坦桑尼亚达累斯萨拉姆市穆希姆比利国家医院收治患者中并存皮肤病的负担及其被忽视的倾向。

The burden of co-existing dermatological disorders and their tendency of being overlooked among patients admitted to Muhimbili National Hospital in Dar es Salaam, Tanzania.

作者信息

Mgonda Yassin M, Chale Pauline N F

机构信息

Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dares Salaam, Tanzania.

出版信息

BMC Dermatol. 2011 Apr 14;11:8. doi: 10.1186/1471-5945-11-8.

DOI:10.1186/1471-5945-11-8

PMID:21492436

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3087675/

Abstract

BACKGROUND

Skin diseases are underestimated and overlooked by most clinicians despite being common in clinical practice. Many patients are hospitalized with co-existing dermatological conditions which may not be detected and managed by the attending physicians. The objective of this study was to determine the burden of co-existing and overlooked dermatological disorders among patients admitted to medical wards of Muhimbili National hospital in Dar es Salaam.

STUDY DESIGN AND SETTINGS

A hospital-based descriptive cross-sectional study conducted at Muhimbili National hospital in Dar es Salaam, Tanzania.

METHODS

Patients were consecutively recruited from the medical wards. Detailed interview to obtain clinico-demographic characteristics was followed by a complete physical examination. Dermatological diagnoses were made mainly clinically. Appropriate confirmatory laboratory investigations were performed where necessary. Data was analyzed using the 'Statistical Package for Social Sciences' (SPSS) program version 10.0. A p-value of < 0.5 was statistically significant.

RESULTS

Three hundred and ninety patients admitted to medical wards were enrolled into the study of whom, 221(56.7%) were females. The mean age was 36.7 ± 17.9 (range 7-84 years). Overall, 232/390 patients (59.5%) had co-existing dermatological disorders with 49% (191/390) having one, 9% (36/390) two and 5 patients (1%) three. A wide range of co-existing skin diseases was encountered, the most diverse being non-infectious conditions which together accounted for 36.4% (142/390) while infectious dermatoses accounted for 31.5% (123/390). The leading infectious skin diseases were superficial fungal infections accounting for 18%. Pruritic papular eruption of HIV/AIDS (PPE) and seborrheic eczema were the most common non-infectious conditions, each accounting for 4.3%. Of the 232/390 patients with dermatological disorders, 191/232 (82.3%) and 154/232 (66.3%) had been overlooked by their referring and admitting doctors respectively.

CONCLUSION

Dermatological disorders are common among patients admitted to medical wards and many are not detected by their referring or admitting physicians. Basic dermatological education should be emphasized to improve knowledge and awareness among clinicians.

摘要

背景

尽管皮肤病在临床实践中很常见，但大多数临床医生对其重视不足且有所忽视。许多患者因并存皮肤病而住院，而这些皮肤病可能未被主治医生发现和处理。本研究的目的是确定达累斯萨拉姆穆希姆比利国家医院内科病房收治患者中并存且被忽视的皮肤病负担。

研究设计与地点

在坦桑尼亚达累斯萨拉姆的穆希姆比利国家医院进行的一项基于医院的描述性横断面研究。

方法

从内科病房连续招募患者。在进行详细访谈以获取临床人口统计学特征后，进行全面的体格检查。皮肤病诊断主要依靠临床判断。必要时进行适当的实验室确诊检查。使用社会科学统计软件包（SPSS）10.0版对数据进行分析。p值<0.5具有统计学意义。

结果

390名内科病房收治的患者纳入本研究，其中221名（56.7%）为女性。平均年龄为36.7±17.9岁（范围7 - 84岁）。总体而言，232/390名患者（59.5%）并存皮肤病，其中49%（191/390）有1种，9%（36/390）有2种，5名患者（1%）有3种。发现了多种并存的皮肤病，其中最多的是非感染性疾病，共占36.4%（142/390），而感染性皮肤病占31.5%（123/390）。主要的感染性皮肤病是浅表真菌感染，占18%。艾滋病毒/艾滋病瘙痒性丘疹疹（PPE）和脂溢性皮炎是最常见的非感染性疾病，各占4.3%。在232/390名患有皮肤病的患者中，分别有191/232（82.3%）和154/232（66.3%）被转诊医生和收治医生忽视。