Storan Eoin R, McEvoy Marian T, Wetter David A, el-Azhary Rokea A, Hand Jennifer L, Davis Dawn M R, Bridges Alina G, Camilleri Michael J, Davis Mark D P
Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA.
Pediatr Dermatol. 2013 Jul-Aug;30(4):433-7. doi: 10.1111/pde.12081. Epub 2013 Feb 14.
Data describing the management of pediatric patients admitted to a hospital under the care of a dermatologist and dermatology hospital consults for pediatric inpatients are limited. We aim to describe the role of an inpatient hospital service jointly run by dermatology and pediatrics and the activities of a pediatric dermatology hospital consult service. We retrospectively identified pediatric (age < 18 yrs) dermatology inpatients and hospital consult patients from January 1, 2009, through December 31, 2010. We examined patient demographics, indications for admission, length of stay, treatment provided, consult-requesting service, and consult diagnosis. One hundred eight admissions were by a dermatologist. The mean age was 5.8 years; the median length of stay was 3 days. Indications for admission included atopic dermatitis (86.1%), psoriasis (3.7%), and eczema herpeticum (2.8%). The main treatment provided was wet dressings (97.2%). Eighty-three dermatology hospital consults were requested. The mean age was 7.4 years. The main indications for dermatology consultation included drug rash (12.1%), cutaneous infections (12.1%), contact dermatitis (9.6%), psoriasis (8.4%), atopic dermatitis (6.0%), and hemangiomas (6.0%). This study describes the utility of the hospital pediatric dermatology inpatient and consult services in treating patients with severe skin disease.
关于皮肤科医生护理下住院的儿科患者管理情况以及儿科住院患者皮肤科会诊的数据有限。我们旨在描述皮肤科与儿科联合开展的住院服务的作用以及儿科皮肤科会诊服务的活动。我们回顾性地确定了2009年1月1日至2010年12月31日期间的儿科（年龄<18岁）皮肤科住院患者和医院会诊患者。我们检查了患者的人口统计学特征、入院指征、住院时间、所提供的治疗、会诊申请科室以及会诊诊断。皮肤科医生收治了108名患者。平均年龄为5.8岁；中位住院时间为3天。入院指征包括特应性皮炎（86.1%）、银屑病（3.7%）和疱疹样湿疹（2.8%）。所提供的主要治疗是湿敷（97.2%）。共收到83次皮肤科会诊申请。平均年龄为7.4岁。皮肤科会诊的主要指征包括药疹（12.1%）、皮肤感染（12.1%）、接触性皮炎（9.6%）、银屑病（8.4%）、特应性皮炎（6.0%）和血管瘤（6.0%）。本研究描述了医院儿科皮肤科住院和会诊服务在治疗重症皮肤病患者中的作用。
