, etiology, diagnosis, differential diagnosis, and treatment of these dermatologic diseases. Figures depict chronic eczematous dermatitis, allergic contact dermatitis to poison ivy, seborrheic dermatitis, nummular eczema, acute eczematous patches, lichenified patches that appear after chronic rubbing of eczematous patches, erythroderma (total body erythema), and marked scaling (acquired ichthyosis). Tables list the diagnostic criteria for atopic dermatitis and the differential diagnosis of atopic dermatitis. This review contains 9 highly rendered figures, 2 tables, and 88 references.


2015 ◽  
Vol 1 (2) ◽  
pp. 38
Author(s):  
Ni Putu Rusmini

ABSTRAKPetugas TPS atau petugas pengangkut sampah merupakan pekerja yang setiap harinya mengambil atau mengangkut sampah dari rumah ke rumah untuk dikumpulkan kemudian di pilah-pilah di TPS dan akan dikirimkan ke tempat pembuangan yang lebih besar yaitu Tempat Pembuangan Akhir (TPA). Sepanjang hari petugas TPS bekerja dengan sampah sehingga membuat mereka mempunyai risiko tinggi terkena penularan penyakit kulit, baik yang memiliki efek secara langsung maupun tidak langsung. Salah satu upaya yang dapat dilakukan untuk mengurangi resiko terkena penularan penyakit kulit adalah dengan menggunakan Alat Pelindung Diri (APD) Kurangnya kesadaran, kepatuhan dan informasi tentang risiko bahaya, sebagian dari mereka tidak tidak menggunakan APD. APD yang kurang lengkap dapat memungkinkan kontak langsung dengan sampah sehingga mengakibatkan terjadinya gangguan kesehatan salah satunya yaitu menyebabkan penularan penyakit kulit. Jenis penelitian ini adalah analitik korelasi dengan pendekatan cross-sectional. Data diuji dengan Spearman rank test. Pengumpulan data dengan cara observasi, wawancara dan kuesioner. Peneliti menggunakan metode total sampling. Hasil uji statistik menunjukkan p=0.00 (α<0.05) dan r=0.761, sehingga terdapat hubungan yang kuat antara perilaku pemakaian APD dengan penularan penyakit kulit pada petugas TPS. Oleh sebab itu, diharapkan program pemerintah dan petugas kesehatan dapat mendukung penggunaan APD sebagai upaya preventif terhadap penularan penyakit kulit pada petugas TPS.Kata kunci : sampah, petugas TPS, alat pelindung diri (APD), penularan penyakit kulitABSTRACTA garbage worker who take or hauling garbage from house to house and collected and then sorted into the TPS every day and will be sent to landfills larger is the final disposal (landfill). Throughout the day poll workers working with litter so as to make them have a higher risk of skin disease transmission, both of which have the effect of directly or indirectly. One effort that can be done to reduce the risk of skin disease transmission is to use Personal Protective Equipment (PPE) Lack of awareness, compliance and information about the risk of harm, some of them not using PPE. APD incomplete can allow direct contact with garbage, which causes health problems one of which causes the skin disease transmission. This type of research is an analytic correlation with cross-sectional approach. Data were tested with Spearman rank test. The collection of data by means of observation, interviews and questionnaires. Researchers used total sampling method. Statistical analysis showed p = 0.00 (α <0,05) and r = 0.761, so there is a strong relationship between the behavior of the use of PPE with the skin disease transmission at the polling station officials. Therefore, it is expected the government programs and health workers can support the use of PPE as a preventative measure against the spread of skin disease at polling station officials.Keywords: garbage, garbage workers, Personal Protective Equipment (PPE), skin disease transmission. DOWNLOAD FULL TEXT PDF >>


Author(s):  
D Linn Holness ◽  
Irena Kudla ◽  
Joel G DeKoven ◽  
Sandra Skotnicki

Abstract Background Occupational skin diseases are common suggesting that there are still gaps in workplace prevention. Patch test surveillance systems provide an opportunity to collect work related information in addition to clinical information and patch test results. Objectives To examine 5 years of data related to workplace prevention by industry sector in a patch test surveillance database for workers with a diagnosis of occupational contact dermatitis. Methods The study was approved by the Research Ethics Board of St Michael’s Hospital. Information including demographics, clinical history, healthcare utilization, and workplace characteristics and prevention practices in addition to patch test results was collected from consenting patients. Results Workers in the healthcare and manufacturing sectors were more likely to report workplace training including skin protection training, whereas those in services and construction were less likely to report training. Conclusions Collecting basic workplace information with patch test surveillance databases can inform the occupational health and safety system about prevention practices in the workplace and identify areas for focussed intervention.


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