ArticleInternational wound journal2021
Personal protective equipment related skin reactions in healthcare professionals during COVID-19.
Article in International wound journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Skin Problems in the Facial Area due to the Use of Personal Protective Equipment in Healthcare Workers: A Systematic Review.Journal of clinical nursing · 2025Pooled it
- Protective equipment-related pressure ulcers in healthcare workers during COVID-19 pandemic: A systematic review.Journal of tissue viability · 2022Pooled it
- The influence of gender and ethnicity on facemasks and respiratory protective equipment fit: a systematic review and meta-analysis.BMJ global health · 2021Pooled it
- ChitoHeal gel use on the nasal site for prevention of N95 masks caused pressure injuries: A randomised clinical trial.International wound journal · 2023Trial
- Article
- Lived Experiences of Intensive Care Professional Nurses Caring for COVID-19 Patients in Private Hospitals in Gauteng, South Africa: A Phenomenological Study.Journal of nursing management · 2024Article
- Article
- Characterisation of superficial corneocytes in skin areas of the face exposed to prolonged usage of respirators by healthcare professionals during COVID-19 pandemic.Journal of tissue viability · 2023Article
- Skin lesions associated with the use of N95 respirators among health professionals in Brazil in 2020.Revista latino-americana de enfermagem · 2023Article
- Biophysical and biochemical changes in skin health of healthcare professionals using respirators during COVID-19 pandemic.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2023Article
- The prevalence of facial pressure injuries among nurses during COVID-19 pandemic and its relationship to COVID-19 infection.Journal of tissue viability · 2022Article
- Health care workers' experience of personal protective equipment use and associated adverse effects during the COVID-19 pandemic response in Singapore.Journal of advanced nursing · 2022Article
- Personal protective equipment related skin changes among nurses working in pandemic intensive care unit: A qualitative study.Journal of tissue viability · 2022Article
- A combined imaging, deformation and registration methodology for predicting respirator fitting.PloS one · 2022Article
- Psychological Responses of Health Care Workers Are Strongly Associated With Pandemic Management.Frontiers in psychology · 2022Article
- Biomechanical and Physiological Evaluation of Respiratory Protective Equipment Application.Medical devices (Auckland, N.Z.) · 2022Article
- Personal protective equipment (PPE) related adverse skin reactions among healthcare workers at the main COVID-19 isolation center in Barbados.Frontiers in public health · 2022Article
- Review
- Personal protective equipment related skin reactions in healthcare professionals during COVID-19.International wound journal · 2021Article
- A Personal Respirator to Improve Protection for Healthcare Workers Treating COVID-19 (PeRSo).Frontiers in medical technology · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Since the outbreak of COVID-19 pandemic, clinicians have had to use personal protective equipment (PPE) for prolonged periods. This has been associated with detrimental effects, especially in relation to the skin health. The present study describes a comprehensive survey of healthcare workers (HCWs) to describe their experiences using PPE in managing COVID-19 patients, with a particular focus on adverse skin reactions. A 24-hour prevalence study and multi-centre prospective survey were designed to capture the impact of PPE on skin health of hospital staff. Questionnaires incorporated demographics of participants, PPE type, usage time, and removal frequency. Participants reported the nature and location of any corresponding adverse skin reactions. The prevalence study included all staff in intensive care from a single centre, while the prospective study used a convenience sample of staff from three acute care providers in the United Kingdom. A total of 108 staff were recruited into the prevalence study, while 307 HCWs from a variety of professional backgrounds and demographics participated in the prospective study. Various skin adverse reactions were reported for the prevalence study, with the bridge of the nose (69%) and ears (30%) being the most affected. Of the six adverse skin reactions recorded for the prospective study, the most common were redness blanching (33%), itchiness (22%), and pressure damage (12%). These occurred predominantly at the bridge of the nose and the ears. There were significant associations (P < .05) between the adverse skin reactions with both the average daily time of PPE usage and the frequency of PPE relief. The comprehensive study revealed that the use of PPE leads to an array of skin reactions at various facial locations of HCWs. Improvements in guidelines are required for PPE usage to protect skin health. In addition, modifications to PPE designs are required to accommodate a range of face shapes and appropriate materials to improve device safety.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.