[在初级保健中治疗特应性皮炎的共识:基于证据解决神话和传说]。

Jorge Sánchez, Claudia Arenas, Elizabeth García, Jaime Ocampo, Julián David Gaitán-Rozo, Otto Hamann, Edgardo Chapman, Ruth Ramírez, Tatiana Espinosa, Margarita Velásquez, Liliana Tamayo, Mauricio Torres-Pradilla, Jorge Leonardo Sánchez, Mauricio Guerrero-Román, Luis Felipe Ensina, José Ignacio Larco, Ivan Chérrez-Ojeda
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引用次数: 0

摘要

特应性皮炎是一种严重影响患者生活质量的疾病。虽然有多种循证指南,但它们通常旨在向AD专家提供建议,而不是初级保健医生(pcp)。本研究的目的是为pcp构建一个共识文件,目的是提出基于证据的建议,使全科医生、家庭医生、儿科医生、内科医生和急诊医生能够为AD患者提供适当的护理,促进他们的诊断、管理,并避免可能降低患者生活质量的延误。作为信息的中心来源,我们使用了不同的国际AD指南的建议。来自不同医学协会的代表指出了在初级保健中应用建议的障碍和可能的解决办法。随后,对来自不同拉丁美洲国家的医生进行了第二次评估。pcp在应用指南提出的建议时面临的主要疑虑和障碍是在不同领域、诊断标准、非药物治疗、药物治疗、特殊情况下的管理和转诊给专家的指南中确定的。对每一个确定的问题都提出了协商一致的解决办法。总之,这一共识包含了关于儿童和成人AD的管理和治疗的建议,澄清了疑虑,并为初级保健医生为患者及其家属提供有效治疗提供了工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Consensus for the treatment of atopic dermatitis in primary care: resolving myths and legends based on evidence].

Atopic dermatitis (AD) is a disease that significantly impacts the quality of life of patients. Although there are multiple evidence-based guidelines, they are usually aimed at providing recommendations to AD specialists rather than primary care physicians (PCPs). The aim of this study was to construct a consensus document for PCPs, with the aim of presenting evidence-based recommendations that allow general practitioners, family physicians, pediatricians, internists and emergency physicians to provide appropriate care to AD patients, facilitating their diagnosis, management, and avoiding delays that can deteriorate patients' f quality of life. As a central source of information, we used the recommendations of different international AD guidelines. Delegates from distinct medical societies identify barriers to care and possible solutions for the application of recommendations in primary care. Subsequently, a second evaluation for physicians from different Latin American countries was carried out. The main doubts and barriers that PCPs face in applying the recommendations proposed by the guidelines were identified across different areas, diagnostic criteria, non-pharmacological therapies, pharmacological therapies, management in special conditions and guidelines for referral to a specialist. Consensus solutions were proposed for each identified issue. In conclusion, this consensus contains recommendations regarding the management and treatment of AD in children and adults, which clarify doubts and provide tools to primary care physicians to offer effective treatment for patients and their families.

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