Management of skin damage of health workers’ face: the role of plastic surgery in the time of Pandemic Management of skin damages in Covid-19 pandemic

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Roberto Cuomo
Francesco Ruben Giardino
Mirco Pozzi
Giuseppe Nisi
Andrea Sisti
Jingjian Han
Angelo Nuzzo
Alessia Muratori
Emanuele Cigna
Luigi Losco
Luca Grimaldi


Covid-19; nasal bridge ulcer; wound care; wounds



The Sars-Cov-2 virus is characterized by a being highly contagiousness, and this is the reason why massive use of personal protective equipment is required by medical and paramedical staff of the COVID-19 dedicated departments.

The aim of this manuscript is to describe and share our experience in the prevention and treatment of the personal protective equipment related pressure sores and other skin alterations in the medical and paramedical staff.

Materials and methods

All healthcare workers with PPE-related skin damages were registered at time 0.

Age, sex, profession, type of skin damage, diseases and possible drugs were registered.


Two strategies were emplyed: the first strategy was to immediately treat the skin and the second one was to prevent pressure wounds formation both in already affected healthcare workers and the recurrence in healed staff.

Three weeks after the two strategies were used, the incidence rate PPE-related skin damage was reduced in a statistically significant way.


Proper management helps in reducing the incidence of pressure ulcers related to  personal protective devices in CoVid-19 Units. Skin prevention and hydration, have been obtained achieved by using products applied at home, autonomously.


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