Update to device-related pressure ulcers: SECURE prevention. COVID-19, face masks and skin damage

Amit Gefen*, Karen Ousey*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

110 Scopus citations


The 2019 novel coronavirus disease (COVID-19) pandemic has brought the effects of device-related pressure ulcers (DRPU) into sharp focus. With the increased use of personal protective equipment (PPE), including face masks, continuous positive airway pressure (CAPP) masks and other devices, the incidence of DRPUs among health professionals and patients alike has risen starkly. As such, the Journal of Wound Care (JWC) consensus document, Device-related pressure ulcers: SECURE prevention, published in February 2020, is more relevant than ever. To help support patients and frontline health professionals, JWC is republishing the consensus in a digital format, along with a new introductory article outlining the DRPU risks posed by PPE and other medical devices used by patients and health professionals during the pandemic, and how the skin damage can be avoided. The aim is to provide frontline staff with a clear, simple strategy on how to prevent the risk of personal skin damage and/or DRPU during the pandemic, as well as point them in the direction of more indepth guidance on long-term strategies for prevention, for both themselves and patients. Declaration of interest: The authors have no conflict of interest to declare regarding this work. This work was subject to peer-review.

Original languageEnglish
Pages (from-to)245-259
Number of pages15
JournalJournal of wound care
Issue number5
StatePublished - May 2020


  • COVID-19
  • Device-related pressure ulcer
  • Face masks
  • Personal protective equipment
  • Skin damag


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