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[Paediatric dermatology emergencies in a tertiary hospital]

E Baquero-Sánchez1, J Bernabéu-Wittel1, J J Dominguez-Cruz1

  • 1Servicio de Dermatología, Hospital Universitario Virgen del Rocío, Sevilla, España.

Anales De Pediatria (Barcelona, Spain : 2003)
|March 4, 2015
PubMed

Insights

Pediatric emergency department dermatology consultations are common, primarily for eczema and infections. Collaboration between pediatricians and dermatologists improves treatment success and reduces the need for further tests.

Area of Science:

  • Pediatric Dermatology
  • Emergency Medicine
  • Clinical Epidemiology

Background:

  • Increasing demand for emergency department dermatology consultations noted.
  • Limited data exists on dermatological conditions in young children (0-14 years).

Purpose of the Study:

  • Determine the frequency of pediatric dermatological diagnoses in the emergency department.
  • Assess diagnostic concordance between emergency pediatricians and pediatric dermatologists.

Main Methods:

  • Retrospective descriptive study of 861 pediatric patients (0-14 years) from June 2010 to December 2013.
  • Analytical study using kappa index to evaluate diagnostic agreement.

Main Results:

  • Eczema (27%) and infections (26%) were the most common diagnoses.
  • Top diagnoses included atopic dermatitis (16%), acute prurigo simplex (5%), and tinea (5%).
  • Low diagnostic concordance observed (kappa index = 0.206).

Conclusions:

  • Dermatology consultations in pediatric emergency departments are frequent, often for non-urgent conditions.
  • Effective collaboration between pediatricians and dermatologists leads to high treatment success and discharge rates.
Abstract

Keywords:
Dermatología pediátricaEmergenciesEpidemiologyEpidemiologíaPaediatric dermatologyUrgencias

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