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[WhatsAppⓇ开展的教育活动对某大学医院门诊医生治疗化脓性汗腺炎的影响]

[Impact of an educational campaign by WhatsAppⓇ on hidradenitis suppurativa among the walk-in clinic physicians of a University Hospital].

作者信息

Zimman Sabina, Posadas-Martínez María Lourdes, Mazzuoccolo Luis Daniel

机构信息

Hospital Italiano de Buenos Aires.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2020 Dec 1;77(4):322-325. doi: 10.31053/1853.0605.v77.n4.26508.

DOI:10.31053/1853.0605.v77.n4.26508
PMID:33351392
Abstract

BACKGROUND

The limited diffusion about hidradenitis suppurativa (HS) among general practitioners, leads to diagnosis delays.

OBJECTIVES

To assess the impact of a short and long-term educational campaign on HS among the walk-in clinic physicians of the Hospital Italiano de Buenos Aires (HIBA)

MATERIALS AND METHODS

Quasi-experimental study with an educational intervention by disseminating a piece of information about HS among 142 walk-in clinic physicians of the HIBA. The same anonymous survey on knowledge of the HS was carried out on 3 occasions: baseline, 1 and 9 months after the intervention. The correct answers were compared before, after 1 and 9 months. The survey and the piece of information were sent by WhatsAppⓇ.

RESULTS

Of the total, 64 (45%) answered in the first stage, 48 (34%) in the second stage and 56 (39%) in the third stage. In the baseline survey, only half knew the inflammatory nature of the disease, 3 out of 5 physicians chose an inadequate antibiotic scheme, the surgery mostly indicated was drainage, only a fifth considered ultrasound useful, and a third did not believe that the patient could benefit from referral to a dermatologist. After the educational campaign, we observed a learning in the HS management, which was held at 9 months.

DISCUSSION

We observed a lack of HS training among general practitioners. The WhatsAppⓇ platform could be useful as an educational tool.

摘要

背景

普通科医生对化脓性汗腺炎(HS)的了解有限,导致诊断延迟。

目的

评估短期和长期教育活动对布宜诺斯艾利斯意大利医院(HIBA)的门诊医生关于HS的影响。

材料与方法

采用准实验研究,通过向HIBA的142名门诊医生传播一条关于HS的信息进行教育干预。在3个时间点对HS知识进行相同的匿名调查:基线、干预后1个月和9个月。比较干预前、干预后1个月和9个月的正确答案。调查和信息通过WhatsAppⓇ发送。

结果

总共有64人(45%)在第一阶段回复,48人(34%)在第二阶段回复,56人(39%)在第三阶段回复。在基线调查中,只有一半的人知道该疾病的炎症性质,五分之三的医生选择了不恰当的抗生素方案,最常建议的手术是引流,只有五分之一的人认为超声有用,三分之一的人不认为患者能从转诊至皮肤科医生中获益。在教育活动后,我们观察到在HS管理方面的知识在9个月时有所提升。

讨论

我们观察到普通科医生缺乏HS培训。WhatsAppⓇ平台可作为一种有用的教育工具。

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Decades Delayed in Diagnosis: Hidradenitis Suppurativa and a Review of Barriers to Care.诊断延误数十年:化脓性汗腺炎及护理障碍综述
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