Carolina Coombes-Perez, Paula Arribas-Garcia, Amira Llerena-Delgado, Manuel Armando Del Solar-Chacaltana, Rodrigo M Carrillo-Larco
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The questionnaire focused on reporting SLs related to PPE use.</p><p><strong>Results: </strong>The frequency of SLs among our sample of HCWs was 77%. The most frequent SLs were erythema (44%), comedones (18%), and erosions (15%), located most frequently on the nasal bridge (62%) and cheeks (28%). Of the surveyed HCWs, 39% reported using some form of prevention method to avoid SLs, with adhesive tape or bandages being the most common (58%). Working in the intensive care unit (adjusted prevalence ratio [aPR], 1.60; 95% CI, 1.11-2.29), working >12 hours per day (aPR, 1.64; 95% CI, 1.11-2.41), and experiencing burning sensations (aPR, 1.27; 95% CI, 1.05-1.55) or dryness (aPR, 1.39; 95% CI, 1.02-1.90) on the skin were associated with a higher likelihood of having SLs.</p><p><strong>Conclusions: </strong>By documenting the frequency of SL in our sample of HCWs while using PPE, we underscore the need for continuous biosafety monitoring to improve occupational well-being among HCWs.</p>","PeriodicalId":19517,"journal":{"name":"Open Forum Infectious Diseases","volume":"12 9","pages":"ofaf509"},"PeriodicalIF":3.8000,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461874/pdf/","citationCount":"0","resultStr":"{\"title\":\"Skin Lesions and Personal Protective Equipment in Health Care Workers From Lima, Peru, During the COVID-19 Pandemic: A Cross-sectional Study.\",\"authors\":\"Carolina Coombes-Perez, Paula Arribas-Garcia, Amira Llerena-Delgado, Manuel Armando Del Solar-Chacaltana, Rodrigo M Carrillo-Larco\",\"doi\":\"10.1093/ofid/ofaf509\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>During the COVID-19 pandemic, health care workers (HCWs) relied on personal protective equipment (PPE) to mitigate COVID-19 infections. However, prolonged use of PPE led to a risk of developing skin lesions (SLs).</p><p><strong>Methods: </strong>In this study, we evaluated the frequency, characteristics, and factors associated with SLs while using PPE. We surveyed 190 HCWs in 2 hospitals in Lima, Peru, between September 2020 and May 2021 using a convenience sampling method. Eligible participants were hospital personnel actively working on-site and using PPE. The questionnaire focused on reporting SLs related to PPE use.</p><p><strong>Results: </strong>The frequency of SLs among our sample of HCWs was 77%. The most frequent SLs were erythema (44%), comedones (18%), and erosions (15%), located most frequently on the nasal bridge (62%) and cheeks (28%). Of the surveyed HCWs, 39% reported using some form of prevention method to avoid SLs, with adhesive tape or bandages being the most common (58%). Working in the intensive care unit (adjusted prevalence ratio [aPR], 1.60; 95% CI, 1.11-2.29), working >12 hours per day (aPR, 1.64; 95% CI, 1.11-2.41), and experiencing burning sensations (aPR, 1.27; 95% CI, 1.05-1.55) or dryness (aPR, 1.39; 95% CI, 1.02-1.90) on the skin were associated with a higher likelihood of having SLs.</p><p><strong>Conclusions: </strong>By documenting the frequency of SL in our sample of HCWs while using PPE, we underscore the need for continuous biosafety monitoring to improve occupational well-being among HCWs.</p>\",\"PeriodicalId\":19517,\"journal\":{\"name\":\"Open Forum Infectious Diseases\",\"volume\":\"12 9\",\"pages\":\"ofaf509\"},\"PeriodicalIF\":3.8000,\"publicationDate\":\"2025-08-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461874/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Open Forum Infectious Diseases\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/ofid/ofaf509\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/9/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"IMMUNOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Open Forum Infectious Diseases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/ofid/ofaf509","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"IMMUNOLOGY","Score":null,"Total":0}
Skin Lesions and Personal Protective Equipment in Health Care Workers From Lima, Peru, During the COVID-19 Pandemic: A Cross-sectional Study.
Background: During the COVID-19 pandemic, health care workers (HCWs) relied on personal protective equipment (PPE) to mitigate COVID-19 infections. However, prolonged use of PPE led to a risk of developing skin lesions (SLs).
Methods: In this study, we evaluated the frequency, characteristics, and factors associated with SLs while using PPE. We surveyed 190 HCWs in 2 hospitals in Lima, Peru, between September 2020 and May 2021 using a convenience sampling method. Eligible participants were hospital personnel actively working on-site and using PPE. The questionnaire focused on reporting SLs related to PPE use.
Results: The frequency of SLs among our sample of HCWs was 77%. The most frequent SLs were erythema (44%), comedones (18%), and erosions (15%), located most frequently on the nasal bridge (62%) and cheeks (28%). Of the surveyed HCWs, 39% reported using some form of prevention method to avoid SLs, with adhesive tape or bandages being the most common (58%). Working in the intensive care unit (adjusted prevalence ratio [aPR], 1.60; 95% CI, 1.11-2.29), working >12 hours per day (aPR, 1.64; 95% CI, 1.11-2.41), and experiencing burning sensations (aPR, 1.27; 95% CI, 1.05-1.55) or dryness (aPR, 1.39; 95% CI, 1.02-1.90) on the skin were associated with a higher likelihood of having SLs.
Conclusions: By documenting the frequency of SL in our sample of HCWs while using PPE, we underscore the need for continuous biosafety monitoring to improve occupational well-being among HCWs.
期刊介绍：
Open Forum Infectious Diseases provides a global forum for the publication of clinical, translational, and basic research findings in a fully open access, online journal environment. The journal reflects the broad diversity of the field of infectious diseases, and focuses on the intersection of biomedical science and clinical practice, with a particular emphasis on knowledge that holds the potential to improve patient care in populations around the world. Fully peer-reviewed, OFID supports the international community of infectious diseases experts by providing a venue for articles that further the understanding of all aspects of infectious diseases.
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