疥疮发病率上升,全科医生负担加重。

IF 2 Q2 PRIMARY HEALTH CARE
BJGP Open Pub Date : 2025-08-08 DOI:10.3399/BJGPO.2025.0037
Saskia C van der Boor, Ines Figaroa, Annemarie A Uijen, Stijn Fh Raven, Cornelia Van Jaarsveld
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引用次数: 0

摘要

背景:在一些高收入的欧洲国家,疥疮病例正在上升,但由于其不应报告,其真实发病率尚不清楚。全科医生(全科医生)在疥疮管理中发挥关键作用,但对初级保健的影响尚不清楚。目的:评估全科医生疥疮相关发作的流行病学和护理负担。设计与设置:一项回顾性纵向研究,使用来自荷兰gp的匿名数据。方法:对2014 - 2023年5家全科医院近4万例患者的数据进行分析。比较2014-2020年(低发病率)和2021-2023年(高发病率)两个时期疥疮相关发作发生率、疥疮相关症状至首次就诊时间(患者延误)、首次就诊至疥疮诊断时间(医生延误)和护理负担。结果:纳入1525例疥疮相关事件,包括4555例记录的接触。在2014年至2023年期间,发病率从每10万患者年99例增加到1341例,在这两个时期内,每10万患者年的发病率从614例增加到2438例。在17-25岁的人群中,遭遇性侵的人数增加最多(PP=0.002)。患者延迟28天从26.4%下降到14.3%。初步会诊期间的疥疮诊疗率从84.9%提高到92.3%。无干预的接触从36.9%下降到14.4%。每10万病人年的医疗处方和转诊增加。结论:我们的研究结果强调疥疮相关事件呈指数增长,显著增加了全科医生的负担。疥疮发病率不断上升的地区应优先考虑公共卫生干预措施,以遏制传播,这需要协调一致的临床和公共卫生应对措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rising scabies incidence and the growing burden on general practitioners.

Background: Scabies cases are rising in several high-income European countries, but its true incidence remains unclear due to its non-notifiable status. General practitioners (GPs) play a key role in managing scabies, yet the impact on primary care is unknown.

Aim: To assess the epidemiology and care burden of scabies-related episodes in general practice.

Design & setting: A retrospective longitudinal study using pseudonymised data from Dutch GPs.

Method: Data from 5 general practices, covering nearly 40,000 patients from 2014 to 2023, were analysed. Scabies-related episode incidence, time between scabies-related symptoms and first GP encounter (patient's delay), time between first GP encounter and scabies diagnosis (doctor's delay), and care burden were compared between two periods: 2014-2020 (low incidence) and 2021-2023 (high incidence).

Results: 1525 scabies-related episodes including 4555 recorded encounters were included. Between 2014 and 2023, the incidence increased from 99 to 1341 episodes per 100 000 patient-years, with encounters rising from 614 to 2438 per 100 000 patient-years between the two periods. The largest increase in encounters occurred in those aged 17-25 years (P<0.001) and in females (P=0.002). Patient delays>28 days decreased from 26.4% to 14.3%. Scabies diagnoses during initial consultations improved from 84.9% to 92.3%. Encounters without interventions declined from 36.9% to 14.4%. Medical prescriptions and referrals per 100 000 patient-years increased.

Conclusion: Our findings highlight an exponential increase in scabies-related episodes, significantly increasing the burden on general practices. Regions experiencing rising scabies incidence rates should prioritize public health interventions to curb transmission, which require a coordinated clinical and public health response.

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来源期刊
BJGP Open
BJGP Open Medicine-Family Practice
CiteScore
5.00
自引率
0.00%
发文量
181
审稿时长
22 weeks
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