Teherán Aníbal A, Camero-Ramos Gabriel, Pombo Luis M, Martínez Nataly V, Díaz Laura C, Ayala Karen P, Zuluaga-Ortiz Carol A, Hamann-Echeverri Otto
Research Center, Fundación Universitaria Juan N Corpas, Bogotá, Colombia.
Cruz Roja Colombiana - Seccional Cundinamarca Bogotá, Bogotá, Colombia.
IJID Reg. 2024 Aug 20;13:100432. doi: 10.1016/j.ijregi.2024.100432. eCollection 2024 Dec.
To describe the sociodemographic distribution of dermatomycosis and the visits burden over a 10-year period of care.
An ecological study was conducted using data on visits and people treated in the Colombian Health System during 2010-2019 using the International Classification of Diseases, Tenth Revision codes (ICD-10). Departments and geopolitical regions were the units of analysis, and visit burden was reported as frequency, intensity (visits per person), and rate of dermatomycosis visits (per 10,000 visits; 95% confidence interval).
A total of 4,570,593 visits were analyzed. The most used ICD-10 codes were B369 (superficial mycosis, unspecified), B360 (pityriasis versicolor), B354 (Tinea corporis), B359 (dermatophytosis), and B351 (Tinea unguium) (56.5%), with visits primarily involving the adult population (27-59 years; 32.2%), women (43.4%), and urban populations (57.3%). Amazonas department had the highest rate of visits (2.36 per 10,000), while Nariño had the highest intensity of visits (1.94 visits per person). Caribbean region had the highest rate of visits (17.0 per 10,000 visits; 17.0-17.0), followed by the Amazon region (16.3 per 10,000 visits; 16.2-16.4).
The annual visits burden of dermatomycosis in Colombia is high and concentrated in susceptible geographic areas, possibly due to socio-environmental factors. This health problem is overshadowed by chronic diseases and trauma but is often recurrent, and chronic, and induces out-of-pocket costs for treatment.
描述皮肤真菌病的社会人口学分布以及十年护理期间的就诊负担。
采用生态研究方法，利用2010 - 2019年哥伦比亚卫生系统中使用国际疾病分类第十版编码（ICD - 10）的就诊和治疗患者数据。分析单位为各部门和地缘政治区域，就诊负担以频率、强度（每人就诊次数）和皮肤真菌病就诊率（每10000次就诊；95%置信区间）报告。
共分析了4570593次就诊。最常用的ICD - 10编码为B369（未特指的浅表真菌病）、B360（花斑癣）、B354（体癣）、B359（皮肤癣菌病）和B351（甲癣）（56.5%），就诊主要涉及成年人群（27 - 59岁；32.2%）、女性（43.4%）和城市人口（57.3%）。亚马孙省的就诊率最高（每10000次就诊中有2.36次），而纳里尼奥省的就诊强度最高（每人1.94次就诊）。加勒比地区的就诊率最高（每10000次就诊中有17.0次；17.0 - 17.0），其次是亚马孙地区（每10000次就诊中有16.3次；16.2 - 16.4）。
哥伦比亚皮肤真菌病的年度就诊负担较高，且集中在易感地理区域，可能是由于社会环境因素。这个健康问题虽被慢性病和创伤问题掩盖，但往往反复发作且呈慢性，还会导致治疗的自付费用。
