Nepal Smriti, Thomas Susan L, Franklin Richard C, Taylor Kylie A, Massey Peter D
Discipline of Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.
Hunter Medical Research Institute, University of Newcastle, Newcastle, New South Wales, Australia.
Australas J Dermatol. 2018 Aug;59(3):194-200. doi: 10.1111/ajd.12680. Epub 2017 Jul 28.
BACKGROUND/OBJECTIVES: Bacterial skin infections in Indigenous children in Australia frequently lead them to access primary health care. This systematic review aims to identify and analyse available studies describing the treatment and prevention of bacterial skin infections in Indigenous children.
Electronic databases including Scopus, MEDLINE, CINAHL, ProQuest, Informit and Google Scholar were searched. Studies in English published between August 1994 and September 2016, with the subject of bacterial skin infections involving Indigenous children and conducted in Australia, New Zealand, the USA or Canada were selected.
Initially 1474 articles were identified. After the application of inclusion and exclusion criteria, 10 articles remained. Strategies for the treatment and prevention of bacterial skin infections included the management of active infections and lesions, improving environmental and personal hygiene, the installation of swimming pools and screening and treatment.
There is a need for more, rigorous, large-scale studies to develop evidence for appropriate, culturally acceptable methods to prevent and manage bacterial skin infections in Indigenous children in Australia. The problem is complex with multiple determinants. Until underlying socioeconomic conditions are addressed skin infections will continue to be a burden to communities.
背景/目的：澳大利亚原住民儿童的细菌性皮肤感染常常使他们寻求初级卫生保健。本系统评价旨在识别和分析描述原住民儿童细菌性皮肤感染治疗与预防的现有研究。
检索了包括Scopus、MEDLINE、CINAHL、ProQuest、Informit和谷歌学术在内的电子数据库。选取1994年8月至2016年9月间发表的、以澳大利亚、新西兰、美国或加拿大原住民儿童细菌性皮肤感染为主题的英文研究。
最初识别出1474篇文章。应用纳入和排除标准后，剩余10篇文章。细菌性皮肤感染的治疗与预防策略包括对活动性感染和皮损的处理、改善环境和个人卫生、建造游泳池以及筛查和治疗。
需要开展更多严谨的大规模研究，以获取证据来制定适宜的、文化上可接受的方法，用于预防和管理澳大利亚原住民儿童的细菌性皮肤感染。该问题很复杂，有多种决定因素。在潜在的社会经济状况得到解决之前，皮肤感染将继续给社区带来负担。
