Hand hygiene during COVID-19: Recommendations from the American Contact Dermatitis Society - 30/09/20

Doi : 10.1016/j.jaad.2020.07.057

Chandler W. Rundle, MD ^a, Colby L. Presley, BA, BS ^b, Michelle Militello, MS ^b, Cara Barber, MPH ^c, Douglas L. Powell, MD ^d, Sharon E. Jacob, MD ^e,^f,^g, Amber Reck Atwater, MD ^h, Kalman L. Watsky, MD ⁱ, Jiade Yu, MD ^j, Cory A. Dunnick, MD ^a,^k,^⁎
^a Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado
^b Rocky Vista University College of Osteopathic Medicine, Parker, Colorado
^c Michigan State University College of Human Medicine, Grand Rapids, Michigan
^d Department of Dermatology, University of Utah, Salt Lake City, Utah
^e Loma Linda Veterans Affairs Medical Center, Loma Linda, California
^f Department Medicine and Pediatrics, University of California, Riverside, California
^g Department of Dermatology, Loma Linda University Center, Loma Linda, California
^h Department of Dermatology, Duke University Medical Center, Durham, North Carolina
ⁱ Department of Dermatology, Yale University School of Medicine, New Haven, Connecticut
^j Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
^k Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, Colorado

^∗Correspondence to: Cory A. Dunnick, MD, University of Colorado Anschutz Medical Campus, Department of Dermatology, 1665 Aurora Court F703, Aurora, CO 80045.University of Colorado Anschutz Medical CampusDepartment of Dermatology1665 Aurora Court F703AuroraCO80045

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Abstract

The recent COVID-19 pandemic has resulted in increased hand hygiene and hand cleansing awareness. To prevent virus transmission, the Centers for Disease Control and Prevention recommends frequent hand washing with soap and water. Hand hygiene products are available in a variety of forms, and while each of these formulations may be effective against COVID-19, they may also alter skin barrier integrity and function. As health care workers and the general population focus on stringent hand hygiene, the American Contact Dermatitis Society anticipates an increase in both irritant contact and allergic contact hand dermatitis. Alcohol-based hand sanitizers with moisturizers have the least sensitizing and irritancy potential when compared to soaps and synthetic detergents. This article provides an overview of the most frequently used hand hygiene products and their associations with contact dermatitis as well as recommendations from the American Contact Dermatitis Society on how to treat and prevent further dermatitis.

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Key words : allergic contact dermatitis, COVID-19, detergents, hand washing, irritant contact dermatitis, soap

Abbreviations used : ABHS, ACD, ACDS, CDC, ICD, SARS-CoV-2, TEWL