Skin damage among health care workers managing coronavirus disease-2019

Published:March 11, 2020DOI:
      To the Editor: Since the outbreak of coronavirus disease-2019 (COVID-19) in December 2019, more than 200,000 health care workers from all over China have been participating in the fight against this highly contagious disease in Hubei province, which is the center of infection in China. Skin damage caused by enhanced infection-prevention measures among health care workers, which could reduce their enthusiasm for overloaded work and make them anxious, has been reported frequently.
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      Linked Article

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          From the Editors: As the COVID-19 pandemic continues to evolve, recommendations to healthcare providers will change based on availability of testing and personal protective equipment. For many patients, virtual visits can take the place of in-person visits, and we should do what we can to protect our older patients who are at greatest risk for adverse outcomes of infection. As tests become more widely available, there may be a role for testing prior to the visit for those who require a procedure that cannot be delayed.
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      • Occupational skin disease among health care workers during the coronavirus (COVID-19) epidemic
        Journal of the American Academy of DermatologyVol. 82Issue 5
        • Preview
          In this issue of the JAAD, Lan et al1 report a high incidence of cutaneous complications related to prevention measures among health care workers treating patients with epidemic coronavirus (COVID-19) infection. It may be difficult to continue wearing protective gear in the face of cutaneous ulceration, and attempts to shift points of pressure and abrasion may reduce the effectiveness of the protective mask.
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      • Reply to: “Skin damage among health care workers managing coronavirus disease 2019”
        Journal of the American Academy of DermatologyVol. 83Issue 2
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          To the Editor: We were pleased to read the letter by Lan et al1 on the characteristics of skin damage caused by personal protective equipment (PPE) during the coronavirus disease 2019 (COVID-19) pandemic. They reported that 97.0% of health care workers (n = 526/546) experienced cutaneous adverse events because of PPE, commonly on the nasal bridge (83.1%) and cheeks (78.7%). Although mild and self-limited, damage to the skin should not be overlooked because it can lead to an increased risk of contracting COVID-19.
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      • Reply to: “Skin damage among health care workers managing coronavirus disease-2019”
        Journal of the American Academy of DermatologyVol. 82Issue 6
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          To the Editor: We read with interest the article “Skin damage among health care workers managing coronavirus disease-2019” written by Lan et al.1
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      • Rational hand hygiene during the coronavirus 2019 (COVID-19) pandemic
        Journal of the American Academy of DermatologyVol. 82Issue 6
        • Preview
          To the Editor: The enhanced preventive measures during the SARS-CoV-2 coronavirus disease 2019 (COVID-19) pandemic include proper hand hygiene. Health care workers (HCWs) may perform frequent handwashing with water and soap, leading to the potential complication of skin damage. In Lan et al's survey1 of 526 front-line COVID-19 HCWs, 74.5% reported damage to hand skin from enhanced infection prevention measures. HCWs who washed their hands more than 10 times per day reported more damage to hand skin (odds ratio, 2.17).
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