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İnfantil Dermatolojik Hastalık ve Tedavilerin Sıklığı: Özel Hastane ve Özel Klinik Analizi

Year 2023, Volume: 45 Issue: 5, 763 - 771, 27.09.2023
https://doi.org/10.20515/otd.1315369

Abstract

Çalışmanın amacı, özel sağlık kuruluşlarına başvuran, 0-2 yaş arası pediatrik hastalarda dermatolojik hastalık ve tedavi prevalansını saptamak ve bu dağılımların yaş, cinsiyet ve başvuru yılı ile ilişkisini belirlemektir. 1 Ocak 2015-1 Aralık 2022 tarihleri arasında özel hastane ve özel dermatoloji kliniklerine başvuran olgular retrospektif olarak değerlendirildi. Yaşları 0-2 arası olan toplam 482 hasta çalışmaya dahil edildi. En sık görülen hastalık grupları sırasıyla egzemalar (%53,6), nevüs ve iyi huylu deri tümörleri (%8,3), viral hastalıklar (%6), pigmentasyon bozuklukları (%5,7) ve paraziter enfeksiyonlar (%4) idi. Dermatit grubu 0-1 yaş grubunda, 1-2 yaşa göre istatistiksel olarak anlamlı derecede yüksekti. En sık izlenen tanı atopik dermatitti. Fiziksel etkenlere bağlı viral enfeksiyonlar, paraziter enfeksiyonlar, tırnak hastalıkları ve dermatozlar 1-2 yaş grubunda daha fazlaydı (p<0.05). Benign deri tümörleri kızlarda ve 0-1 yaş grubunda daha sık görüldü (p<0,05). En sık uygulanan tedavi topikal tedaviydi. Sistemik tedavi en sık 1-2 yaş grubuna verilirken (p=0,007), takip kararı daha çok kız hastalarda tercih edilmişti (p=0,001). Koronavirüs hastalığı 2019 pandemisi sonrası viral ve bakteriyel enfeksiyonlar daha yüksek oranlarda gözlendi (p<0,05). Çocuklarda deri hastalıkları sık görülmekte ve çocukluk dönemlerine göre farklı seyretmektedir. Spesifik pediatrik yaş gruplarında yapılacak yeni çalışmalar, dermatolojik hastalıkların ve tedavilerin sıklığının daha iyi anlaşılmasına yardımcı olabilir. Sağlık hizmetlerinin farklı basamaklarından elde edilen veriler, sağlık politikalarının geliştirilmesine, koruyucu sağlık hizmetlerinin ve eğitimlerin tasarlanmasına katkı sağlayabilir.

Project Number

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References

  • 1. Akbaş A, Kılınç F, Yakut Hİ, Metin A. Çocuklarda dermatolojik hastalıklar: 4025 hastanın prospektif analizi. Türkiye Çocuk Hast Derg 2015;9(1):6-11.
  • 2. Özçelik S, Kulaç İ, Yazıcı M, Öcal E. Distribution of childhood skin diseases according to age and gender, a single institution experience. Turk Pediatri Ars 2018;53(2):105-12.
  • 3. Özyurt K, Çınar SL, Avcı A. Frequency of childhood dermatological diseases: An analysis of 8551 cases. J Turk Acad Dermatol 2016;10.
  • 4. Saçar H, Saçar T. Prevalence of dermatosis during childhood. Turkderm 2010;44:132-7.
  • 5. Tamer E, Ilhan MN, Polat M, Lenk N, Alli N. Prevalence of skin diseases among pediatric patients in Turkey. J Dermatol 2008;35(7):413-8.
  • 6. Kong F, Galzote C, Duan Y. Change in skin properties over the first 10 years of life: a cross-sectional study. Arch Dermatol Res 2017;309(8):653-58.
  • 7. Can B, Kavala M, Türkoğlu Z, Zindancı İ, Südoğan S, Topaloğlu Demir F. İstanbul bölgesinde çocukluk çağında görülen deri hastalıklarının prevalansı. Türkderm-Deri Hastalıkları ve Frengi Arşivi 2011;45(1):10-13.
  • 8. Al-Rubiay KK. Pediatric dermatology: A study of pattern of skin diseases among children attending Basrah Maternity and Children Hospital. The Medical Journal of Basrah University 2005;23(1):27-30.
  • 9. Marrone R, Vignally P, Rosso A, et al. Epidemiology of skin disorders in Ethiopian children and adolescents: an analysis of records from the Italian Dermatological Centre, Mekelle, Tigray, Ethiopia, 2005 to 2009. Pediatr Dermatol 2012;29(4):442-7.
  • 10. Kacar SD, Ozuguz P, Polat S, Manav V, Bukulmez A, Karaca S. Epidemiology of pediatric skin diseases in the mid-western Anatolian region of Turkey. Arch Argent Pediatr 2014;112(5):421-7.
  • 11. Baykal C. Dermatoloji Atlası. Argos Yayıncılık;2004
  • 12. Gül U, Cakmak SK, Gönül M, Kiliç A, Bilgili S. Pediatric skin disorders encountered in a dermatology outpatient clinic in Turkey. Pediatr Dermatol 2008;25(2):277-8.
  • 13. Çölgeçen E, Küçük Ö, Göçmen A. Türkiye'nin iki farklı bölgesinde çocukluk cağında görülen deri hastalıklarının prevelansı: Retrospektif bir değerlendirme. Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi 2012;52(1):1-7.
  • 14. Eichenfield LF, Stripling S, Fung S, Cha A, O'Brien A, Schachner LA. Recent developments and advances in atopic dermatitis: A focus on epidemiology, pathophysiology, and treatment in the pediatric setting. Paediatr Drugs 2022;24(4):293-305.
  • 15. Hadi HA, Tarmizi AI, Khalid KA, Gajdács M, Aslam A, Jamshed S. The Epidemiology and global burden of atopic dermatitis: A narrative review. Life (Basel) 2021;11(9):936.
  • 16. Afsar FS. Pediatric dermatology in practice: spectrum of skin diseases and approach to patients at a Turkish pediatric dermatology center. Cutan Ocul Toxicol 2011;30(2):138-46.
  • 17. Nanda A, Al-Hasawi F, Alsaleh QA. A prospective survey of pediatric dermatology clinic patients in Kuwait: an analysis of 10,000 cases. Pediatr Dermatol 1999;16(1):6-11.
  • 18. Wenk C, Itin PH. Epidemiology of pediatric dermatology and allergology in the region of Aargau, Switzerland. Pediatr Dermatol 2003;20(6):482-7.
  • 19. Serarslan G, Akçalı C, Özer C. Çocukluk çağında karşılaşılan deri hastalıkları. Türk Aile Hek Derg 2007;11(1):13-6.
  • 20. Oruk Ş, İlter N, Atahan ÇA, Gürer MA. Çocuklarda dermatolojik problemler. T Klin J Dermatol 2002,12:1-4.
  • 21. Tüzün Y, Wolf R, Bağlam S, Engin B. Diaper (napkin) dermatitis: A fold (intertriginous) dermatosis. Clin Dermatol 2015;33(4):477-82.
  • 22. Inanir I, Sahin MT, Gündüz K, Dinç G, Türel A, Oztürkcan S. Prevalence of skin conditions in primary school children in Turkey: differences based on socioeconomic factors. Pediatr Dermatol 2002;19(4):307-11.
  • 23. Altun E. The most common pediatric and adult dermatology patient complaints in a month of the COVID-19 pandemic in Turkey. Dermatol Ther 2020;33(6):e13972.
  • 24. Bögli J, Güsewell S, Strässle R, Kahlert CR, Albrich WC. Pediatric hospital admissions, case severity, and length of hospital stay during the first 18 months of the COVID-19 pandemic in a tertiary children's hospital in Switzerland. Infection 2022;5:1-8.
  • 25. Savas Erdogan S, Falay Gur T, Dogan B. Assessment of children and adolescent presenting to the dermatology outpatient clinic in Turkey during the coronavirus disease-2019 pandemic. North Clin Istanb 2021;8(4):340-4.
  • 26. A Abdullah G. Pattern changes of cutaneous dermatoses among Iraqi women preceding and during the COVID-19 pandemic. F1000Res 2021;10:1165.
  • 27. Kutlu Ö, Metin A. Relative changes in the pattern of diseases presenting in dermatology outpatient clinic in the era of the COVID-19 pandemic. Dermatol Ther. 2020;33(6):e14096.
  • 28. Coşansu NC, Yaldız M, Dikicier BS, Erkorkmaz Ü. The impact of COVID-19 pandemic on the diagnostic distribution in dermatology outpatient clinic J Biotechnol and Strategic Health Res 2022;6(1):34-40.

The Frequency of Infantile Dermatologic Diseases and Treatments: An Analysis in Private Hospital and Clinics

Year 2023, Volume: 45 Issue: 5, 763 - 771, 27.09.2023
https://doi.org/10.20515/otd.1315369

Abstract

The aim of this study was to determine the prevalence and distribution of dermatologic diseases and treatments in pediatric patients between the ages of 0-2 and the relation between skin diseases and age, gender and application year in private healthcare providers. The study was retrospectively analysed and conducted at dermatology department in a private hospital and private dermatology clinics. A total of 482 patients aged 0-2 years of outpatient admissions from January 1, 2015, to December 1, 2022 were included the study. The most common diseases group were eczemas (53.6%), nevus and benign skin tumors (8.3%), viral diseases (6%), pigmentation disorders (5.7%), and parasitic infections (4%). The dermatitis group was statistically significantly higher in 0-1 age group than 1-2 age. Atopic dermatitis was the most common diagnosis. The viral infections, parasitic infections, nail diseases, and dermatoses due to physical factors were higher in 1-2 age group (p<0.05). Benign skin tumors were commonly observed in girls and 0-1 age group (p<0.05). The topical treatment were usually prescribed to the patients. Systemic treatment was commonly prescribed in 1-2 age (p=0.007) and follow-up decision was usually given to girls than boys (p=0.001). Viral and bacterial infections were observed in higher rates after coronavirus disease 2019 pandemic (p<0.05). New studies in specific pediatric age groups will help to better understand the frequency of dermatological diseases and treatments and also studies conducted at different levels of health care may contribute better to develop health care policies, designing preventive health services and education programmes.

Supporting Institution

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Project Number

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Thanks

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References

  • 1. Akbaş A, Kılınç F, Yakut Hİ, Metin A. Çocuklarda dermatolojik hastalıklar: 4025 hastanın prospektif analizi. Türkiye Çocuk Hast Derg 2015;9(1):6-11.
  • 2. Özçelik S, Kulaç İ, Yazıcı M, Öcal E. Distribution of childhood skin diseases according to age and gender, a single institution experience. Turk Pediatri Ars 2018;53(2):105-12.
  • 3. Özyurt K, Çınar SL, Avcı A. Frequency of childhood dermatological diseases: An analysis of 8551 cases. J Turk Acad Dermatol 2016;10.
  • 4. Saçar H, Saçar T. Prevalence of dermatosis during childhood. Turkderm 2010;44:132-7.
  • 5. Tamer E, Ilhan MN, Polat M, Lenk N, Alli N. Prevalence of skin diseases among pediatric patients in Turkey. J Dermatol 2008;35(7):413-8.
  • 6. Kong F, Galzote C, Duan Y. Change in skin properties over the first 10 years of life: a cross-sectional study. Arch Dermatol Res 2017;309(8):653-58.
  • 7. Can B, Kavala M, Türkoğlu Z, Zindancı İ, Südoğan S, Topaloğlu Demir F. İstanbul bölgesinde çocukluk çağında görülen deri hastalıklarının prevalansı. Türkderm-Deri Hastalıkları ve Frengi Arşivi 2011;45(1):10-13.
  • 8. Al-Rubiay KK. Pediatric dermatology: A study of pattern of skin diseases among children attending Basrah Maternity and Children Hospital. The Medical Journal of Basrah University 2005;23(1):27-30.
  • 9. Marrone R, Vignally P, Rosso A, et al. Epidemiology of skin disorders in Ethiopian children and adolescents: an analysis of records from the Italian Dermatological Centre, Mekelle, Tigray, Ethiopia, 2005 to 2009. Pediatr Dermatol 2012;29(4):442-7.
  • 10. Kacar SD, Ozuguz P, Polat S, Manav V, Bukulmez A, Karaca S. Epidemiology of pediatric skin diseases in the mid-western Anatolian region of Turkey. Arch Argent Pediatr 2014;112(5):421-7.
  • 11. Baykal C. Dermatoloji Atlası. Argos Yayıncılık;2004
  • 12. Gül U, Cakmak SK, Gönül M, Kiliç A, Bilgili S. Pediatric skin disorders encountered in a dermatology outpatient clinic in Turkey. Pediatr Dermatol 2008;25(2):277-8.
  • 13. Çölgeçen E, Küçük Ö, Göçmen A. Türkiye'nin iki farklı bölgesinde çocukluk cağında görülen deri hastalıklarının prevelansı: Retrospektif bir değerlendirme. Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi 2012;52(1):1-7.
  • 14. Eichenfield LF, Stripling S, Fung S, Cha A, O'Brien A, Schachner LA. Recent developments and advances in atopic dermatitis: A focus on epidemiology, pathophysiology, and treatment in the pediatric setting. Paediatr Drugs 2022;24(4):293-305.
  • 15. Hadi HA, Tarmizi AI, Khalid KA, Gajdács M, Aslam A, Jamshed S. The Epidemiology and global burden of atopic dermatitis: A narrative review. Life (Basel) 2021;11(9):936.
  • 16. Afsar FS. Pediatric dermatology in practice: spectrum of skin diseases and approach to patients at a Turkish pediatric dermatology center. Cutan Ocul Toxicol 2011;30(2):138-46.
  • 17. Nanda A, Al-Hasawi F, Alsaleh QA. A prospective survey of pediatric dermatology clinic patients in Kuwait: an analysis of 10,000 cases. Pediatr Dermatol 1999;16(1):6-11.
  • 18. Wenk C, Itin PH. Epidemiology of pediatric dermatology and allergology in the region of Aargau, Switzerland. Pediatr Dermatol 2003;20(6):482-7.
  • 19. Serarslan G, Akçalı C, Özer C. Çocukluk çağında karşılaşılan deri hastalıkları. Türk Aile Hek Derg 2007;11(1):13-6.
  • 20. Oruk Ş, İlter N, Atahan ÇA, Gürer MA. Çocuklarda dermatolojik problemler. T Klin J Dermatol 2002,12:1-4.
  • 21. Tüzün Y, Wolf R, Bağlam S, Engin B. Diaper (napkin) dermatitis: A fold (intertriginous) dermatosis. Clin Dermatol 2015;33(4):477-82.
  • 22. Inanir I, Sahin MT, Gündüz K, Dinç G, Türel A, Oztürkcan S. Prevalence of skin conditions in primary school children in Turkey: differences based on socioeconomic factors. Pediatr Dermatol 2002;19(4):307-11.
  • 23. Altun E. The most common pediatric and adult dermatology patient complaints in a month of the COVID-19 pandemic in Turkey. Dermatol Ther 2020;33(6):e13972.
  • 24. Bögli J, Güsewell S, Strässle R, Kahlert CR, Albrich WC. Pediatric hospital admissions, case severity, and length of hospital stay during the first 18 months of the COVID-19 pandemic in a tertiary children's hospital in Switzerland. Infection 2022;5:1-8.
  • 25. Savas Erdogan S, Falay Gur T, Dogan B. Assessment of children and adolescent presenting to the dermatology outpatient clinic in Turkey during the coronavirus disease-2019 pandemic. North Clin Istanb 2021;8(4):340-4.
  • 26. A Abdullah G. Pattern changes of cutaneous dermatoses among Iraqi women preceding and during the COVID-19 pandemic. F1000Res 2021;10:1165.
  • 27. Kutlu Ö, Metin A. Relative changes in the pattern of diseases presenting in dermatology outpatient clinic in the era of the COVID-19 pandemic. Dermatol Ther. 2020;33(6):e14096.
  • 28. Coşansu NC, Yaldız M, Dikicier BS, Erkorkmaz Ü. The impact of COVID-19 pandemic on the diagnostic distribution in dermatology outpatient clinic J Biotechnol and Strategic Health Res 2022;6(1):34-40.
There are 28 citations in total.

Details

Primary Language English
Subjects Dermatology
Journal Section ORİJİNAL MAKALE
Authors

Hatice Gamze Demirdağ 0000-0001-9484-2054

Elif Demirci Saadet 0000-0001-7449-7951

Esin Barak 0009-0006-6540-9159

Project Number -
Publication Date September 27, 2023
Published in Issue Year 2023 Volume: 45 Issue: 5

Cite

Vancouver Demirdağ HG, Demirci Saadet E, Barak E. The Frequency of Infantile Dermatologic Diseases and Treatments: An Analysis in Private Hospital and Clinics. Osmangazi Tıp Dergisi. 2023;45(5):763-71.


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