Incidencia, tipología y medidas de prevención y tratamiento de las lesiones cutáneas asociadas al uso de EPI en profesionales sanitarios durante la pandemia de COVID-19 en España. Estudio colaborativo GNEAUPP-Cátedra de estudios avanzados en heridas GNEAUPP - FSJJ - Universidad de Jaén

  1. JE Torra-Bou 1
  2. JJ Soldevilla-Agreda 1
  3. FP García-Fernández 1
  4. J Verdú-Soriano 1
  5. M Rodríguez-Palma 1
  6. JF Jiménez-García 1
  7. JA Esperón-Güimil 1
  8. C Blasco-García 1
  9. P Ibars-Moncasí 1
  10. J Rueda-López 1
  11. E Perdomo-Pérez 1
  12. T Segovia-Gómez 1
  13. L Arantón-Areosa 1
  14. P López-Casanova 1
  15. F Martínez-Cuervo 1
  16. PL Pancorbo-Hidalgo 1
  1. 1 Comité Director del Grupo Nacional para el estudio y Asesoramiento en Úlceras por presión y Heridas Crónicas (GNEAUPP).
Journal:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Year of publication: 2021

Volume: 32

Issue: 1

Pages: 32-42

Type: Article

DOI: 10.4321/S1134-928X2021000100009 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

Abstract

ABSTRACT Introduction: The recent COVID-19 pandemic has represented the use by health care professionals (HCP) of different personal protective equipment (PPE), resulting in the appearance of skin injuries associated with PPE (PPE-SI). Knowing the epidemiology, characteristics and factors related to the use of different types of PPE and the prevention and treatment of PPE-SI can be very useful to understand the scope of the problem and to define strategies for its prevention and treatment in possible future pandemics. Methods: To this end, the GNEAUPP proposed the performance of a cross-sectional study, in the geographical area of the Spanish state, by means of a self-administered survey using a Google forms questionnaire. The study universe was HCP, from any discipline and from any level of care or type of institution with patients who have been in contact with COVID-19 patients or COVID-19 suspects and have used PPE during the first wave of the COVID-19 pandemic in Spain. Main results: We obtained 2078 questionnaires, 75.5% from nurses, 10.79% from nurse aids, and 6.6% from physicians. Of these, 84.7% were women and 15.3% were men with an average age of 43.7 years. In 18.2% of the cases the institution of the professional had a protocol for the prevention of PPE-SI, in 10.2% the professional did not know if it existed or not and in the remaining 71.3% the institution did not have such a protocol. 29.9% of the professionals always used some prevention product and 25.3% sometimes. 52.4% of respondents reported having submitted at least one PPE-SI, of which 39% had submitted one, 35.8% two, 14.3% three, 2.2% four and 8.6% more than four. In relation to PPE-SI, 74.3% were defined as pressure injuries (PI), 11% were friction injuries (FI), 8.5% were combined or multicausal injuries (CMCI) and 6.1% were skin injuries associated with moisture (MASI). The mean duration of incident injuries was 11.6 days (9.7 days for PI, 10.2 days for FI, 19.9 days for CMCI and 19.4 days for MASI). More detailed Information is presented in the paper by type of device causing, typology and severity of injuries per device as well as preventive measures used.

Bibliographic References

  • Tomás-Vecina, S,Martín-Delgado, MC,Mingueza Sebastián, Y,Fuz, F,Gómez Felipe, E,Benet, J. Seguridad del paciente y profesional durante la epidemia SARS-COV-2 (COVID-19) en España. Proyecto SEGCOVID. Fundación para la investigación, docencia e investigación en Seguridad del Paciente y Saham.
  • Torra-Bou, JE. (2020). Constatando con cifras la epidemia de lesiones por presión como consecuencia de la primera fase de la pandemia de COVID-19 en España. Blog Piel Segura.
  • (2006). Ministerio de Sanidad y Consumo Estudio nacional sobre los efectos adversos ligados a la hospitalización. ENEAS 2005. Informe Febrero 2006. Ministerio de Sanidad y Consumo. Madrid.
  • García-Fernández, FP,Soldevilla-Agreda, JJ,Pancorbo-Hidalgo, PL,Verdú-Soriano, J,López-Casanova, P,Rodríguez-Palma, M. (2014). Clasificación-categorización de las lesiones relacionadas con la dependencia. Grupo Nacional para el Estudio y Asesoramiento en Úlceras por Presión y Heridas Crónicas. Logroño.
  • García-Fernández, FP,Agreda, JJ,Verdú, J,Pancorbo-Hidalgo, PL. (2014). A New Theoretical Model for the Development of Pressure Ulcers and Other Dependence-Related Lesions. J Nurs Scholarsh. 46. 28-38
  • David, SJ. (2020). History in a Crisis - Lessons for Covid-19. N Engl J Med. 382. 1681
  • Fletcher, J. (2012). Device related pressure ulcers made easy. Wounds UK. 8. 1-4
  • Edsberg, LE,Black, JM,Goldberg, M,McNichol, L,Moore, L,Sieggreen, M. (2016). Revised National Pressure Ulcer Advisory Panel pressure injury staging system: revised pressure injury staging system. J Wound Ostomy Continence Nurs. 43. 585
  • Black, JM,Kalowes, P. (2016). Medical device-related pressure ulcers. Chronic Wound Care Management and Research. 3. 91
  • Gefen, A,Alves, P,Ciprandi, G,Coyer, F,Milne, CT,Ousey, K. (2020). Device related pressure ulcers: SECURE prevention. J Wound Care. 29. 1-52
  • Mazzotta, F,Troccoli, T. (2020). Acute acro-ischemia in the child at the time of COVID-19. Eur J Pediat Dermatol. 30. 71
  • Zhang, Y,Cao, W,Xiao, M,Li, YJ,Yang, Y,Zhao, J. (2020). Clinical and Coagulation Characteristics of 7 Patients With Critical COVID-2019 Pneumonia and Acro-Ischemia. Zhonghua Xue Ye Xue Za Zhi.
  • Recalcati, S. (2020). Cutaneous Manifestations in COVID-19: A First Perspective. Eur Acad Dermatol Venereol.
  • Estébanez, A,Pérez-Santiago, L,Silva, E,Gullien-Climent, S,García-Vázquez, A,Ramón, MD. (2020). Cutaneous Manifestations in COVID-19: A New Contribution. J Eur Acad Dermatol Venereol. 34. 250
  • Jiang, Q,Song, S,Zhou, J,Liu, Y,Chen, A,Bai, Y. (2020). The Prevalence, Characteristics, and Prevention Status of Skin Injury Caused by Personal Protective Equipment Among Medical Staff in Fighting COVID-19: A Multicenter, Cross-Sectional Study. Adv Wound Care (New Rochelle). 9. 357
  • Pei, S,Xue, Y,Zhao, S,Alexander, N,Mohamand, G,Chen, X. (2020). Occupational skin conditions on the front line: a survey among 484 Chinese healthcare professionals caring for Covid-19 patients. J Eur Acad Dermatol Venereol. 34. 354
  • Lan, J,Song, Z,Miao, X,Li, H,Li, Y,Dong, L. (2020). Skin damage among healthcare workers managing coronavirus disease-2019. J Am Acad Dermatol. 82. 1215
  • Lin, P,Zhu, S,Huang, Y,Li, L,Tao, J,Lei, T. (2020). Adverse Skin Reactions Among Healthcare Workers During the Coronavirus Disease 2019 Outbreak: A Survey in Wuhan and Its Surrounding Regions. Br J Dermatol.
  • Altinusik, S,Altunisik, N,Turkmen, D,Ersoy, Y. (2020). Relationship between hand hygiene and cutaneous findings during COVID-19 pandemic. J Cosmetic Dermatol.
  • Hadjieconomou, S,Hughes, J,Kamath, S. (2020). Occupational skin disease during the COVID-19 pandemic, as captured in a Dermatology staff clinic in the United Kingdom. J Eur Acad Dermatol Venereol. 34. 670
  • Hu, K,Fan, J,Li, X,Gou, X,Li, X,Zhou, X. (2020). The adverse skin reactions of health care workers using personal protective equipment for COVID-19. Medicine. 99.
  • Maliyar, K,Sachdeva, M,Mufti, A,Yeung, J. (2020). Reply to: "Skin damage among health care workers managing coronavirus disease 2019". J Am Acad Dermatol. 83. 169
  • Hu, D,Kong, Y,Li, W,Han, Q,Zhang, X,Zhu, LX. (2020). Frontline nurses, burnout, anxiety, depression and fear status and their associated factors during the COVID-19 outbreak in Wuhan, China: A large scale cross-sectional study. EClinicalMedicine. 24.
  • Shaukat, N,Mansoor, D,Razzak, J. (2020). Physical and mental health impacts of COVID-19 on healthcare workers: a scoping review. Int J Emerg Med. 13.
  • Reglamento (UE) 2016/679 del Parlamento Europeo y del Consejo, de 27 de abril de 2016, relativo a la protección de las personas físicas en lo que respecta al tratamiento de datos personales y a la libre circulación de estos datos y por el que se deroga la Directiva 95/46/CE (Reglamento general de protección de datos).
  • Mondal, H,Moldal, H,Mondal, S,Ghosal, T,Mondal, S. (2018). Using Google Forms for Medical Survey: A Technical Note. Int J Clin Exp Physiol. 5.
  • Rueda López, J,Blasco García, C,Segovia Gómez, T,Martínez Cuervo, F,Perdomo Pérez, E,Ibars Moncasí, P,Torra i Bou, JE. (2020). Prevención de las lesiones cutáneas relacionadas con la utilización de equipos de protección individual en profesionales sanitarios: Guía de recomendaciones. Grupo Nacional para el Estudio y Asesoramiento en Úlceras por Presión y Heridas Crónicas. Logroño.
  • Yildiz, A,Karadag, A,Yildiz, A,Çakar, V. (2020). Determination of the effect of prophylactic dressing on the prevention of skin injuries associated with personal protective equipments in health care workers during COVID-19 pandemic. J Tissue Viability.
Data source: Dialnet