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Dermatology outpatient clinic outcomes after COVID-19 outbreak: What is new normal?
Ceyda Çaytemel1, Ozan Erdem1, Şenay Ağırgöl1
1Department of Dermatology and Venereology, Istanbul Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
Insights
During the COVID-19 normalization period, dermatology clinic visits increased, with more cases of acne, pigmentation issues, and viral infections. However, general dermatoses and fungal infections decreased.
Area of Science:
- Dermatology
- Epidemiology
Background:
- The COVID-19 pandemic significantly impacted healthcare, including dermatology outpatient services.
- Initial pandemic phases saw reduced clinic visits due to restrictions and increased dermatologist involvement in pandemic response.
- Changes in hygiene practices and protective equipment use influenced dermatological diagnoses.
Purpose of the Study:
- To analyze patient admissions to dermatology outpatient clinics during the COVID-19 normalization period.
- To identify shifts in the number and types of dermatological conditions presenting post-lockdown.
Main Methods:
- Retrospective analysis of patient data from dermatology outpatient clinics during the normalization phase.
- Comparison of patient demographics and diagnoses before and during the normalization period.
Main Results:
- Dermatology clinic admissions increased during the normalization period, despite rising COVID-19 cases.
- Acne, pigmentation disorders, and viral skin infections showed an increase in admissions.
- General dermatoses, xerosis cutis, and superficial fungal infections decreased.
Conclusions:
- Non-urgent dermatological issues significantly impact patient quality of life, driving clinic visits.
- Despite pandemic challenges, dermatology services adapted, with specific conditions rising.
- Continued public health measures are necessary to balance healthcare access and safety.
Abstract:
Coronavirus disease-2019 (COVID-19), which emerged in late 2019 and caused a pandemic, has significantly affected outpatient admissions to dermatology outpatient clinics. There have been changes in the number and composition of the patients who applied to the outpatient clinics. The dermatology outpatient clinic applications have dramatically decreased due to restrictions and prohibitions, and active participation of dermatologists in the field immediately after the pandemic. The composition of the diagnoses has also altered for reasons such as excessive use of hygiene products and types of protective equipment usage related to COVID-19. Intensive precautions have been taken in the first 3 months of the pandemic (March, April, and May). As of 12 May, controlled socialization started with new regulations. This period has been called "the normalization process." This study aims to evaluate the changes of the patients admitted to dermatology outpatient clinics within the normalization process. Despite the increasing number of COVID-19 patients and related deaths in the whole country with the new normal, the admissions to dermatology outpatient clinics have increased. During this period, acne and related diseases, pigmentation disorders, and viral skin infections had increased; dermatoses, xerosis cutis, and superficial fungal infections had reduced. It seems that nonurgent dermatological complaints affect the quality of life of patients and cause the need for an application. Although restrictions reduce these numbers, measures should be taken to protect patients and society during the ongoing pandemic.
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