الفهرس 
COVID-19Only 14 pages are availabe for public view
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Abstract
Coronavirus disease is caused by SARS-COV2 and represents the causative agent of a potentially fatal disease that is of great global public health concern.
The most common symptoms at onset of COVID-19 illness are fever, cough, fatigue, sputum production, headache, haemoptysis, diarrhoea, dyspnoea and lymphopenia.
Person-to-person transmission is a likely route for spreading COVID19 infection. This transmission occurs primarily via direct contact or through droplets spread by coughing or sneezing from an infected individual.
However, the wearing of the PPE on a daily basis and the frequent use of hand disinfectants often cause skin problems, which could reduce physicians enthusiasm for overloaded work and make them anxious at all stages of the pandemic.
N95 masks, goggles and face shields can squeeze and rub the cheek, forehead and nasal bridge, which may easily cause mechanical damage to the skin, leading to indentations, ecchymosis, maceration, abrasion and erosion.
Facial skin is at high risk of exposure to virus particles and should be rinsed with clean water after rubbing with cleansers, while the risk of hair and body skin is relatively low and once‐ a‐ day cleaning is enough. Hand hygiene is extremely important. The hands should be washed before and after wearing PPE or contacting with COVID‐ 19 patients, and after exposure to contaminated items. Soap‐ based cleansers and synthetic cleansers can be used. Excessive washing of the skin and repeated application of disinfectants should be avoided.
The aim of this work was aimed to to collate and categorize the side effect of PPE and disinfectants on the physicians in their fight with COVID19
This study was conducted on 253 physicians working on different health care facilities deal with COVID-19 out breaks by using a questionnaire titled ”side effects of PPE and disinfectants on skin”.
Results of the current study could be summarized as follows:
1. Most common PPE used among the participants was surgical mask (83.4%) followed by gloves (68%), face shield (37.5%), N95 (20.2%), full protective gowns (11.1%), goggles (11.9%), head cover (11.1%) and FFP3 (4.7%).
2. The majority of the participants were using PPE more than 4 hours (45.5%) and (39.5%) for 2-4 hours only and the more they used PPE the more side effects
3. Majority of the studied participants (97.2%) suffered from skin problems associated with PPE use.
4. Majority of the participants (42.3%) complained itching, while (39.9%) dryness, (33.6%) acne, (21%) eczema, (20.2%) hyperhidrosis, (16.2%) credness, (15.4%) rhinorrhoea, (8.3%) eye itching and (5.1%) dyspigmentation.
5. The most common PPE caused skin problems were face mask (66%) followed by gloves (47.8%), N95 (13.8%), full gowns (5.5%) and face shield (4.7%).
6. Majority of the participants complain itching (59.3%) followed by burning sensation (22.9%), soreness (13.4%) and pain (7.9%).
7. Only (40.7%) of the studied participants complained of previous dermatological diseases while (59.3%) denied. Most common previous dermatological disease among the participants was acne (28.1%) followed by contact dermatitis (24.9%), urticaria (14.6%), hyperhidrosis (6.7%), friction dermatitis (5.9%) and pressure injury (5.5%). (38.7%) of the studied participants admitted exacerbation of their disease by using of PPE. Only (49 %) of participants complain allergic disease.
This study show how physicians suffered during fightening COVID19