Khurana Ananta, Grover Ashoo, Pandhi Deepika, Khaitan Binod, George Renu, De Dipankar, Mahajan Rahul, Gupta Vishal, Srivastava Saumya, Cherian Jerin Jose, Dhaliwal Rupinder Singh, Kumar Dhiraj, Kumar Neeraj, Bajaj Anjali, Kant Mohan, Sharma Lokesh K, Singh Ravinder, Bhargava Balram, Bahl Rajiv
Department of Dermatology STDs and Leprosy, Dr Ram Manohar Lohia Hospital, and Atal Bihari Vajpayee Institute of Medical Sciences, New Delhi, India.
Scientist "F," Indian Council of Medical Research (ICMR), New Delhi, India.
Indian Dermatol Online J. 2024 Jul 15;15(5):794-800. doi: 10.4103/idoj.idoj_741_23. eCollection 2024 Sep-Oct.
Skin conditions form a major bulk of diseases in the community. With a disproportionately low number of dermatologists in the country, and a greatly unequal distribution between urban versus rural areas, ineffective treatment and mismanagement of skin conditions are, however, commonplace.
To develop standard treatment workflows (STWs) for certain skin diseases for use by clinicians at primary, secondary, and tertiary care centers.
Seven members, from various academic institutes across the country, were selected for formulation of the STWs. They were provided logistic and technical support by the ICMR, Department of Health Research (DHR), and WHO India office. Multiple rounds of online and physical discussions were performed to identify topics that would be most useful in the management of skin diseases for the health care personnel (HCP) and subsequently to frame the STW content.
The selected diseases included acne and rosacea, alopecia, bacterial skin infections, cutaneous adverse drug reactions, dermatophytosis, eczema/dermatitis, immunobullous dermatoses, psoriasis, scabies, varicella and herpes, vitiligo, and urticaria. There was one separate module on rational use of topical corticosteroids. The STWs for these conditions have been finalised and are available as physical posters in health centers and can also be accessed online and through mobile applications.
Thirteen STW modules have been prepared with a view to optimize management of skin diseases at various levels of health care system of the country.
皮肤病在社区疾病中占很大比例。然而，该国皮肤科医生数量相对较少，城乡分布极不均衡，因此皮肤病治疗无效和管理不善的情况很常见。
为某些皮肤病制定标准治疗流程（STW），供初级、二级和三级护理中心的临床医生使用。
从全国各学术机构挑选了七名成员来制定STW。印度医学研究理事会（ICMR）、卫生研究部（DHR）和世界卫生组织印度办事处为他们提供了后勤和技术支持。进行了多轮线上和线下讨论，以确定对医护人员（HCP）管理皮肤病最有用的主题，随后拟定STW内容。
选定的疾病包括痤疮和玫瑰痤疮、脱发、细菌性皮肤感染、药物性皮肤不良反应、皮肤癣菌病、湿疹/皮炎、免疫性大疱性皮肤病、银屑病、疥疮、水痘和疱疹、白癜风以及荨麻疹。还有一个关于局部用皮质类固醇合理使用的单独模块。这些病症的STW已经定稿，在健康中心以实体海报形式提供，也可在线及通过移动应用程序获取。
已编写了13个STW模块，旨在优化该国各级卫生保健系统对皮肤病的管理。
