Carrascosa J M, Pastor-Nieto M A, Ruiz-González I, Silvestre J F, Borrego L, Gatica-Ortega M E, Giménez-Arnau A M
Servicio de Dermatología, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Badalona, Barcelona, España.
Servicio de Dermatología, Hospital Universitario de Guadalajara, Guadalajara, España.
Actas Dermosifiliogr (Engl Ed). 2020 Oct;111(8):650-654. doi: 10.1016/j.ad.2020.06.003. Epub 2020 Jul 2.
As the COVID-19 pandemic gradually comes under control, the members of the Spanish Contact Dermatitis and Skin Allergy Research Group (GEIDAC) have drawn up a proposed list of the requirements, limitations, and conditioning factors affecting the resumption of work in contact dermatitis units. The assumption is that the severe acute respiratory syndrome coronavirus2 is still circulating and that occasional or seasonal outbreaks will occur. They recommend that the first step should be to assess how many patch tests each clinic can handle and review the waiting list to prioritize cases according to disease severity and urgency. Digital technologies can, where possible, be used to send and receive the documentation necessary for the patch test (information, instructions, informed consent, etc.). If the necessary infrastructure is available, patients can be offered the option of a remote initial consultation. Likewise, in selected cases, the patch test results can be read in a virtual visit using photographs taken by the patient or a video visit can be scheduled to allow the physician to evaluate the site of application remotely. These measures will reduce the number of face-to-face visits required, but will not affect the time spent on each case, which must be scheduled in the normal manner. All of these recommendations are suggestions and should be adapted to the needs and possibilities of each health centre.
随着新冠疫情逐渐得到控制,西班牙接触性皮炎与皮肤过敏研究小组(GEIDAC)的成员拟定了一份关于影响接触性皮炎科室恢复工作的要求、限制和制约因素的建议清单。假设严重急性呼吸综合征冠状病毒2仍在传播,且会出现偶发性或季节性疫情爆发。他们建议第一步应评估每个诊所能够处理多少斑贴试验,并审查等候名单,根据疾病严重程度和紧迫性对病例进行优先排序。在可能的情况下,可使用数字技术发送和接收斑贴试验所需的文件(信息、说明、知情同意书等)。如果有必要的基础设施,可为患者提供远程初诊的选择。同样,在某些特定情况下,斑贴试验结果可通过患者拍摄的照片以虚拟问诊的方式读取,或者可以安排视频问诊,以便医生远程评估敷贴部位。这些措施将减少所需的面对面就诊次数,但不会影响每个病例的诊疗时间,诊疗时间仍须按正常方式安排。所有这些建议仅供参考,应根据每个健康中心的需求和可能性进行调整。