{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T08:41:51Z","timestamp":1772268111475,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,12,27]],"date-time":"2021-12-27T00:00:00Z","timestamp":1640563200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Contact Dermatitis"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Health care workers (HCWs) report frequent adverse skin reactions (ASRs) due to face personal protective equipment (F\u2010PPE) use during the coronavirus disease 2019 (COVID\u201019) pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe self\u2010reported ASRs among HCWs using F\u2010PPE; investigate background factors, such as chronic skin diseases and skin types (dry, oily, combination, sensitive), and determine whether HCWs took preventive methods against ASRs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An online questionnaire was distributed to 22\u2009993 HCWs at hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of ASRs was 61.9% based on 10\u00a0287 responders. Different types of F\u2010PPE caused different reactions. The most common ASRs from surgical masks were spots and pimples (37.2%) and from FFP3 masks was red and irritated skin (27.3%). A significantly higher proportion of HCWs with chronic skin diseases had ASRs (71.6%) than those without chronic skin diseases (59.7%) (<jats:italic>P<\/jats:italic>\u00a0&lt;\u2009.001). Some skin types were more prone to ASRs (sensitive skin [78.8%] vs dry skin [54.3%]; <jats:italic>P<\/jats:italic>\u00a0=\u2009.001). HCWs using F\u2010PPE for &gt;6\u00a0hours versus &lt;3\u00a0hours per day had a four times higher ASR risk (<jats:italic>P<\/jats:italic>\u00a0=\u2009&lt;.001). Nearly all HCWs used preventive and\/or counteractive methods (94.2%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>It is important to consider background factors, such as chronic skin diseases and skin types, to prevent and counteract ASRs due to F\u2010PPE use.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cod.14022","type":"journal-article","created":{"date-parts":[[2021,12,5]],"date-time":"2021-12-05T10:34:30Z","timestamp":1638700470000},"page":"266-275","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Adverse skin reactions among health care workers using face personal protective equipment during the coronavirus disease 2019 pandemic: A cross\u2010sectional survey of six hospitals in Denmark"],"prefix":"10.1111","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2538-0567","authenticated-orcid":false,"given":"Jette G.","family":"Skiveren","sequence":"first","affiliation":[{"name":"Department of Dermatology and Copenhagen Wound Healing Centre Bispebjerg University Hospital  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malene F.","family":"Ryborg","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Copenhagen Wound Healing Centre Bispebjerg University Hospital  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Britt","family":"Nilausen","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Copenhagen Wound Healing Centre Bispebjerg University Hospital  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6957-8666","authenticated-orcid":false,"given":"Susan","family":"Bermark","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Copenhagen Wound Healing Centre Bispebjerg University Hospital  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9656-733X","authenticated-orcid":false,"given":"Peter A.","family":"Philipsen","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Copenhagen Wound Healing Centre Bispebjerg University Hospital  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,12,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16570"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/dth.14346"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12937"},{"key":"e_1_2_9_5_1","unstructured":"AlvesPM VazA FerreiraA MalcatoE et. al. A white paper. PRPPE guideline COVID\u201019. Prevention of skin lesions caused by Personal Protective Equipment (face masks respirators visors and protection glasses). 2020.https:\/\/www.aptferidas.com\/Ficheiros\/COVID19\/APTFeridas%20-%20RECOMENDAC%CC%A7A%CC%83O%20PREPI-COVID19%20ING.pdf. 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