Reifsnider E
University of Texas at Austin, School of Nursing, USA.
Nurse Pract. 1997 Nov;22(11):17-20, 23-4, 26-7 passim.
Infectious skin conditions of the adult patient that primary care providers may often encounter in practice include those of viral (herpes simplex, herpes zoster, verruca and condylomata, molluscum), fungal (candidiasis, dermatophyte infections) and ectoparasitic (scabies, pediculosis) origin. Correct diagnosis and treatment of these conditions can provide relief to the patient and prevent spread to household and sexual contacts. This article discusses the epidemiology, etiology, history, appearance, diagnosis, and treatment of these commonly encountered infectious skin conditions. The primary care provider can differentiate these skin conditions by history, appearance, and laboratory tests, and should be able to diagnose and provide cost-effective therapy and secondary prevention for them. The primary care provider should also be able to recognize those lesions that are harbingers of systemic diseases and appropriately refer for further management.
初级保健提供者在临床实践中可能经常遇到的成年患者传染性皮肤病包括病毒（单纯疱疹、带状疱疹、疣和湿疣、传染性软疣）、真菌（念珠菌病、皮肤癣菌感染）和外寄生虫（疥疮、虱病）源性皮肤病。正确诊断和治疗这些疾病可以缓解患者症状，并防止传播给家庭成员和性接触者。本文讨论了这些常见传染性皮肤病的流行病学、病因、病史、外观、诊断和治疗。初级保健提供者可以通过病史、外观和实验室检查来区分这些皮肤病，并且应该能够对其进行诊断并提供具有成本效益的治疗和二级预防。初级保健提供者还应该能够识别那些作为全身性疾病先兆的皮损，并进行适当的转诊以便进一步治疗。
