Occupational dermatitis to facial personal protective equipment in health care workers: A systematic review,Journal of the American Academy of Dermatology

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Occupational dermatitis to facial personal protective equipment in health care workers: A systematic review
Journal of the American Academy of Dermatology ( IF 12.8 ) Pub Date : 2020-10-01 , DOI: 10.1016/j.jaad.2020.09.074
Jiade Yu ₁ , Jennifer K Chen ₂ , Christen M Mowad ₃ , Margo Reeder ₄ , Sara Hylwa ₅ , Sarah Chisolm ₆ , Cory A Dunnick ₇ , Ari M Goldminz ₈ , Sharon E Jacob ₉ , Peggy A Wu ₁₀ , Jonathan Zippin ₁₁ , Amber Reck Atwater ₁₂

Affiliation

Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Department of Dermatology, Stanford University School of Medicine, Redwood City, California.
Division of Dermatology, Geisinger Medical Center, Danville, Pennsylvania.
University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Departments of Dermatology, HealthPartners Institute, Hennepin Healthcare, and University of Minnesota, Minneapolis, Minnesota.
Department of Dermatology, Emory University, Grady Memorial Hospital, Regional Telehealth Service, and Veterans Affairs Veterans Integrated Service Network 7 Southeast Network, Decatur, Georgia.
Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado; Dermatology Service, Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, Colorado.
Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Department of Dermatology, Loma Linda University, Loma Linda, California; Department of Medicine and Pediatrics, University of California, Riverside, California.
Department of Dermatology, University of California, Davis, Sacramento, California.
Department of Dermatology, Weill Cornell Medicine, New York, New York.
Duke Dermatology, Duke University Medical Center, Durham, North Carolina.

Background

Prolonged wear of facial protective equipment can lead to occupational dermatoses.

Objective

To identify important causes of occupational dermatoses from facial protective equipment.

Methods

A systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed using PubMed and Embase databases. Articles were included if they reported occupational dermatoses caused by surgical/procedure masks or N95 respirators, or both.

Results

We identified 344 articles, and 16 were suitable for inclusion in this review. Selected articles focused on facial occupational dermatoses in health care workers. Allergic contact dermatitis to the elastic straps, glue, and formaldehyde released from the mask fabric was reported. Irritant contact dermatitis was common on the cheeks and nasal bridge due to pressure and friction. Irritant dermatitis was associated with personal history of atopic dermatitis and prolonged mask wear (>6 hours). Acneiform eruption was reported due to prolonged wear and occlusion. Contact urticaria was rare.

Limitations

Only publications listed in PubMed or Embase were included. Most publications were case reports and retrospective studies.

Conclusion

This systematic review from members of the American Contact Dermatitis Society highlights cases of occupational dermatitis to facial protective equipment, including potential offending allergens. This work may help in the diagnosis and treatment of health care workers with facial occupational dermatitis.

中文翻译：

职业性皮炎对医护人员面部个人防护装备的影响：系统评价

背景

长期佩戴面部防护设备会导致职业性皮肤病。

客观的

从面部防护设备中确定职业性皮肤病的重要原因。

方法

使用 PubMed 和 Embase 数据库按照系统评价和元分析的首选报告项目指南进行系统评价。如果文章报告了由外科/手术口罩或 N95 呼吸器或两者引起的职业性皮肤病，则包括在内。

结果

我们确定了 344 篇文章，其中 16 篇适合纳入本综述。精选文章侧重于卫生保健工作者的面部职业性皮肤病。据报道，弹性带、胶水和面罩织物释放的甲醛引起过敏性接触性皮炎。由于压力和摩擦，刺激性接触性皮炎在脸颊和鼻梁上很常见。刺激性皮炎与特应性皮炎的个人病史和长时间佩戴口罩（>6 小时）有关。据报道，由于长期磨损和闭塞，痤疮样爆发。接触性荨麻疹很少见。