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在新冠疫情时代,初级卫生保健和家庭医生为皮肤科患者提供一线护理:建议与未来方向。

Primary health care and family physicians provide frontline care to the dermatology patients during the era of COVID-19: Recommendations and future directions.

作者信息

Al-Khateeb Badr

机构信息

Chairman of Saudi Association of Public Health, Family Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia.

出版信息

J Family Med Prim Care. 2020 Dec 31;9(12):5862-5866. doi: 10.4103/jfmpc.jfmpc_1393_20. eCollection 2020 Dec.

Abstract

COVID-19 has affected those disciplines where close contact is required and where there is no need for urgent care such as the field of dermatology. Due to the contagious nature of the virus, front line health care workers such as family health care physicians and primary health care doctors are using personal protective measures (PPE), which might result in skin disorders. In addition, social distancing has also resulted in the compromise of teaching and learning mainly bedside teaching in the dermatology wards. Moreover, there is also uncertainty about the guidelines different to be followed by primary health care and family physicians while assessing patients of dermatology. We aim to provide an overview of how COVID-19 has affected the primary health care workers and physicians. We have highlighted the challenges faced by the family health care physicians from the perspective of dermatology along with recommendations and future directions for family health care physicians. Results reveal that wearing PPE measures might be challenging for primary health care workers and family physicians as it can cause facial inflammatory papules, acne rosacea, seborrheic dermatitis, and facial itching. They cannot escape encounter with the patients, and they need to be careful by undertaking some precautionary measures while taking care of the patients in general with a specific focus on COVID-19. COVID-19 has also affected all teaching and learning in the field of dermatology. However, academic institutions can use digital tools such as zoom or skype to continue learning dermatology during the crisis of COVID-19.

摘要

新冠病毒病(COVID-19)已经影响到了那些需要密切接触且无需紧急护理的学科领域,比如皮肤科。由于该病毒具有传染性,一线医护人员,如家庭保健医生和初级保健医生,正在使用个人防护措施(PPE),这可能会导致皮肤疾病。此外,社交距离措施也导致了教学活动受到影响,主要是皮肤科病房的床边教学。而且,在评估皮肤科患者时,初级保健医生和家庭医生应遵循的指南也存在不确定性。我们旨在概述COVID-19是如何影响初级保健工作者和医生的。我们从皮肤科的角度强调了家庭保健医生所面临的挑战,并为家庭保健医生提供了建议和未来方向。结果显示,佩戴个人防护措施对初级保健工作者和家庭医生来说可能具有挑战性,因为这可能会导致面部炎性丘疹、玫瑰痤疮、脂溢性皮炎和面部瘙痒。他们无法避免与患者接触,在总体照顾患者时,尤其是在关注COVID-19患者时,需要采取一些预防措施并小心应对。COVID-19还影响了皮肤科领域的所有教学活动。然而,学术机构可以在COVID-19危机期间使用诸如Zoom或Skype等数字工具来继续进行皮肤科学习。

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