加纳报告的疥疮和皮肤感染病例中寻求医疗服务的行为：病例报告回顾。

Healthcare-seeking behaviour in reporting of scabies and skin infections in Ghana: A review of reported cases.

出版信息

Trans R Soc Trop Med Hyg. 2020 Nov 6;114(11):830-837. doi: 10.1093/trstmh/traa071.

Abstract

BACKGROUND

Scabies is a neglected tropical disease. In resource-poor settings, scabies and other skin infections are often unreported to a health centre, or misdiagnosed. Dermatological expertise and training are often lacking. Little is known about patient healthcare-seeking behaviour. This study reviewed diagnosed skin infections reported to urban (Greater Accra) and rural (Oti region) study health centres in Ghana over six months in 2019.

METHODS

Study staff received classroom and clinical dermatology training. Skin infection diagnoses and anonymised patient information were recorded. Descriptive statistics and spatial analysis described patient demographics, and distance travelled to clinic, noting bypassing of their nearest centre.

RESULTS

Overall, 385 cases of skin infections were reported across the Greater Accra and Oti study clinics, with 45 scabies cases (11.6%). For scabies, 29 (64.4%) cases were in males. Scabies was the third most common diagnosis, behind bacterial dermatitis (102, 26.5%) and tinea (75, 19.5%). In the rural Oti region, 48.4% of patients bypassed their nearest clinic, travelling a mean 6.2 km further than they theoretically needed to. Females travelled further in comparison to males.

摘要

背景

疥疮是一种被忽视的热带病。在资源匮乏的环境中，疥疮和其他皮肤感染通常不会向医疗中心报告，或者被误诊。皮肤科专业知识和培训往往也很缺乏。对于患者的医疗寻求行为，人们知之甚少。本研究回顾了 2019 年六个月内在加纳的城市（大阿克拉地区）和农村（奥蒂地区）研究医疗中心报告的确诊皮肤感染。

方法

研究人员接受了课堂和临床皮肤科培训。记录了皮肤感染的诊断和匿名患者信息。描述性统计和空间分析描述了患者的人口统计学特征，以及到诊所的旅行距离，注意绕过最近的中心。

结果

在大阿克拉和奥蒂研究诊所共报告了 385 例皮肤感染病例，其中有 45 例疥疮（11.6%）。对于疥疮，29 例（64.4%）为男性。疥疮是第三常见的诊断，仅次于细菌性皮炎（102 例，26.5%）和癣（75 例，19.5%）。在农村的奥蒂地区，48.4%的患者绕过了最近的诊所，比他们理论上需要走的距离多走了 6.2 公里。女性比男性走的更远。