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新冠疫情后“居家”政策对皮肤科门诊就诊需求的影响。

The effect of the "stay-at-home" policy on requests for dermatology outpatient clinic visits after the COVID-19 outbreak.

机构信息

Department of Dermatology and Venereology, Uşak University, School of Medicine, Uşak, Turkey.

Department of Dermatology and Venereology, Nevşehir State Hospital, Nevşehir, Turkey.

出版信息

Dermatol Ther. 2020 Jul;33(4):e13581. doi: 10.1111/dth.13581. Epub 2020 May 27.

Abstract

The Coronavirus Disease 2019 (COVID-19) emerged late in Turkey but it showed a rapid progression later. We aimed to investigate the changes in the number of patients who requested a dermatology outpatient clinic visit due to the increased social and medical burden caused by COVID-19 in Turkey during the first days of the pandemic. We also examined the most common dermatologic diseases diagnosed during the COVID-19 outbreak. A statistically significant negative correlation was found between the number of COVID-19 patients in the country and the number of patients requesting a dermatology outpatient clinic visit in the secondary and tertiary care hospitals during self-quarantine. In the first 10 days after the COVID-19 outbreak, acne (28.2%), urticaria (12.8%), scabies (12.8%), irritant contact dermatitis (10.3%), and xerosis cutis (10.2%) were the most common diseases seen in the dermatology clinic at the secondary care hospital, while acne (23.3%), warts (5.4%), seborrheic dermatitis (4.5%), urticaria (3.8%), and psoriasis (3.32%) were the most common diseases seen in the dermatology clinic at the tertiary care hospital. This is our first study on the frequency and nature of outpatient dermatology visits during this novel coronavirus pandemic. Understanding the trends and impacts of dermatologic diseases on patients and health systems during this pandemic will allow for better preparation of dermatologists in the future.

摘要

2019 年冠状病毒病(COVID-19)在土耳其出现较晚,但后来进展迅速。我们旨在研究由于 COVID-19 在土耳其大流行期间造成的社会和医疗负担增加,导致前往皮肤科门诊就诊的患者人数的变化。我们还检查了 COVID-19 爆发期间诊断出的最常见的皮肤病。在大流行期间自我隔离期间,该国 COVID-19 患者人数与二级和三级保健医院皮肤科门诊就诊人数之间呈统计学显著负相关。在 COVID-19 爆发后的头 10 天,二级保健医院皮肤科门诊最常见的疾病是痤疮(28.2%)、荨麻疹(12.8%)、疥疮(12.8%)、刺激性接触性皮炎(10.3%)和皮肤干燥(10.2%),而在三级保健医院皮肤科门诊最常见的疾病是痤疮(23.3%)、疣(5.4%)、脂溢性皮炎(4.5%)、荨麻疹(3.8%)和银屑病(3.32%)。这是我们在这种新型冠状病毒大流行期间首次对门诊皮肤科就诊频率和性质进行的研究。了解皮肤科疾病在大流行期间对患者和卫生系统的趋势和影响,将使皮肤科医生为未来做好更好的准备。

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