在沙特阿拉伯卡西姆地区一家三级医疗中心的皮肤科门诊就诊的患者。

Patients seen at the Dermatology ambulatory office in a tertiary care center in Qassim region, Saudi Arabia.

作者信息

Shahzad Muhammad, Alzolibani Abdullateef A, Al Robaee Ahmad A, Al Shobaili Hani A, Alsharkasy Mohammad H, Al Marshood Abdullah A, Al Mutiari Abdulhakeem, Aldukhayel Abdulrahman

机构信息

Department of Dermatology, College of Medicine, Qassim University, Saudi Arabia.

Department of Anaesthesia and Intensive Care, College of Medicine, Qassim University, Saudi Arabia.

出版信息

Int J Health Sci (Qassim). 2013 Jun;7(2):130-5. doi: 10.12816/0006036.

DOI:10.12816/0006036

PMID:24421741

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3883602/

Abstract

BACKGROUND

In Saudi Arabia where there is lack of dermatologists in primary health care centers, patients with simple or minor skin conditions have to attend to hospitals to be treated. We analyzed the data of patients with cutaneous disorders attending the tertiary referral hospital in Qassim region of Saudi Arabia, 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.

METHODOLOGY

All patients seen at the Dermatology ambulatory office in the Emergency Department of Qassim University affiliated hospital from January 2011 to December 2011 were included in this retrospective analysis. The medical records of the patients (history, physical examination and laboratory investigations) were analyzed to ascertain the diagnosis and the management of cases. All patients were evaluated by qualified dermatologists.

RESULTS

A total of 1147 patients attended the Dermatology ambulatory office. Most patients were young adults in the age group 21-30 years (34.4%). Allergic skin diseases (65.2%), mostly dermatitis (48.8%) and urticaria (10.5%) were the most common for attendance, followed by infectious diseases (25.8%) and inflammatory and autoimmune disorders (5.3%). The management of the vast majority of cases (94.1%) consisted of systemic treatment and 58.2% patients required topical treatment. A reevaluation plan as outpatients was planned in 9.0% patients while only 0.3% of patients required admission in the hospital.

CONCLUSION

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 specialized 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.

摘要

背景

在沙特阿拉伯，初级卫生保健中心缺乏皮肤科医生，患有简单或轻微皮肤疾病的患者不得不前往医院接受治疗。我们分析了沙特阿拉伯卡西姆地区三级转诊医院皮肤科门诊患者的数据，目的是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。

方法

纳入2011年1月至2011年12月在卡西姆大学附属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。

结果

共有1147名患者前往皮肤科门诊就诊。大多数患者为21 - 30岁的年轻人（34.4%）。过敏性皮肤病（65.2%），主要是皮炎（48.8%）和荨麻疹（10.5%）是就诊最常见的疾病，其次是传染病（25.8%）以及炎症和自身免疫性疾病（5.3%）。绝大多数病例（94.1%）的治疗包括全身治疗，58.2%的患者需要局部治疗。9.0%的患者计划作为门诊患者进行复诊，而只有0.3%的患者需要住院治疗。