Symvoulakis Emmanouil K, Krasagakis Konstantin, Komninos Ioannis D, Kastrinakis Ioannis, Lyronis Ioannis, Philalithis Anastasios, Tosca Androniki D
Department of Social Medicine, Faculty of Medicine, University of Crete, Greece.
BMC Fam Pract. 2006 Jan 31;7:6. doi: 10.1186/1471-2296-7-6.
In Greece where primary health care services are not fully developed, patients with simple or minor conditions have to attend to hospitals to be treated. We analysed the data of patients with cutaneous disorders attending the tertiary referral hospital on the Island of Crete, with the aim to identify the most common conditions that patients complain of, in order to define the areas where the education of General Practitioners in Dermatology must focus.
All patients attending the Dermatology ambulatory office in the Emergency Department of the University General Hospital of Heraklion from January 2003 to December 2003 were included in this retrospective analysis. The medical records of the patients (history, physical examination and laboratory investigations) were analysed to ascertain the diagnosis and the management of cases. All patients were evaluated by qualified dermatologists.
A total of 3715 patients attended the Dermatology Clinic. Most patients were young adults in the age group 21-40 years (38.4%), and the male to female ratio was 1 to 1.2. Allergic skin diseases, mostly dermatitis and urticaria (35.7%) were the most common for attendance, followed by infectious diseases (26.1%) and insect bites (10.2%). Inflammatory and autoimmune disorders accounted for 7.9% of the cases. Pruritus of unknown origin was diagnosed in 6.3% of patients. Skin tumors were detected in 2.7%. The management of the vast majority of cases (85.0%) consisted of advice with or without a prescription, while only 4.8% of patients required admission.
Allergic and infectious skin diseases were the most common cutaneous diseases in patients attending this tertiary University hospital, while the management of most patients did not require specialised care. On the basis of the present data, the training of primary health care providers in Dermatology should emphasize these common conditions, with the aim of improving primary care and alleviating the burden on hospital care.
在希腊，初级卫生保健服务尚未充分发展，患有简单或轻微疾病的患者不得不前往医院接受治疗。我们分析了克里特岛一家三级转诊医院皮肤科门诊患者的数据，旨在确定患者最常抱怨的疾病，以便明确全科医生皮肤病学教育应重点关注的领域。
纳入2003年1月至2003年12月在伊拉克利翁大学综合医院急诊科皮肤科门诊就诊的所有患者进行回顾性分析。分析患者的病历（病史、体格检查和实验室检查）以确定病例的诊断和治疗。所有患者均由合格的皮肤科医生进行评估。
共有3715名患者到皮肤科就诊。大多数患者为21 - 40岁的年轻人（38.4%），男女比例为1:1.2。过敏性皮肤病，主要是皮炎和荨麻疹（35.7%）是最常见的就诊原因，其次是传染病（26.1%）和昆虫叮咬（10.2%）。炎症性和自身免疫性疾病占病例的7.9%。6.3%的患者被诊断为不明原因瘙痒。皮肤肿瘤的检出率为2.7%。绝大多数病例（85.0%）的治疗包括给予建议（有或无处方），而只有4.8%的患者需要住院治疗。
过敏性和感染性皮肤病是这家三级大学医院就诊患者中最常见的皮肤疾病，而大多数患者的治疗不需要专科护理。根据目前的数据，初级卫生保健提供者的皮肤病学培训应强调这些常见疾病，以改善初级保健并减轻医院护理负担。
