Qixia Jiang1, Siping Song2, Jihong Zhou1, Yuxiu Liu3, Aihua Chen4, Yuxuan Bai5, Jing Wang6, Zhixia Jiang7, Yanhong Zhang8, Haiying Liu9, Jiao Hua10, Jinli Guo11, Qiuying Han12, Yongli Tang13, Jiayu Xue14. 1. Department of Burns and Plastic Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China. 2. Wound Care Center of Outpatient Department, Medical School of Nanjing University, Nanjing, China. 3. Department of Medical Statistics, Jinling Hospital, Medical School of Nanjing University, Nanjing, China. 4. Department of Anorectal Surgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. 5. Clinical Academic Department, Zhejiang Top-Medical Dressing Co., Ltd., Wenzhou, China. 6. Nursing Department, Yangpu District Central Hospital Shanghai, Shanghai, China. 7. Nursing Department, Affiliated Hospital of Zunyi Medical University, Zunyi, China. 8. Nursing Department, Dalang Hospital of Dongguan, Dongguan, China. 9. Nursing Department, The Second People's Hospital of Wuxi, Wuxi, China. 10. Nursing Department, Affiliated Hospital of Jiangnan University (The Third People's Hospital of Wuxi), Wuxi, China. 11. Nursing Department, The Second Hospital of Shanxi Medical University, Taiyuan, China. 12. Nursing Department, Zhongshan Hospital Xiamen University, Xiamen, China. 13. Orthopedics Department, The First Affiliated Hospital of ChongQing Medical University, ChongQing, China. 14. Wound Care Center of Outpatient Department, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Abstract
Objective: To investigate the prevalence, characteristics, and preventive status of skin injuries caused by personal protective equipment (PPE) in medical staff. Approach: A cross-sectional survey was conducted online for understanding skin injuries among medical staff fighting COVID-19 in February 8-22, 2020. Participants voluntarily answered and submitted the questionnaire with cell phone. The questionnaire items included demographic data, grade of PPE and daily wearing time, skin injury types, anatomical sites, and preventive measures. Univariable analyses and logistic regression analyses were used to explore the risk factors associated with skin injuries. Results: A total of 4,308 respondents were collected from 161 hospitals and 4,306 respondents were valid. The overall prevalence of skin injuries was 42.8% (95% confidence interval [CI] 41.30-44.30) with three types of device-related pressure injuries, moist-associated skin damage, and skin tear. Co-skin injuries and multiple location injuries were 27.4% and 76.8%, respectively. The logistic regression analysis indicated that sweating (95% CI for odds ratio [OR] 87.52-163.11), daily wearing time (95% CI for OR 1.61-3.21), male (95% CI for OR 1.11-2.13), and grade 3 PPE (95% CI for OR 1.08-2.01) were associated with skin injuries. Only 17.7% of respondents took prevention and 45.0% of skin injuries were treated. Innovation: This is the first cross-sectional survey to understand skin injuries in medical staff caused by PPE, which is expected to be a benchmark. Conclusion: The skin injuries among medical staff are serious, with insufficient prevention and treatment. A comprehensive program should be taken in the future.
Objective: To investigate the prevalence, characteristics, and preventive status of skin injuries caused by personal protective equipment (PPE) in medical staff. Approach: A cross-sectional survey was conducted online for understanding skin injuries among medical staff fighting COVID-19 in February 8-22, 2020. Participants voluntarily answered and submitted the questionnaire with cell phone. The questionnaire items included demographic data, grade of PPE and daily wearing time, skin injury types, anatomical sites, and preventive measures. Univariable analyses and logistic regression analyses were used to explore the risk factors associated with skin injuries. Results: A total of 4,308 respondents were collected from 161 hospitals and 4,306 respondents were valid. The overall prevalence of skin injuries was 42.8% (95% confidence interval [CI] 41.30-44.30) with three types of device-related pressure injuries, moist-associated skin damage, and skin tear. Co-skin injuries and multiple location injuries were 27.4% and 76.8%, respectively. The logistic regression analysis indicated that sweating (95% CI for odds ratio [OR] 87.52-163.11), daily wearing time (95% CI for OR 1.61-3.21), male (95% CI for OR 1.11-2.13), and grade 3 PPE (95% CI for OR 1.08-2.01) were associated with skin injuries. Only 17.7% of respondents took prevention and 45.0% of skin injuries were treated. Innovation: This is the first cross-sectional survey to understand skin injuries in medical staff caused by PPE, which is expected to be a benchmark. Conclusion: The skin injuries among medical staff are serious, with insufficient prevention and treatment. A comprehensive program should be taken in the future.
Entities:
Keywords:
COVID-19; cross-sectional survey; medical staff; occupational injury; personal protective equipment; skin injury
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