PREVALENCE AND MICROBIOLOGICAL PROFILE OF CONTACT DERMATITIS AMONG HEALTHCARE WORKERS USING PERSONAL PROTECTIVE EQUIPMENT
- Authors
-
-
Syed Shahab Haider
Author
-
- Keywords:
- Contact Dermatitis, Cross-Sectional Studies, Face Masks, Gloves, Healthcare Workers, Occupational Diseases, Personal Protective Equipment
- Abstract
-
Background: Contact dermatitis is a frequent occupational skin disease among healthcare workers using personal protective equipment (PPE). Prolonged use during long shifts disrupts the skin barrier, causing dermatitis and increasing the risk of secondary microbial infections, an aspect poorly documented in regional settings.
Objective: To evaluate the prevalence and severity of contact dermatitis among healthcare workers using PPE during long shifts and to identify the associated microbial flora on affected skin.
Methods: A cross-sectional study was conducted over four months with 240 healthcare workers. Data were collected via questionnaires and clinical examination. Skin swabs from lesions were cultured for bacteria and fungi, with isolates identified using standard methods and antibiotic susceptibility testing.
Results: The prevalence of contact dermatitis was 38.8%, being highest among nurses (45.7%) and female staff (44.1%). Gloves (74.2%) and masks (51.6%) were the most common causes. Longer PPE use correlated with greater severity (r=0.34, p<0.001). Microbiological analysis identified Staphylococcus aureus in 48.4% of lesions, with 33.3% of these being Methicillin-resistant (MRSA). Candida species were isolated in 12.9% of cases.
Conclusion: Contact dermatitis is highly prevalent and is compounded by frequent colonization with resistant pathogens like MRSA. This underscores the need for a dual-focused intervention: preventive skin care and targeted management of microbial complications to safeguard healthcare workers and patients.
- Author Biography
- References
-
1. Babino G, Argenziano G, Balato AJCTOiA. Impact in contact dermatitis during and after SARS-CoV2 pandemic. 2022;9(1):19-26.
2. Michalak M, Pierzak M, Kręcisz B, Suliga EJN. Bioactive compounds for skin health: A review. 2021;13(1):203.
3. Lee EB, Lobl M, Ford A, DeLeo V, Adler BL, Wysong AJCa, et al. What is new in occupational allergic contact dermatitis in the year of the COVID pandemic? 2021;21(4):26.
4. Patel V, Atwater AR, Reeder MJC. Contact dermatitis of the hands: Is it irritant or allergic. 2021;107(3):129-32.
5. Bhatia R, Sindhuja T, Bhatia S, Dev T, Gupta A, Bajpai M, et al. Iatrogenic dermatitis in times of COVID‐19: a pandemic within a pandemic. 2020;34(10):e563.
6. Santoro PE, Borrelli I, Gualano MR, Proietti I, Skroza N, Rossi MF, et al. The dermatological effects and occupational impacts of personal protective equipment on a large sample of healthcare workers during the COVID-19 pandemic. 2022;9:815415.
7. Tesfaye AH, Engdaw GT, Aragaw FM, Kabito GGJBo. Prevalence and risk factors of work-related contact dermatitis symptoms among healthcare cleaners during the COVID-19 pandemic in Northwest Ethiopia: a multicentre cross-sectional survey. 2022;12(11):e069019.
8. AlEdani EM, Gurramkonda J, Chaudhri S, Amin A, Panjiyar BK, Al-Taie DS, et al. COVID-19-Related Risk Factors for Developing Occupational Contact Dermatitis Along With Its Incidence, Prevention, and Management: A Systematic Review. 2024;16(9).
9. Etgu F, Onder SJC, toxicology o. Skin problems related to personal protective equipment among healthcare workers during the COVID-19 pandemic (online research). 2021;40(3):207-13.
10. Darlenski R, Kazandjieva J, Tsankov NJCiD. Prevention and occupational hazards for the skin during COVID-19 pandemic. 2021;39(1):92-7.
11. Alluhayyan OB, Alshahri BK, Farhat AM, Alsugair S, Siddiqui JJ, Alghabawy K, et al. Occupational-related contact dermatitis: prevalence and risk factors among healthcare workers in the Al'Qassim region, Saudi Arabia during the COVID-19 pandemic. 2020;12(10).
12. Yu J, Chen JK, Mowad CM, Reeder M, Hylwa S, Chisolm S, et al. Occupational dermatitis to facial personal protective equipment in health care workers: a systematic review. 2021;84(2):486-94.
13. Sarfraz Z, Sarfraz A, Sarfraz M, Felix M, Bernstein JA, Fonacier L, et al. Contact dermatitis due to personal protective equipment use and hygiene practices during the COVID-19 pandemic: a systematic review of case reports. 2022;74:103254.
14. Keng BM, Gan WH, Tam YC, Oh CCJJi. Personal protective equipment-related occupational dermatoses during COVID-19 among health care workers: A worldwide systematic review. 2021;5:85-95.
15. Ong JJ, Bharatendu C, Goh Y, Tang JZ, Sooi KW, Tan YL, et al. Headaches associated with personal protective equipment–A cross‐sectional study among frontline healthcare workers during COVID‐19. 2020;60(5):864-77.
16. Kadiru RA, Upadya GM, Mohammed NJIJoD. Prevalence of contact dermatitis among healthcare workers during the Covid-19 pandemic: a cross-sectional investigation. 2024;27(4):207-16.
17. Daye M, Cihan FG, Durduran YJDt. Evaluation of skin problems and dermatology life quality index in health care workers who use personal protection measures during COVID‐19 pandemic. 2020;33(6):e14346.
18. Kısacık ÖG, Özyürek PJJotv. Skin-related problems associated with the use of personal protective equipment among health care workers during the COVID-19 pandemic: A online survey study. 2022;31(1):112-8.
19. Ho WYB, Tan LYC, Zhao X, Wang D, Lim HLJJJi. Epidemiology of occupational dermatoses associated with personal protective equipment use in the COVID-19 pandemic: risk factors and mitigation strategies for frontline health care workers. 2022;8:34-44.
20. Christopher PM, Roren RS, Tania C, Jayadi NN, Cucunawangsih CJIJoD, Venereology. Adverse skin reactions to personal protective equipment among health-care workers during COVID-19 pandemic: a multicenter cross-sectional study in Indonesia. 2020;3(04):211-8.
21. Montero-Vilchez T, Martinez-Lopez A, Cuenca-Barrales C, Rodriguez-Tejero A, Molina-Leyva A, Arias-Santiago SJD. Impact of gloves and mask use on epidermal barrier function in health care workers. 2021;32(1):57-62.
22. Sari ARP, Patria YN, Wiguna OR, Soebono H, Febriana SAJDr. Occupational skin dermatoses among health care workers: A review of adverse skin reactions to personal protective equipment. 2022;14(4):9474.
23. Hamnerius N, Pontén A, Bergendorff O, Bruze M, Björk J, Svedman CJAd-v. Skin exposures, hand eczema and facial skin disease in healthcare workers during the COVID-19 pandemic: a cross-sectional study. 2021;101(9):229.
- Downloads
- Published
- 2025-07-31
- Section
- Articles
- License
-
Copyright (c) 2025 Syed Shahab Haider (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.

