Penn State University College of Medicine, Hershey, Pennsylvania, USA.
Department of Family and Community Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA.
Pediatr Dermatol. 2022 Sep;39(5):727-730. doi: 10.1111/pde.15086. Epub 2022 Aug 2.
For patients with acne treated with the teratogen isotretinoin, emergency contraception (EC) is the only recourse when abstinence fails or effective contraception is not properly used. The purpose of this study was to evaluate the current understanding and provision of EC among pediatric dermatology providers. The survey found that 37% (21/57) of providers indicated they were at least somewhat confident in their understanding of EC. 7% (4/57) of providers agreed/strongly agreed that they provided EC counseling to all patients of reproductive potential at their initial visit and 3.5% (2/57) agreed/strongly agreed that they provide EC counseling at follow-up visits. Our survey results suggest the need for improved EC education for pediatric dermatology providers and subsequent counseling for patients of reproductive potential on isotretinoin therapy.
对于接受致畸药物异维 A 酸治疗痤疮的患者，如果禁欲失败或未正确使用有效避孕措施，紧急避孕 (EC) 是唯一的补救措施。本研究旨在评估儿科皮肤科医生对 EC 的理解和提供情况。调查发现，37%（21/57）的提供者表示他们对 EC 的理解至少有些信心。7%（4/57）的提供者同意/强烈同意他们在初次就诊时向所有有生育潜力的患者提供 EC 咨询，3.5%（2/57）同意/强烈同意他们在随访就诊时提供 EC 咨询。我们的调查结果表明，需要为儿科皮肤科医生提供改进的 EC 教育，并在异维 A 酸治疗的有生育潜力的患者中进行后续咨询。
