Prevalence and Associations of General Practice Registrars' Management of Impetigo: A Cross-Sectional Analysis From the Registrar Clinical Encounters in Training (ReCEnT) Study.
bacterial
impetigo
prevalence
primary care
skin infection
Journal
Dermatology practical & conceptual
ISSN: 2160-9381
Titre abrégé: Dermatol Pract Concept
Pays: Austria
ID NLM: 101585990
Informations de publication
Date de publication:
2020
2020
Historique:
accepted:
29
01
2020
entrez:
5
5
2020
pubmed:
5
5
2020
medline:
5
5
2020
Statut:
epublish
Résumé
Impetigo is a mild bacterial skin infection of childhood that is usually managed empirically in primary care. To establish the prevalence and associations of impetigo in general practice (GP) registrars' consultations. Cross-sectional analysis of the Registrar Clinical Encounters in Training (ReCEnT) study data. Impetigo was managed in 0.24% of problems and 0.43% of consultations. Patient variables associated with impetigo presentations were younger age and impetigo as a new problem, while patients with non-English-speaking backgrounds were less likely to present with impetigo. Associated registrar variables were being new to the registrar and practicing in outer regional/remote locations. Compared with all other problems/diagnoses, impetigo more often involved information seeking, ordering pathology, and prescription of medication, but less often involved follow-up or referral. Impetigo accounts for 0.43 per 100 GP registrar consultations in Australia. Association with outer regional/remote areas may reflect climate and socioeconomic factors that predispose to impetigo. Associated pathology requests may reflect a lack of confidence in GP registrars' management of impetigo. Cultural differences may exist regarding health-seeking behavior relating to impetigo.
Sections du résumé
BACKGROUND
BACKGROUND
Impetigo is a mild bacterial skin infection of childhood that is usually managed empirically in primary care.
OBJECTIVE
OBJECTIVE
To establish the prevalence and associations of impetigo in general practice (GP) registrars' consultations.
METHODS
METHODS
Cross-sectional analysis of the Registrar Clinical Encounters in Training (ReCEnT) study data.
RESULTS
RESULTS
Impetigo was managed in 0.24% of problems and 0.43% of consultations. Patient variables associated with impetigo presentations were younger age and impetigo as a new problem, while patients with non-English-speaking backgrounds were less likely to present with impetigo. Associated registrar variables were being new to the registrar and practicing in outer regional/remote locations. Compared with all other problems/diagnoses, impetigo more often involved information seeking, ordering pathology, and prescription of medication, but less often involved follow-up or referral.
CONCLUSIONS
CONCLUSIONS
Impetigo accounts for 0.43 per 100 GP registrar consultations in Australia. Association with outer regional/remote areas may reflect climate and socioeconomic factors that predispose to impetigo. Associated pathology requests may reflect a lack of confidence in GP registrars' management of impetigo. Cultural differences may exist regarding health-seeking behavior relating to impetigo.
Identifiants
pubmed: 32363105
doi: 10.5826/dpc.1002a43
pii: dp1002a43
pmc: PMC7190460
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e2020043Informations de copyright
©2020 Gorges et al.
Déclaration de conflit d'intérêts
Competing interests: The authors have no conflicts of interest to disclose.
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