Complicaciones de la utilización de equipos de protección individual en la pandemia de COVID-19
DOI:
https://doi.org/10.12707/RVI22051Palabras clave:
COVID-19, equipo de protección personal, efectos adversoResumen
Marco contextual: En 2020, el COVID-19 se declara pandemia. Los equipos de protección individual (EPI) surgen como medida eficaz para prevenir y controlar la transmisión, lo que provoca diversas complicaciones en los profesionales.
Objetivos: Identificar las complicaciones derivadas del uso de EPI.
Metodología: Estudio transversal, descriptivo, realizado en 118 profesionales de una unidad de salud local, que respondieron un cuestionario en línea a través de una invitación, vía correo electrónico, del responsable del servicio. Dictamen favorable del Comité de Ética.
Resultados: El respirador FPP2 (96,6%), la bata (79,6%) y el traje general (89,3%) fueron los res ponsables de la mayoría de las complicaciones, la hiperhidrosis relacionada con el uso del traje general (95,3%), el delantal (93,1%) y la bata (92,0%), las caídas asociadas al uso de cubrezapatos (94,6%), la xerodermia con el uso de guantes (65,2%) y la dificultad en la comunicación verbal relacionada con el uso de mascarillas.
Conclusión: Las complicaciones más frecuentes fueron hiperhidrosis, caídas y xerodermia, lo que sugiere reforzar la hidratación oral y cutánea, así como limitar el uso de EPI al tiempo absolutamente necesario.
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Almeida, I. M. (2020). Proteção da saúde dos trabalhadores da saúde em tempos de COVID-19 e respostas à pandemia. Revista Brasileira de Saúde Ocupacional, 45, e17. https://doi.org/10.1590/scielopreprints.140
Alves, J., Reis, M., Barão, E., Souza. T., Guimarães, R., Almeida, L., Pereira, R., Freire, N., Germano, S., & Garrido, M. (2020). COVID-19: Impacto emocional da equipe de enfermagem na linha de frente no combate a pandemia. In R. Molin (Org.), Saúde em foco: Temas contemporâneos (vol. 1., pp. 623-632). Editora Científica
Casey, M., Mulkerns, A., O’Donnell, C., & McDonnell, T. (2018). Pulmonary rehabilitation in COPD: Current practice and future directions. In C. McCarthy (Ed.), COPD: An update in pathogenesis and clinical management (pp. 103-129). InTech.
Chen, C., & Chi, C. (2020). Biosafety in the preparation and processing of cytology specimens with potential coronavirus (COVID-19) infection: Perspectives from Taiwan. Cancer Cytopathology, 128(5),309-316. https://doi.org/10.1002/cncy.22280
Choi, J., Kim, S., Lee, J., Park, Y., Kim, Y., Um, S., Jung, K., Yoo, K., Park, S., & Yoon, H. (2020). Clinical characteristics of chronic obstructive pulmonary disease in female patients: Findings from a KOCOSS cohort. International Journal of Chronic Obstructive Pulmonary Disease, 15, 2217-2224. https://doi.org/10.2147/COPD.S269579
Darlenski, R., & Tsankov, N. (2020). Covid-19 pandemic and the skin: What should dermatologists know?. Clinics in Dermatology, 38(6), 785-787. https://doi.org/10.1016/j.clindermatol.2020.03.012
Direção-Geral da Saúde. (2020). Prevenção e controlo de infeção por SARS-CoV-2 (COVID-19): Equipamentos de proteção individual (EPI). https://www.dgs.pt/directrizes-da-dgs/normas-e-circulares-normativas/norma-n-0072020-de-29032020-pdf.aspx
Duan, L., & Zhu, G. (2020). Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry, 7(4), 300-302. https://doi.org/10.1016/S2215-0366(20)30073-0
Duan, Y., Peiris, D. L., Yang, M., Liang, W., Baker, J. S., Hu, C., & Shang, B. (2021). Lifestyle behaviors and quality of life among older adults after the first wave of the COVID-19 pandemic in Hubei China. Public Health, 9, 744514. https://doi.org/10.3389/fpubh.2021.744514
Elston, D. (2020). Occupational skin disease among health care workers during the coronavirus (COVID-19) epidemic. Journal of American Academy of Dermatology, 82(5), 1085-1086. https://doi.org/10.1016/j.jaad.2020.03.012
Galanis, P., Vraka, I., Fragkou, D., Bilali, A., & Kaitelidou, D. (2021). Impact of personal equipment use on health care workers’ physical health during the COVID-19 pandemic: A systematic review and meta-analysis. American Journal of Infection Control, 49(10), 1305-1315. https://doi.org/10.1016/j.ajic.2021.04.084
Gerolin, F. S., Pires, A. M., Nascimento, C., Schimitt, C., Bucione,
F. T., Rocha, J. S., Berlofi, L. M., & Ferrari, L. C. (2020). Ações de lideranças da enfermagem na organização do atendimento hospitalar a pacientes com COVID-19. Enfermagem em Foco, 11(2), 207-211. https://doi.org/10.21675/2357-707X.2020.v11.n2.ESP.3665
Hu, D., Kong, Y., Li, W., Han, Q., Zhang, X., Zhu, L. X., Wan, S. W., Liu, Z., Shen, Q., Yang, J., He, H., & Zhu, J. (2020). Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine, 24, 100424. https://doi.org/10.1016/j.eclinm.2020.100424
Jiang, Q., Song, S., Zhou, J., Liu, Y., Chen, A., Bai, Y., Wang, J., Jiang, Z., Zhang, Y., Liu, H., Hua, J., Guo, J., Han, Q., Tang, Y., & Xue, J. (2020). The prevalence, characteristics, and prevention status of skin injury caused by personal protective equipment among medical staff in fighting COVID-19: A multicenter, cross-sectional study. Advances in Wound Care, 9(7), 357-364. https://doi.org/10.1089/wound.2020.1212
Lan, J., Song, Z., Miao, X., Li, H., Li, Y., Dong, L., Yang, J., An, X., Zhang, Y., Yang, L., Zhou, N., Yang, L., Li, J., Cao, J., Wang, J., & Tao, J. (2020). Skin damage among health care workers man
Aging coronavirus disease-2019. Journal of the American Academy of Dermatology, 82(5), 1215-1216. https://doi.org/10.1016/j.jaad.2020.03.014
Luz, A. R., Noronha, R. M., & Navarro, T. P. (2020). Covid-19: Medidas de prevenção de lesão por pressão ocasionadas por equipamentos de proteção individual em profissionais da saúde. Revista Enfermagem Atual, 93, e-02001. https://doi.org/10.31011/reaid-2020-v.93-n.0-art.768
Moura, A., Vaz, A., Ferreira, A., Alves, P., Ramos, P., Malcato, E., Sousa, F., Homem-Silva, P., Alves, P., & Dias, V. (2020). Recomendação PREPI | COVID19: Prevenção de lesões cutâneas causadas pelos equipamentos de proteção individual: (Máscaras faciais, respiradores, viseiras e óculos de proteção). Journal of Tissue Healing and Regeneration. https://www.spci.pt/media/enfermagem/cuidar-de-quem-cuida/aptferidas-recomendacao-prepi-covid19.pdf
Ong, J. J., Bharatendu, C., Goh, Y., Tang, J. Z., Sooi, K. W., Tan, Y. L., Tan, B. Y., Teoh, H., Ong, S., Allen, D. M., & Sharma, V. K. (2020). Headaches associated with personal protective equipment–a cross-sectional study among frontline healthcare workers during COVID-19. Headache: The Journal of Head and Face Pain, 60(5), 864-877. https://doi.org/10.1111/head.13811
Ruskin, K. J., Ruskin, A. C., Musselman, B. T., Harvey, J. R., Nesthus, T. E., & O’Connor, M. (2021). COVID-19, personal protective equipment, and human performance. Anesthesiology, 134, 518-525. https://doi.org/10.1097/ALN.0000000000003684
World Health Organization. (2020). Rational use of personal protective equipment for COVID-19 and considerations during severe shortages. https://www.who.int/publications/i/item/rational-use-of-personal-protective-equipment-for-coronavirus-disease-(covid-19)-and-considerations-during-severe-shortages
