Short-term skin reactions following use of N95 respirators and medical masks

Autor: Wei Hua, Ying Zuo, Jie Tang, Lidan Xiong, Ruoyu Wan, Xiaohong Shu, Lin Zou, Li Li
Rok vydání: 2020
Předmět:
Sebum secretion
Male
business.product_category
Erythema
030207 dermatology & venereal diseases
0302 clinical medicine
Immunology and Allergy
Medicine
030212 general & internal medicine
Respirator
Respiratory Protective Devices
Skin
medical mask
integumentary system
Adverse skin reaction
Masks
Hydrogen-Ion Concentration
Middle Aged
N95 respirator
Healthy Volunteers
Female
Original Article
medicine.symptom
Coronavirus Infections
Adult
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
Pneumonia
Viral

Pain
Context (language use)
Dermatology
03 medical and health sciences
Betacoronavirus
Young Adult
Humans
Pandemics
Transepidermal water loss
business.industry
SARS-CoV-2
Pruritus
COVID-19
skin biophysical property
Original Articles
Crossover study
Sebum
Skin reaction
business
Facial Dermatoses
Zdroj: Contact Dermatitis
ISSN: 1600-0536
Popis: Background In the context of the COVID-19 pandemic, cases of adverse skin reactions related to the wearing of masks have been observed. Objectives To analyze the short-term effects of N95 respirators and medical masks, respectively, on skin physiological properties and to report adverse skin reactions caused by the protective equipment. Methods This study used a randomized crossover design with repeated measurements. Twenty healthy Chinese volunteers were recruited. Skin parameters were measured on areas covered by the respective masks and on uncovered skin 2 and 4 hours after donning, and 0.5 and 1 hour after removing the masks, including skin hydration, transepidermal water loss (TEWL), erythema, pH, and sebum secretion. Adverse reactions were clinically assessed, and perceived discomfort and non-compliance measured. Results Skin hydration, TEWL, and pH increased significantly with wearing the protective equipment. Erythema values increased from baseline. Sebum secretion increased both on the covered and uncovered skin with equipment-wearing. There was no significant difference in physiological values between the two types of equipment. More adverse reactions were reported following a N95 mask use than the use of a medical mask, with a higher score of discomfort and non-compliance. Conclusions This study demonstrates that skin biophysical characters change as a result of wearing a mask or respirator. N95 respirators were associated with more skin reactions than medical masks.
Databáze: OpenAIRE