Hald Marianne, Hansen Dorte Gilså, Blands Jette, Agner Tove, Johansen Jeanne Duus
Gentofte Hospital, Videncenter for Allergi, Dermatologisk Afdeling K, Syddansk Universitet, Audit Projekt Odense, Forskningsenheden for Almen Praksis i Odense, Sundhedsstyrelsen, Center for Forebyggelse.
Ugeskr Laeger. 2007 Aug 20;169(34):2772-6.
The aim of the present study was to assess knowledge and therapeutic preferences in the treatment of patients suffering from hand eczema in general practice.
A questionnaire was mailed to 700 Danish general physicians. Based on the case report of a man suffering from contact eczema on the hands and forearms for 4 months, the general physicians were asked to make a diagnosis, prescribe medication, advise the patient about general skin protection and consider a referral to a dermatologist.
451 (64%) completed the questionnaire. The diagnosis contact eczema was made by almost all respondents (98%). A more potent topical steroid was the most frequently prescribed medication, alternatively in combination with an antibiotic component. A subgroup (16%) wanted to prescribe a less potent topical steroid. Only 20% of the respondents wanted to refer the patient to a dermatologist at the first consultation.
Danish general physicians recognise the symptoms of contact eczema. The medical treatment is predominantly in agreement with general recommendations. A minor group would choose a less potent medication which could result in an inferior treatment. Attention should be paid to the fact that patients suffering from contact eczema which lasts more than one month ought to be referred to a dermatologist.
本研究的目的是评估全科医疗中手部湿疹患者治疗方面的知识和治疗偏好。
向700名丹麦全科医生邮寄了一份问卷。根据一名手部和前臂患接触性湿疹4个月男性的病例报告，要求全科医生做出诊断、开处方用药、就一般皮肤保护向患者提供建议并考虑转诊至皮肤科医生处。
451名（64%）完成了问卷。几乎所有受访者（98%）都做出了接触性湿疹的诊断。最常开具的药物是更强效的外用类固醇，也可与抗生素成分联合使用。一小部分人（16%）想开具效力较弱的外用类固醇。只有20%的受访者想在初次会诊时将患者转诊至皮肤科医生处。
丹麦全科医生能够识别接触性湿疹的症状。药物治疗主要与一般建议一致。一小部分人会选择效力较弱的药物，这可能导致治疗效果较差。应注意持续超过一个月的接触性湿疹患者应转诊至皮肤科医生处这一事实。
