REPERCUSSÕES NA SAÚDE DOS PROFISSIONAIS PELA PROTEÇÃO EXCESSIVA DE EQUIPAMENTOS NO COMBATE AO CORONAVIRUS: REVISÃO SISTEMÁTICA
DOI:
https://doi.org/10.63845/pcabax53Palavras-chave:
Infecções por Coronavirus. Pandemias. Pessoal de Saúde. Nível de Saúde. Equipamento de Proteção IndividualResumo
Objetivo: Descrever os danos provocados pelo uso excessivo dos equipamentos de proteção (EPI) nos profissionais que atuam no combate à Covid-19. Métodos: Revisão sistemática, realizada de abril a julho de 2020, nos sites da BVS, Scielo, PubMed e EBSCO. Resultados: Selecionou-se 5 estudos, compreendendo 5.062 profissionais. Os EPI citados foram máscaras N95/KN95 e cirúrgicas, luvas, roupas, óculos e aventais. Estes EPI contribuíram principalmente para o desenvolvimento de alterações cutâneas, como indentação facial, dermatites, acne e rosácea. Alterações como cefaleia também foram referidas. Não ficou clara a relação entre o tempo de uso do EPI e o desenvolvimento das lesões. Conclusão: Os EPI responsáveis pelos danos foram máscaras, luvas, aventais, óculos e roupas de proteção, que levaram principalmente a lesões cutâneas. É necessária a análise destas repercussões, suas formas de prevenção e a realização de estudos longitudinais para observar as relações entre tempo de uso dos equipamentos e surgimento de lesões.
Referências
. World Health Organization. Naming the coronavirus disease (COVID-19) and the virus that causes it [Internet]. Geneve: World Health Organization; 2020 [cited 2020 Mar 20]. Available from: http://who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(COVID-2019)-and-the-virus-that-causes-it
Chersich MF, Gray G, Fairlie L, Eichbaum Q, Mayhew S, Allwood B, et al. COVID-19 in Africa: care and protection for frontline healthcare worker. Global Health [Internet]. 2020 [cited 2020 jul 03]16:46. Available from: https://globalizationandhealth.biomedcentral.com/articles/10.1186/s12992-020-00574-3#citeas. doi: https://doi.org/10.1186/s12992-020-00574-3 DOI: https://doi.org/10.1186/s12992-020-00574-3
Mahase E. Covid-19: hoarding and misuse of protective gear is jeopardising the response, WHO warns. BMJ [Internet]. 2020 [cited 2020 Jul 4]; 368:m869. Available from: https://www.bmj.com/content/bmj/368/bmj.m869.full.pdf. doi: https://doi.org/10.1136/bmj.m869 DOI: https://doi.org/10.1136/bmj.m869
O'Neil A, Nicholls SJ, Redfern J, Brown A, Hare DL. Mental health and psychosocial challenges in the COVID-19 pandemic: food for thought for cardiovascular health care professionals. Heart Lung Circ [Internet]. 2020 [cited 2020 Jul 4];29(7):960-3. Available from: https://www.sciencedirect.com/science/article/pii/S1443950620301438. doi: https://doi.org/10.1016/j.hlc.2020.05.002 DOI: https://doi.org/10.1016/j.hlc.2020.05.002
Kantor J. Behavioral considerations and impact on personal protective equipment (PPE) use: early lessons from the coronavirus (COVID?19) outbreak. J Am Acad Dermatol [Internet]. 2020 [cited 2020 Jul 4];82(5):1087?8. Available from: https://www.jaad.org/article/S0190-9622(20)30391-1/fulltext. doi: https://doi.org/10.1016/j.jaad.2020.03.013 DOI: https://doi.org/10.1016/j.jaad.2020.03.013
Lan J, Song Z, Miao X. Skin damage among health care workers managing coronavirus disease-2019. J Am Acad Dermatol [Internet]. 2020 [cited 2020 Jul 15];82(5):1215-6. Available from: https://www.jaad.org/article/S0190-9622(20)30392-3/fulltext. doi: https://doi.org/10.1016/j.jaad.2020.03.014 DOI: https://doi.org/10.1016/j.jaad.2020.03.014
Bouaziz JD, Duong TA, Jachiet M, Velter C, Lestang P, Cassius C, et al. Vascular skin symptoms in COVID-19: a French observational study. J Eur Acad Dermatol Venereol [Internet]. 2020 [cited 2020 Jul 14]. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/jdv.16544. doi: https://doi.org/10.1111/jdv.16544 DOI: https://doi.org/10.1111/jdv.16544
Elston DM. Occupational skin desease amon health care workers during the coronavírus (Covid-19) epidemic. J Am Acad Dermatol [Internet]. 2020 [cited 2020 Jul 10];82(5):1085-6. Available from: https://www.jaad.org/article/S0190-9622(20)30390-X/fulltext. doi: https://doi.org/10.1016/j.jaad.2020.03.012 DOI: https://doi.org/10.1016/j.jaad.2020.03.012
Loibner M, Hagauer S, Schwantzer G, Berghold A, Zatloukal. Limiting factors for wearing personal protective equipment (PPE) in a health care environment evaluated in a randomised study. PLoS One [Internet]. 2019 [cited 2020 Jul 4];14(1):e0210775. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0210775. doi: https://doi.org/10.1371/journal.pone.0210775 DOI: https://doi.org/10.1371/journal.pone.0210775
Rowan NJ, Laffey JG. Challenges and solutions for addressing critical shortage of supply chain for personal and protective equipment (PPE) arising from Coronavirus disease (COVID19) pandemic - Case study from the Republic of Ireland. Sci Total Environ [Internet]. 2020 [cited 2020 Jul 10];725:138532. Available from: https://www.sciencedirect.com/science/article/pii/S0048969720320453. doi: https://doi.org/10.1016/j.scitotenv.2020.138532 DOI: https://doi.org/10.1016/j.scitotenv.2020.138532
Zhang B, Zhai R, Ma L. 2019 novel coronavirus disease epidemic: skin protection for healthcare workers must not be ignored. J Eur Acad Dermatol Venereol [Internet]. 2020 [cited 2020 Jul 10]. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jdv.16573. doi: https://doi.org/10.1111/jdv.16573 DOI: https://doi.org/10.1111/jdv.16573
Honda H, Iwata K. Personal protective equipment and improving compliance among healthcare workers in high-risk settings. Curr Opin Infect Dis [Internet]. 2016 [cited 2020 Jul 10];29(4):400-6. Available from: https://journals.lww.com/co-infectiousdiseases/Abstract/2016/08000/Personal_protective_equipment_and_improving.13.aspx. doi: 10.1097/QCO.0000000000000280 DOI: https://doi.org/10.1097/QCO.0000000000000280
Yuan N, Yang W, Lu J, Lv Z. Investigation of adverse reactions in healthcare personnel working in Level 3 barrier protection PPE to treat COVID-19. Postgrad Med J [Internet]. 2020 [cited 2020 Jul 10]. Available from: https://pmj.bmj.com/content/postgradmedj/early/2020/06/18/postgradmedj-2020-137854.full.pdf. doi: http://dx.doi.org/10.1136/postgradmedj-2020-137854 DOI: https://doi.org/10.1136/postgradmedj-2020-137854
Jiang Q, Liu Y, Wei W, Zhu D, Chen A, Liu H, et al. The prevalence, characteristics, and related factors of pressure injury in medical staff wearing personal protective equipment against COVID-19 in China: a multicenter cross-sectional survey. Int Wound J [Internet]. 2020 [cited 2020 Jul 10]. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/iwj.13391.doi: https://doi.org/10.1111/iwj.13391 DOI: https://doi.org/10.1111/iwj.13391
Hu K, Fan J, Li X, Gou X, Li X, Zhou X. The adverse skin reactions of health care workers using personal protective equipment for COVID-19. Medicine (Baltimore). 2020 [cited 2020 Jul 4];99(24):e20603. Available from: https://journals.lww.com/md-journal/FullText/2020/06120/The_adverse_skin_reactions_of_health_care_workers.49.aspx. doi: 10.1097/MD.0000000000020603 DOI: https://doi.org/10.1097/MD.0000000000020603
Lim EC, Seet RC, Lee KH, Wilder-Smith EP, Chuah BY, Ong BK. Headaches and the N95 face-mask amongst healthcare providers. Acta Neurol Scan [Internet]. 2006 [cited 2020 Jul 12];113(3):199-202. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1600-0404.2005.00560.x. doi: https://doi.org/10.1111/j.1600-0404.2005.00560.x DOI: https://doi.org/10.1111/j.1600-0404.2005.00560.x
Ong JJY, Bharatendu C, Goh Y, Tang JZY, Sooi KWX, Tan YL, et al. Headaches associated with personal protective equipment - a cross-sectional study among frontline healthcare workers during COVID-19. Headache [Internet]. 2020 [cited 2020 Jul 12];60(5):864-77. Available from: https://headachejournal.onlinelibrary.wiley.com/doi/full/10.1111/head.13811. doi: https://doi.org/10.1111/head.13811 DOI: https://doi.org/10.1111/head.13811
Krymchantowski AV. Headaches due to external compression. Curr Pain Headache Rep [Internet]. 2010 [cited 2020 Jul 4];14(4):321-4. Available from: https://link.springer.com/article/10.1007/s11916-010-0122-x. doi: https://doi.org/10.1007/s11916-010-0122-x DOI: https://doi.org/10.1007/s11916-010-0122-x
Navarro?Triviño FJ, Ruiz?Villaverde R. Therapeutic approach to skin reactions caused by personal protective equipment (PPE) during COVID?19 pandemic: an experience from a tertiary hospital in Granada, Spain. Dermatol Ther [Internet]. 2020 [cited 2020 Jul 12];e13838. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/dth.13838. doi: https://doi.org/10.1111/dth.13838 DOI: https://doi.org/10.1111/dth.13838
Gisondi P, Piaserico S, Conti A, Naldi L. Dermatologists and SARS-CoV-2: The impact of the pandemic on daily practice. J Eur Acad Dermatol Venereol [Internet]. 2020 [cited 2020 Jul 12]; 34(6):1196-201. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/jdv.16515. doi: https://doi.org/10.1111/jdv.16515 DOI: https://doi.org/10.1111/jdv.16515
Locatelli SM, LaVela SL, Gosch M. Health care workers’ reported discomfort while wearing filtering face-piece respirators. Workplace Health Saf [Internet]. 2014 [cited 2020 Jul 12];62(9):362-8. Available from: https://journals.sagepub.com/doi/10.3928/21650799-20140804-03. doi: https://doi.org/10.3928/21650799-20140804-03 DOI: https://doi.org/10.3928/21650799-20140804-03
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2021 Arquivos Catarinenses de Medicina
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
