在初级保健中管理儿童和青少年无性皮肤炎:美国专家组共识共识
Mark Boguniewicz1,2, Moise L Levy3,4, Lawrence F Eichenfield5,6
1Division of Allergy-Immunology, Department of Pediatrics, National Jewish Health, Denver, CO.
Journal of pediatrics. Clinical practice
|February 14, 2025
概括
这种共识为初级保健提供者 (PCP) 提供了在儿童和青少年中治疗阿托皮炎 (AD) 的建议. 关键发现强调了定制的抗炎局部治疗和共享决策,以改善儿科阿尔茨海默病的结果.
科学领域:
- 皮肤病学 皮肤病学
- 儿科 儿科 儿科
- 基于证据的医学 基于证据的医学
背景情况:
- 亚托皮炎 (AD) 是儿童常见的一种慢性皮肤疾病.
- 初级保健提供者 (PCP) 通常是AD诊断和管理的第一个接触点.
- PCP和AD专家之间的协调护理对于最佳的患者结果至关重要.
研究的目的:
- 为管理儿科阿尔茨海默病 (<18岁) 的PCP制定专家主导的共识建议.
- 解决AD管理中的关键主题:控制,治疗,转诊途径和患者体验.
- 提高初级保健机构对阿兹海默症儿童的护理质量.
主要方法:
- 系统的文献审查,其次是专家共识的发展.
- 经过修改的Delphi流程被用于在管理建议上达成共识.
- 共识要求≥75%的专家在9分尺度上投票在7-9的范围内.
主要成果:
- 在25个陈述中,24个陈述达成了共识.
- 九个陈述达成一致的专家协议 (100%).
- 主要建议侧重于清洁/几乎清洁皮肤的抗炎局部治疗,个性化治疗计划,协调PCP专家护理和共享决策.
结论:
- 这些建议旨在指导PCP在管理儿科AD时.
- 促进PCP和AD专家之间的协调护理是主要目标.
- 预计将改善患者和护理人员的参与和结果.
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