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

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 reactio...

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Vydané v:Contact dermatitis Ročník 83; číslo 2; s. 115 - 121
Hlavní autori: Hua, Wei, Zuo, Ying, Wan, Ruoyu, Xiong, Lidan, Tang, Jie, Zou, Lin, Shu, Xiaohong, Li, Li
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Oxford, UK Blackwell Publishing Ltd 01.08.2020
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Predmet:
Adult
adverse skin reaction, N95 respirator, medical mask, skin biophysical property
Betacoronavirus
Coronavirus Infections
COVID-19
Erythema
Erythema - etiology
Facial Dermatoses - etiology
Female
Healthy Volunteers
Humans
Hydration
Hydrogen-Ion Concentration
Male
Masks
Masks - adverse effects
Middle Aged
Original
Pain - etiology
Pandemics
pH effects
Physiology
Pneumonia, Viral
Pruritus - etiology
Respirators
Respiratory Protective Devices - adverse effects
SARS-CoV-2
Sebum
Secretion
Side effects
Skin
Young Adult
adverse skin reaction, N95 respirator, medical mask, skin biophysical property
ISSN:0105-1873, 1600-0536, 1600-0536
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Shrnutí: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.
Bibliografia:Funding information
1.3.5 project for disciplines of excellence, West China Hospital, Sichuan University, Grant/Award Number: ZY2016106
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Funding information 1.3.5 project for disciplines of excellence, West China Hospital, Sichuan University, Grant/Award Number: ZY2016106
ISSN:0105-1873
1600-0536
1600-0536
DOI:10.1111/cod.13601