Prospective study on hand dermatitis in nurses and doctors during COVID-19 pandemic and its improvement by use of adopted recommendations of the European Academy of Dermatology and Venereology Task Force on Contact Dermatitis

Dermatol Ther. 2020 Nov;33(6):e14396. doi: 10.1111/dth.14396. Epub 2020 Oct 20.

Abstract

Frequency of hand disinfection and adverse skin reactions among health care workers dramatically increased since the COVID-19 outbreak and consensus recommendations on hand hygiene were presented. The aim of the present study was to check the efficacy of the European Academy of Dermatology and Venereology (EADV) Task Force (TF) on Contact Dermatitis (CD) recommendations in a real life and to search if providing products mentioned in that recommendations may increase its efficacy. Doctors and nurses who worked with patients during COVID-19 pandemic and use hand disinfectants received adopted recommendations of the EADV TF on CD only or together with mentioned in that recommendations gel with ethanol and glycerin and emollient. Prevalence of adverse skin reactions on hand disinfectants at baseline was 80.21%. In a month significant improvement of health-related quality of life (HRQoL) and self-assessed improvement of hand skin (P < .01 for both) was reported in "products" group only. Number of participants that had no impact on their HRQoL became higher and the Dermatology Life Quality Index scores lower than in "recommendations only" group (P = .03 and P = .02, respectively). Our results showed that recommendations of the EADV TF on CD may significantly improve HRQoL and hand skin status in health care professionals but provision with products mentioned in that recommendations is crucial.

Keywords: COVID-19; contact dermatitis; hand disinfection; health care professionals; pandemic; quality of life; sars-cov-2.

Publication types

  • Comparative Study

MeSH terms

  • Administration, Cutaneous
  • Adult
  • COVID-19 / prevention & control*
  • COVID-19 / transmission
  • Dermatitis, Occupational / diagnosis
  • Dermatitis, Occupational / epidemiology
  • Dermatitis, Occupational / prevention & control*
  • Emollients / administration & dosage*
  • Female
  • Gels
  • Glycerol / administration & dosage*
  • Hand Dermatoses / diagnosis
  • Hand Dermatoses / epidemiology
  • Hand Dermatoses / prevention & control*
  • Hand Disinfection*
  • Hand Sanitizers / adverse effects*
  • Humans
  • Infection Control*
  • Male
  • Middle Aged
  • Nursing Staff, Hospital*
  • Occupational Health
  • Physicians*
  • Prevalence
  • Prospective Studies
  • Quality of Life
  • Treatment Outcome
  • Young Adult

Substances

  • Emollients
  • Gels
  • Hand Sanitizers
  • Glycerol