在初级保健机构评估和管理亚托邦性皮肤炎:系统性审查
Saad M Alqahtani1, Bassam H Awaji2, Abdulaziz M Mahdi3
1Family Medicine, King Salman Armed Forces Hospital, Tabuk, SAU.
Cureus
|October 4, 2023
概括
初级保健提供者通常使用局部皮质类固醇治疗亚托皮炎,但避免局部氨酸抑制剂. 在管理这种慢性皮肤疾病方面存在差距,特别是在新的治疗方法和非药物治疗方法方面.
科学领域:
- 皮肤病学 皮肤病学
- 初级医疗保健医学 一级医疗保健医学
- 基于证据的实践.
背景情况:
- 亚托皮炎是一种慢性,复发性炎症性皮肤疾病,影响儿童和成人.
- 基于证据的临床实践指南对于有效和安全的亚托皮性皮肤炎管理至关重要.
- 了解原发性皮肤炎的初级保健提供者 (PCP) 实践至关重要.
研究的目的:
- 通过PCP系统地审查成人和儿科亚托邦性皮肤炎的管理策略.
- 检查局部氨酸抑制剂 (TCI),局部皮质类固醇 (TCS),软化剂,抗胰岛素和饮食在阿托皮性皮炎护理中的使用情况.
主要方法:
- 2014年至2023年间发表的英语文章的系统审查.
- 在PubMed (MEDLINE) 和Embase数据库中进行的搜索.
- 包括15篇文章,调查和国家数据库分析是最常见的方法.
主要成果:
- PCP经常使用局部皮质类固醇 (TCS),但倾向于过度处方口服抗胰岛素,并避免局部氨酸抑制剂 (TCI).
- 青的是低强度局部皮质类固醇,而TCI的利用不足.
- 大多数研究都评估了自我报告的处方行为,而不是直接与患者接触.
结论:
- 在PCP治疗阿托皮性皮炎方面存在重大知识缺口,特别是关于TCI和TCS安全概况.
- 未来的研究需要专注于处方行为和非药物管理策略.
- 目前的理解受限于小型研究和对处方习惯的关注.
相关概念视频
Asthma: Pathogenesis and Management
433
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
433
Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K
Asthma-IV: Nursing Management
3.1K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.1K
Methods of Documentation VI: Case Management Model
592
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
592
Nephrotic Syndrome II : Assessment and Medical Management
8
IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
8
Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.9K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.9K


