Dermatite induzida por produtos de higiene das mãos no contexto da pandemia de Covid-19

Abstract

The COVID-19 pandemic ravaged the entire planet and important behaviors were reinforced by all health control agencies around the world, such as social distancing, the use of protective masks and hand hygiene, through washing with water and soap or application of alcohol gel. The aim of this study was to carry out an integrative review of the evidence in the literature on the characteristics of dermatitis induced by hand hygiene products in the context of the COVID-19 pandemic and to carry out a survey of information through a structured questionnaire on the behavior of the population and the hand hygiene care during 2020. An integrative review of articles was carried out, following the PICOS strategy, in Portuguese, English and Spanish, between December 2019 and April 2021, with the descriptors: contact dermatitis; hand dermatitis; hand disinfection; occupational dermatitis; occupational irritant hand dermatitis AND COVID-19; coronavirus; pandemic; pandemic; SARS-COV-2 with their corresponding terms in Portuguese and Spanish. The Boolean OR operator was applied between the terms. The search was performed in PubMed, MEDLINE, LILACS and Scielo databases. An electronic form was made available online to answer questions related to hand hygiene and cleaning habits within the context of the COVID-19 pandemic. According to the results, from the search for studies and with double and triple crossings, 557 articles were found, among these, 24 articles were selected related to the study topic. The answers to the questions were converted into numbers and the normality of the distribution of variables was tested using the Shapiro-Wilk test. The data obtained were analyzed by Student's t and Wilcoxon statistical tests and correlation analyzes were performed using the Pearson's Correlation Coefficient using the SPSS software (IBM SPSS Statistics for Windows, version 25.0.; IBM, Armonk, New York) in the interval 95% confidence. A total of 1027 responses to the questionnaire were obtained and it was observed that 21.4% of the participants had COVID-19 and 93% changed their hand hygiene habits after the pandemic, the habit of using alcohol gel was one of the biggest changes (83.1 %), 52.2% of the participants learned something new about cleaning their hands after the pandemic and 74.6% noticed a change in the skin on their hands after the onset of the pandemic. Among those interviewed, 8% had to seek medical help for problems with the skin on their hands. We can conclude that education measures on hand hygiene habits should persist as important public health actions and the quality of products used for hand hygiene should be a factor to be considered both by establishments that provide hygiene products and by purchased products by the users.