Table 2.
Reported cases of irritant contact dermatitis due to personal protective equipment and hand hygiene during COVID-19
Authors (Alphabetical), Year Published | Country of Origin | HCWs or Non-HCWs | Number of Patients | Location of ICD | Cause of Irritant Contact Dermatitis |
---|---|---|---|---|---|
Alluhayyan et al,20 2020 | Saudi Arabia | HCWs | Not specifically reported | Nasal bridge Cheeks Ears |
Pressure from goggles and facemasks |
200 | Hands Wrists Forearms |
Chemicals from hand cleansers, disinfectants, and natural rubber/latex gloves | |||
Bothra et al,15 2020 | India | Both | 5 | Retroauricular | Mask straps (thermoelastic polymer, latex) Dyes and disinfectant use on masks |
Chaiyabutr et al,21 2020 | Thailand | Non-HCW | Not specifically reported | Face | Multilayer surgical masks leading to occlusion; N95 mask borders leading to abrasion |
Ferguson et al,16 2020 | United Kingdom | HCWs | 69 | Face | Pressure from fitted mask and length of mask worn |
110 | Hands | Chemicals from Clinell wipes (GAMA Healthcare, Watford, UK), benzalkonium chloride | |||
Hu et al,22 2020 | China | HCWs | 58 | Face Nasal bridge Ears |
Pressure from N95 respirators |
54 | Hands | Latex gloves | |||
37 | Body | Disposable gowns worn 10 h daily for 3.5 mo | |||
Kiely et al,23 2020 | Ireland | HCWs | 26.28% | Forehead Nose Cheeks |
Length of use of facial PPE |
76.43% ∗223 total HCW—some complained of facial and hand dermatitis |
Hands | Excessive handwashing | |||
Metin et al,24 2020 | Turkey | HCWs | 194 | Face | Excessive face washing |
782 | Hands | Excessive hand hygiene Excessive glove use |
|||
200 | Body | Excessive daily showering | |||
Singh et al,17 2020 | India | HCWs | 28 | Forehead Temple Ears Eyelids/canthus Cheeks and chin Nasal bridge Lips/mouth |
Duration of wear and fitting of goggles, N95 respirators, and face shields |
Techasatian et al,25 2020 | Thailand | Both | 454 | Ears Face |
Physical/frictional from ear straps and pressure from face masks |