Occupational dermatitis to facial personal protective equipment in health care workers: A systematic review - 11/01/21
Abstract |
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.
Le texte complet de cet article est disponible en PDF.Key words : 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
Abbreviations used : ICD, ACD, HCWs, PPE
Plan
Funding sources: None. |
|
Conflicts of interest: Dr Chisolm serves as a consultant for Kimberly-Clark. Dr Jacob is the founder and chief executive officer of the Dermatitis Academy and has consulted for L'Oréal and Johnson & Johnson. Drs Yu, Chen, Mowad, Reeder, Hylwa, Dunnick, Goldminz, Wu, Zippin, and Atwater have no conflicts of interest to declare. |
|
IRB approval status: Reviewed and determined exempt by the Duke University Health System Institutional Review Board. |
|
Reprints not available from the authors. |
Vol 84 - N° 2
P. 486-494 - février 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?