Paediatric Skin Disorders Encountered in an Emergency Hospital Facility: A Prospective Study

Abstract

To determine the frequency of skin disorders encountered in a paediatric emergency care unit and to evaluate the benefits of advice from a dermatologist, we prospectively recorded data of children admitted with skin disorders to the emergency care unit during a 5-month period. Diagnostic agreement between paediatricians and dermatologists evaluating the patients separately was assessed. Three hundred and ninety-five children (median age 3 years; interquartile 1-6) were included. Skin disorders represented 4% of all paediatric emergency care unit visits. Visits were considered as appropriate in 19-30% of cases according to different criteria. Six diseases accounted for 57% of cases: viral exanthema, urticaria, atopic dermatitis, varicella, diaper dermatitis and herpetic gingivostomatitis. The dermatologist modified the diagnosis in 42% of cases and the treatment in 30%. Greater emphasis on teaching the skin disorders encountered in this setting and efforts to provide easy access to advice from dermatologist would improve the quality of care.

Urgent Consultations at the Dermatology Department of Basel University Hospital, Switzerland: Characterisation of Patients and Setting - A 12-Month Study with 2,222 Patients Data and Review of the Literature

“…The spectrum of skin diseases in our paediatric population was similar to that in other studies [14,15,16,17] - confirming the high prevalence of inflammatory and infectious diseases - and differed from the conditions seen in our adult and senior population (table 2). …”

“…The exact frequency of dermatologic diseases and characteristics of patients have been studied in limited settings; moreover most published data are heterogeneous [1,2,3,4,5,6,7,8,9]. Reasons for heterogeneity are dissimilarities in studied parameters, such as short-/long-time studies, different referral pattern, in-hospital setting [10], ambulant setting [5,11], urgent setting [1,2,4,5,6,7,8,12,13], non-urgent setting, mixed situations, or children only [14,15,16,17]. In addition, most studies were retrospective.…”

Randomized Controlled Trial of Spaced Education for Pediatric Residency Education

“…Despite the high frequency of skin-related complaints in pediatrics, dermatology remains a significant knowledge gap for pediatricians. [1][2][3][4][5][6][7][8][9][10][11] Online learning tools can provide educational opportunities unrestricted by time or location.…”

“…Despite the high frequency of skin-related complaints in pediatrics, dermatology remains a significant knowledge gap for pediatricians. [1][2][3][4][5][6][7][8][9][10][11] Online learning tools can provide educational opportunities unrestricted by time or location.Online spaced education (SE) has been shown to be an effective and acceptable method for addressing knowledge and practice gaps in medical education.12-17 The SE approach is based on the spacing effect-the principle that exposure to concepts distributed and repeated over time improves learning.18 Online SE with questions uses both the spacing effect and the testing effect (the principle that testing improves knowledge retention while evaluating a learner's performance). In urology studies, Kerfoot et al 16 demonstrated knowledge gains that persist for up to 2 years.…”

Çocukta dermatolojik aciller: 5 yıllık deneyim

“…Çocukluk ça¤›nda sistemik hastal›klara ba¤l› geliflen deri lezyonlar› d›fl›nda en s›k baflvuru nedeni olan deri lezyonlar› daha çok enfeksiyöz ve alerjik nedenlere ba¤l›d›r. Acil servislere en s›k baflvuru nedeni olan dermatolojik hastal›klar aras›nda s›kl›kla ilkbahar ve yaz aylar›nda görülen viral döküntülü hastal›klar, ürtiker ve atopik dermatit ilk üç s›ray› oluflturmaktad›r [3][4] . Bizim çal›flmam›zda olgular›n ço¤u daha çok ilkbahar ve yaz aylar›nda ve benzer olarak s›kl›kla alerjik ve enfeksiyöz nedenlerle acil servisimize baflvurdu¤u gözlendi.…”