The burden of co-existing dermatological disorders and their tendency of being overlooked among patients admitted to muhimbili national hospital in Dar es Salaam, Tanzania
Identifieur interne : 003B61 ( Pmc/Curation ); précédent : 003B60; suivant : 003B62The burden of co-existing dermatological disorders and their tendency of being overlooked among patients admitted to muhimbili national hospital in Dar es Salaam, Tanzania
Auteurs : Yassin M. Mgonda [Tanzanie] ; Pauline Nf Chale [Tanzanie]Source :
- BMC Dermatology [ 1471-5945 ] ; 2011.
Abstract
Skin diseases are underestimated and overlooked by most clinicians despite being common in clinical practice. Many patients are hospitalized with co-existing dermatological conditions which may not be detected and managed by the attending physicians. The objective of this study was to determine the burden of co-existing and overlooked dermatological disorders among patients admitted to medical wards of Muhimbili National hospital in Dar es Salaam.
A hospital-based descriptive cross-sectional study conducted at Muhimbili National hospital in Dar es Salaam, Tanzania.
Patients were consecutively recruited from the medical wards. Detailed interview to obtain clinico-demographic characteristics was followed by a complete physical examination. Dermatological diagnoses were made mainly clinically. Appropriate confirmatory laboratory investigations were performed where necessary. Data was analyzed using the 'Statistical Package for Social Sciences' (SPSS) program version 10.0. A p-value of < 0.5 was statistically significant.
Three hundred and ninety patients admitted to medical wards were enrolled into the study of whom, 221(56.7%) were females. The mean age was 36.7 ± 17.9 (range 7-84 years). Overall, 232/390 patients (59.5%) had co-existing dermatological disorders with 49% (191/390) having one, 9% (36/390) two and 5 patients (1%) three. A wide range of co-existing skin diseases was encountered, the most diverse being non-infectious conditions which together accounted for 36.4% (142/390) while infectious dermatoses accounted for 31.5% (123/390). The leading infectious skin diseases were superficial fungal infections accounting for 18%. Pruritic papular eruption of HIV/AIDS (PPE) and seborrheic eczema were the most common non-infectious conditions, each accounting for 4.3%. Of the 232/390 patients with dermatological disorders, 191/232 (82.3%) and 154/232 (66.3%) had been overlooked by their referring and admitting doctors respectively.
Dermatological disorders are common among patients admitted to medical wards and many are not detected by their referring or admitting physicians. Basic dermatological education should be emphasized to improve knowledge and awareness among clinicians.
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DOI: 10.1186/1471-5945-11-8
PubMed: 21492436
PubMed Central: 3087675
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Mgonda</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dares Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dares Salaam</wicri:regionArea></affiliation></author><author><name sortKey="Chale, Pauline Nf" sort="Chale, Pauline Nf" uniqKey="Chale P" first="Pauline Nf" last="Chale">Pauline Nf Chale</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dares Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dares Salaam</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21492436</idno><idno type="pmc">3087675</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3087675</idno><idno type="RBID">PMC:3087675</idno><idno type="doi">10.1186/1471-5945-11-8</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">003B62</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003B62</idno><idno type="wicri:Area/Pmc/Curation">003B61</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003B61</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The burden of co-existing dermatological disorders and their tendency of being overlooked among patients admitted to muhimbili national hospital in Dar es Salaam, Tanzania</title><author><name sortKey="Mgonda, Yassin M" sort="Mgonda, Yassin M" uniqKey="Mgonda Y" first="Yassin M" last="Mgonda">Yassin M. Mgonda</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dares Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dares Salaam</wicri:regionArea></affiliation></author><author><name sortKey="Chale, Pauline Nf" sort="Chale, Pauline Nf" uniqKey="Chale P" first="Pauline Nf" last="Chale">Pauline Nf Chale</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dares Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dares Salaam</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Dermatology</title><idno type="eISSN">1471-5945</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Skin diseases are underestimated and overlooked by most clinicians despite being common in clinical practice. Many patients are hospitalized with co-existing dermatological conditions which may not be detected and managed by the attending physicians. The objective of this study was to determine the burden of co-existing and overlooked dermatological disorders among patients admitted to medical wards of Muhimbili National hospital in Dar es Salaam.</p></sec><sec><title>Study design and settings</title><p>A hospital-based descriptive cross-sectional study conducted at Muhimbili National hospital in Dar es Salaam, Tanzania.</p></sec><sec><title>Methods</title><p>Patients were consecutively recruited from the medical wards. Detailed interview to obtain clinico-demographic characteristics was followed by a complete physical examination. Dermatological diagnoses were made mainly clinically. Appropriate confirmatory laboratory investigations were performed where necessary. Data was analyzed using the 'Statistical Package for Social Sciences' (SPSS) program version 10.0. A p-value of < 0.5 was statistically significant.</p></sec><sec><title>Results</title><p>Three hundred and ninety patients admitted to medical wards were enrolled into the study of whom, 221(56.7%) were females. The mean age was 36.7 ± 17.9 (range 7-84 years). Overall, 232/390 patients (59.5%) had co-existing dermatological disorders with 49% (191/390) having one, 9% (36/390) two and 5 patients (1%) three. A wide range of co-existing skin diseases was encountered, the most diverse being non-infectious conditions which together accounted for 36.4% (142/390) while infectious dermatoses accounted for 31.5% (123/390). The leading infectious skin diseases were superficial fungal infections accounting for 18%. Pruritic papular eruption of HIV/AIDS (PPE) and seborrheic eczema were the most common non-infectious conditions, each accounting for 4.3%. Of the 232/390 patients with dermatological disorders, 191/232 (82.3%) and 154/232 (66.3%) had been overlooked by their referring and admitting doctors respectively.</p></sec><sec><title>Conclusion</title><p>Dermatological disorders are common among patients admitted to medical wards and many are not detected by their referring or admitting physicians. Basic dermatological education should be emphasized to improve knowledge and awareness among clinicians.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ferie, J" uniqKey="Ferie J">J Ferié</name></author><author><name sortKey="Dinkela, A" uniqKey="Dinkela A">A Dinkela</name></author><author><name sortKey="Mbata, M" uniqKey="Mbata M">M Mbata</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Walker, Sl" uniqKey="Walker S">SL Walker</name></author><author><name sortKey="Shah, M" uniqKey="Shah M">M Shah</name></author><author><name sortKey="Hubbard, Vg" uniqKey="Hubbard V">VG Hubbard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abdel, Hk" uniqKey="Abdel H">HK Abdel</name></author><author><name sortKey="Abdel, A" uniqKey="Abdel A">A Abdel</name></author><author><name sortKey="Hofny, Erm" uniqKey="Hofny E">ERM Hofny</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gibbs, S" uniqKey="Gibbs S">S Gibbs</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wilfried, S" uniqKey="Wilfried S">S Wilfried</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mgonda, Ym" uniqKey="Mgonda Y">YM Mgonda</name></author><author><name sortKey="Lutale, Jj" uniqKey="Lutale J">JJ Lutale</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Robbert, Sa" uniqKey="Robbert S">SA Robbert</name></author><author><name sortKey="Johannes, C" uniqKey="Johannes C">C Johannes</name></author><author><name sortKey="Sander, K" uniqKey="Sander K">K Sander</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Masawe, Aej" uniqKey="Masawe A">AEJ Masawe</name></author><author><name sortKey="Nsanzumuhire, H" uniqKey="Nsanzumuhire H">H Nsanzumuhire</name></author><author><name sortKey="Mhalu, F" uniqKey="Mhalu F">F Mhalu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Figueroa, Ji" uniqKey="Figueroa J">JI Figueroa</name></author><author><name sortKey="Fuller, Lc" uniqKey="Fuller L">LC Fuller</name></author><author><name sortKey="Abrah, A" uniqKey="Abrah A">A Abrah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mahreen, A" uniqKey="Mahreen A">A Mahreen</name></author><author><name sortKey="Beverley, A" uniqKey="Beverley A">A Beverley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Henderson, Ca" uniqKey="Henderson C">CA Henderson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Souissi, A" uniqKey="Souissi A">A Souissi</name></author><author><name sortKey="Zeglaoui, F" uniqKey="Zeglaoui F">F Zeglaoui</name></author><author><name sortKey="Zouari, B" uniqKey="Zouari B">B Zouari</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Satimia, Ft" uniqKey="Satimia F">FT Satimia</name></author><author><name sortKey="Mcbridge, Sr" uniqKey="Mcbridge S">SR McBridge</name></author><author><name sortKey="Leppard, B" uniqKey="Leppard B">B Leppard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jessop, Sf" uniqKey="Jessop S">SF Jessop</name></author><author><name sortKey="Mckenzie, Rf" uniqKey="Mckenzie R">RF Mckenzie</name></author><author><name sortKey="Milne, J" uniqKey="Milne J">J Milne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="George, Susannah Mc" uniqKey="George S">Susannah MC George</name></author><author><name sortKey="Harrison, David A" uniqKey="Harrison D">David A Harrison</name></author><author><name sortKey="Welch, Catherine A" uniqKey="Welch C">Catherine A Welch</name></author><author><name sortKey="Nolan, Kathleen M" uniqKey="Nolan K">Kathleen M Nolan</name></author><author><name sortKey="Friedmann, Peter S" uniqKey="Friedmann P">Peter S Friedmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maurer, Toby A" uniqKey="Maurer T">Toby A Maurer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thompson, Ds" uniqKey="Thompson D">DS Thompson</name></author><author><name sortKey="Bain, B" uniqKey="Bain B">B Bain</name></author><author><name sortKey="Innis, Ae" uniqKey="Innis A">AE Innis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jack, Sr" uniqKey="Jack S">SR Jack</name></author><author><name sortKey="Marta, Vb" uniqKey="Marta V">VB Marta</name></author><author><name sortKey="Lisa, F" uniqKey="Lisa F">F Lisa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goodman, Ds" uniqKey="Goodman D">DS Goodman</name></author><author><name sortKey="Teplitz, Ed" uniqKey="Teplitz E">ED Teplitz</name></author><author><name sortKey="Wishner, A" uniqKey="Wishner A">A Wishner</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Dermatol</journal-id><journal-title-group><journal-title>BMC Dermatology</journal-title></journal-title-group><issn pub-type="epub">1471-5945</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">21492436</article-id><article-id pub-id-type="pmc">3087675</article-id><article-id pub-id-type="publisher-id">1471-5945-11-8</article-id><article-id pub-id-type="doi">10.1186/1471-5945-11-8</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>The burden of co-existing dermatological disorders and their tendency of being overlooked among patients admitted to muhimbili national hospital in Dar es Salaam, Tanzania</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Mgonda</surname><given-names>Yassin M</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>ymgonda@muhas.ac.tz</email></contrib><contrib contrib-type="author" equal-contrib="yes" id="A2"><name><surname>Chale</surname><given-names>Pauline NF</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>kossapn@yahoo.com</email></contrib></contrib-group><aff id="I1"><label>1</label>Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dares Salaam, Tanzania</aff><pub-date pub-type="collection"><year>2011</year></pub-date><pub-date pub-type="epub"><day>14</day><month>4</month><year>2011</year></pub-date><volume>11</volume><fpage>8</fpage><lpage>8</lpage><history><date date-type="received"><day>26</day><month>10</month><year>2010</year></date><date date-type="accepted"><day>14</day><month>4</month><year>2011</year></date></history><permissions><copyright-statement>Copyright ©2011 Mgonda and Chale; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2011</copyright-year><copyright-holder>Mgonda and Chale; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xlink:href="http://www.biomedcentral.com/1471-5945/11/8"></self-uri><abstract><sec><title>Background</title><p>Skin diseases are underestimated and overlooked by most clinicians despite being common in clinical practice. Many patients are hospitalized with co-existing dermatological conditions which may not be detected and managed by the attending physicians. The objective of this study was to determine the burden of co-existing and overlooked dermatological disorders among patients admitted to medical wards of Muhimbili National hospital in Dar es Salaam.</p></sec><sec><title>Study design and settings</title><p>A hospital-based descriptive cross-sectional study conducted at Muhimbili National hospital in Dar es Salaam, Tanzania.</p></sec><sec><title>Methods</title><p>Patients were consecutively recruited from the medical wards. Detailed interview to obtain clinico-demographic characteristics was followed by a complete physical examination. Dermatological diagnoses were made mainly clinically. Appropriate confirmatory laboratory investigations were performed where necessary. Data was analyzed using the 'Statistical Package for Social Sciences' (SPSS) program version 10.0. A p-value of < 0.5 was statistically significant.</p></sec><sec><title>Results</title><p>Three hundred and ninety patients admitted to medical wards were enrolled into the study of whom, 221(56.7%) were females. The mean age was 36.7 ± 17.9 (range 7-84 years). Overall, 232/390 patients (59.5%) had co-existing dermatological disorders with 49% (191/390) having one, 9% (36/390) two and 5 patients (1%) three. A wide range of co-existing skin diseases was encountered, the most diverse being non-infectious conditions which together accounted for 36.4% (142/390) while infectious dermatoses accounted for 31.5% (123/390). The leading infectious skin diseases were superficial fungal infections accounting for 18%. Pruritic papular eruption of HIV/AIDS (PPE) and seborrheic eczema were the most common non-infectious conditions, each accounting for 4.3%. Of the 232/390 patients with dermatological disorders, 191/232 (82.3%) and 154/232 (66.3%) had been overlooked by their referring and admitting doctors respectively.</p></sec><sec><title>Conclusion</title><p>Dermatological disorders are common among patients admitted to medical wards and many are not detected by their referring or admitting physicians. Basic dermatological education should be emphasized to improve knowledge and awareness among clinicians.</p></sec></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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