Occupational dermatitis to facial personal protective equipment in health care workers: A systematic review

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY

卷:84

Review

Yu, Jiade¹  Chen, Jennifer K.²  Mowad, Christen M.³  Reeder, Margo⁴  Hylwa, Sara^5,6  Chisolm, Sarah^7,8  Dunnick, Cory A.^9,10  Goldminz, Ari M.¹¹  Jacob, Sharon E.^12,13  Wu, Peggy A.¹⁴  Zippin, Jonathan¹⁵  Atwater, Amber Reck¹⁶ 

[1] Harvard Med Sch, Dept Dermatol, Massachusetts Gen Hosp, Boston, MA 02115 USA

[2] Stanford Univ, Sch Med, Dept Dermatol, Redwood City, CA USA

[3] Geisinger Med Ctr, Div Dermatol, Danville, PA 17822 USA

[4] Univ Wisconsin, Sch Med & Publ Hlth, Madison, WI 53706 USA

[5] Hennepin Healthcare, Hlth Partners Inst, Dept Dermatol, Minneapolis, MN USA

[6] Univ Minnesota, Minneapolis, MN USA

[7] Emory Univ, Dept Dermatol, Grady Mem Hosp, Reg Telehlth Serv, Atlanta, GA 30322 USA

[8] Vet Affairs Vet Integrated Serv Network, 7 Southeast Network, Decatur, GA USA

[9] Univ Colorado Anschutz Med Campus, Dept Dermatol, Aurora, CO USA

[10] Rocky Mt Reg Vet Affairs Med Ctr, Dermatol Serv, Aurora, CO USA

[11] Harvard Med Sch, Brigham & Womens Hosp, Dept Dermatol, Boston, MA 02115 USA

[12] Loma Linda Univ, Dept Dermatol, Loma Linda, CA 92350 USA

[13] Univ Calif Riverside, Dept Med & Pediat, Riverside, CA 92521 USA

[14] Univ Calif Davis, Dept Dermatol, Sacramento, CA 95817 USA

[15] Weill Cornell Med, Dept Dermatol, New York, NY USA

[16] Duke Univ, Med Ctr, Duke Dermatol, Durham, NC 27706 USA

关键词: acne;    allergic contact dermatitis;    contact dermatitis;    contact urticaria;    face mask;    irritant contact dermatitis;    mask;    medical face mask;    N95;    N95 mask;    N95 respirator;    occupational dermatitis;    occupational dermatoses;    personal protective equipment;    procedure mask;    respirator;    surgical mask;    systematic review;   

DOI  :  10.1016/j.jaad.2020.09.074

来源: Elsevier

【 摘 要 】

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 MetaAnalyses 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.

【 授权许可】

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