Skin care and hygiene among healthcare professionals during and after the SARS-CoV-2 pandemic

The severe acute respiratory syndrome coronavirus 2 pandemic has necessitated enhanced protection against viral transmission among healthcare professionals, particularly relating to handwashing and personal protective equipment. Some of these requirements may persist for years to come. They bring as...

Full description

Bibliographic Details
Main Authors: Jason K Rivers, John P Arlette, Joel DeKoven, Lyn C Guenther, Channy Muhn, Vincent Richer, Nathan Rosen, Jean-François Tremblay, Marni C Wiseman, Catherine Zip, David Zloty
Format: Article
Language:English
Published: SAGE Publishing 2021-12-01
Series:SAGE Open Medicine
Online Access:https://doi.org/10.1177/20503121211062795
_version_ 1818572757111144448
author Jason K Rivers
John P Arlette
Joel DeKoven
Lyn C Guenther
Channy Muhn
Vincent Richer
Nathan Rosen
Jean-François Tremblay
Marni C Wiseman
Catherine Zip
David Zloty
author_facet Jason K Rivers
John P Arlette
Joel DeKoven
Lyn C Guenther
Channy Muhn
Vincent Richer
Nathan Rosen
Jean-François Tremblay
Marni C Wiseman
Catherine Zip
David Zloty
author_sort Jason K Rivers
collection DOAJ
description The severe acute respiratory syndrome coronavirus 2 pandemic has necessitated enhanced protection against viral transmission among healthcare professionals, particularly relating to handwashing and personal protective equipment. Some of these requirements may persist for years to come. They bring associated concerns around skin hygiene and general care, with damage to the face and hands now a well-documented consequence among healthcare professionals. This review assesses optimal skin care during the severe acute respiratory syndrome coronavirus 2 pandemic and in the “new normal” that will follow, identifies current knowledge gaps, and provides practical advice for the clinical setting. Regular, systematic hand cleaning with soap and water or an alcohol-based hand rub (containing 60%–90% ethanol or isopropyl alcohol) remains essential, although the optimal quantity and duration is unclear. Gloves are a useful additional barrier; further studies are needed on preferred materials. Moisturization is typically helpful and has proven benefits in mitigating damage from frequent handwashing. It may be best practiced using an alcohol-based hand rub with added moisturizer and could be particularly important among individuals with pre-existing hand dermatoses, such as psoriasis and eczema. Face moisturization immediately prior to donning a mask, and the use of dressings under the mask to reduce friction, can be helpful dermatologically, but more work is required to prove that these actions do not affect seal integrity. Nonetheless, such measures could play a role in institutional plans for mitigating the dermatologic impact of transmission control measures as we exit the pandemic.
first_indexed 2024-12-15T00:01:55Z
format Article
id doaj.art-7b0128ef946d49958affc461d655ab32
institution Directory Open Access Journal
issn 2050-3121
language English
last_indexed 2024-12-15T00:01:55Z
publishDate 2021-12-01
publisher SAGE Publishing
record_format Article
series SAGE Open Medicine
spelling doaj.art-7b0128ef946d49958affc461d655ab322022-12-21T22:42:53ZengSAGE PublishingSAGE Open Medicine2050-31212021-12-01910.1177/20503121211062795Skin care and hygiene among healthcare professionals during and after the SARS-CoV-2 pandemicJason K Rivers0John P Arlette1Joel DeKoven2Lyn C Guenther3Channy Muhn4Vincent Richer5Nathan Rosen6Jean-François Tremblay7Marni C Wiseman8Catherine Zip9David Zloty10Pacific Derm, Vancouver, BC, CanadaDepartment of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB, CanadaDivision of Dermatology, Department of Medicine, University of Toronto, Toronto, ON, CanadaGuenther Research Inc., London, ON, CanadaDermetics, Burlington, ON, CanadaPacific Derm, Vancouver, BC, CanadaDermetics, Burlington, ON, CanadaMediME Clinic, Montreal, QC, CanadaSkinwise Dermatology, Winnipeg, MB, CanadaUniversity of Calgary, Calgary, AB, CanadaDepartment of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, CanadaThe severe acute respiratory syndrome coronavirus 2 pandemic has necessitated enhanced protection against viral transmission among healthcare professionals, particularly relating to handwashing and personal protective equipment. Some of these requirements may persist for years to come. They bring associated concerns around skin hygiene and general care, with damage to the face and hands now a well-documented consequence among healthcare professionals. This review assesses optimal skin care during the severe acute respiratory syndrome coronavirus 2 pandemic and in the “new normal” that will follow, identifies current knowledge gaps, and provides practical advice for the clinical setting. Regular, systematic hand cleaning with soap and water or an alcohol-based hand rub (containing 60%–90% ethanol or isopropyl alcohol) remains essential, although the optimal quantity and duration is unclear. Gloves are a useful additional barrier; further studies are needed on preferred materials. Moisturization is typically helpful and has proven benefits in mitigating damage from frequent handwashing. It may be best practiced using an alcohol-based hand rub with added moisturizer and could be particularly important among individuals with pre-existing hand dermatoses, such as psoriasis and eczema. Face moisturization immediately prior to donning a mask, and the use of dressings under the mask to reduce friction, can be helpful dermatologically, but more work is required to prove that these actions do not affect seal integrity. Nonetheless, such measures could play a role in institutional plans for mitigating the dermatologic impact of transmission control measures as we exit the pandemic.https://doi.org/10.1177/20503121211062795
spellingShingle Jason K Rivers
John P Arlette
Joel DeKoven
Lyn C Guenther
Channy Muhn
Vincent Richer
Nathan Rosen
Jean-François Tremblay
Marni C Wiseman
Catherine Zip
David Zloty
Skin care and hygiene among healthcare professionals during and after the SARS-CoV-2 pandemic
SAGE Open Medicine
title Skin care and hygiene among healthcare professionals during and after the SARS-CoV-2 pandemic
title_full Skin care and hygiene among healthcare professionals during and after the SARS-CoV-2 pandemic
title_fullStr Skin care and hygiene among healthcare professionals during and after the SARS-CoV-2 pandemic
title_full_unstemmed Skin care and hygiene among healthcare professionals during and after the SARS-CoV-2 pandemic
title_short Skin care and hygiene among healthcare professionals during and after the SARS-CoV-2 pandemic
title_sort skin care and hygiene among healthcare professionals during and after the sars cov 2 pandemic
url https://doi.org/10.1177/20503121211062795
work_keys_str_mv AT jasonkrivers skincareandhygieneamonghealthcareprofessionalsduringandafterthesarscov2pandemic
AT johnparlette skincareandhygieneamonghealthcareprofessionalsduringandafterthesarscov2pandemic
AT joeldekoven skincareandhygieneamonghealthcareprofessionalsduringandafterthesarscov2pandemic
AT lyncguenther skincareandhygieneamonghealthcareprofessionalsduringandafterthesarscov2pandemic
AT channymuhn skincareandhygieneamonghealthcareprofessionalsduringandafterthesarscov2pandemic
AT vincentricher skincareandhygieneamonghealthcareprofessionalsduringandafterthesarscov2pandemic
AT nathanrosen skincareandhygieneamonghealthcareprofessionalsduringandafterthesarscov2pandemic
AT jeanfrancoistremblay skincareandhygieneamonghealthcareprofessionalsduringandafterthesarscov2pandemic
AT marnicwiseman skincareandhygieneamonghealthcareprofessionalsduringandafterthesarscov2pandemic
AT catherinezip skincareandhygieneamonghealthcareprofessionalsduringandafterthesarscov2pandemic
AT davidzloty skincareandhygieneamonghealthcareprofessionalsduringandafterthesarscov2pandemic