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. 2022 Apr 20;30:e3551. doi: 10.1590/1518-8345.5636.3522

Figure 4. Preventive measures for the occurrence of skin injuries related to the use of Personal Protective Equipment. Imperatriz, MA, Brazil, 2021.

Recommendations for the prevention of injuries related to the use of masks, glasses and face shields
- Use an alcohol-free liquid protective barrier in areas of direct contact with PPE (e.g.: nose, cheeks, forehead, behind the ears) to protect the skin from moisture and friction. Before applying, make sure that the area is free of makeup. Do not apply to eyes or eyelids and allow to dry for 90 seconds before putting on the PPE 25 .
- Apply a thin hydrocolloid or foam dressing and adjust the material to the skin without tensioning it on the bridge of the nose, cheeks and forehead, covering the area where the mask, face shield and goggles rest 17 - 18 , 20 , 23 , 28 .
- Use acrylate-based moisturizers frequently, especially when not in direct patient care 17 .
- Fit the N95 mask correctly by fixing the clip and add a surgical mask for alignment 22 .
- Use a protective ear strap attached to the mask elastic 23 .
Recommendations for the prevention of injuries related to the use of gloves and protective clothing
- Wash hands with soap, detergent, soaps or light oils, without perfume and with the least number of preservatives, dry them well and apply talc powder to the hands and feet before putting on gloves and boots, in order to protect the skin from friction and excessive hydration. If the gloves are dry, do not put too much talc powder on them 22 .
- Apply specific hand cream regularly and avoid wearing gloves for a long time. Wearing cotton gloves or a layer of plastic gloves inside latex gloves helps protect against itching or irritation in people with a latex allergy 21 .
- Apply a barrier cream before and after using PPE to prevent skin flaking and dryness 28 - 29 .