Prevalence and Associations of General Practice Registrars’ Management of Impetigo: A Cross-Sectional Analysis From the Registrar Clinical Encounters in Training (ReCEnT) Study

Background: Impetigo is a mild bacterial skin infection of childhood that is usually managed empirically in primary care. Objective: To establish the prevalence and associations of impetigo in general practice (GP) registrars’ consultations. Methods: Cross-sectional analysis of the Registrar...

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Autores principales: Hilary Gorges, Clare Heal, Mieke van Driel, Amanda Tapley, Joshua Davis, Andrew Davey, Elizabeth Holliday, Jean Ball, Nashwa Najib, Neil Spike, Kristen Fitzgerald, Parker Magin
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Publicado: Mattioli1885 2020
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spelling oai:doaj.org-article:a05be9e577694831a2217457f746243c2021-11-17T08:28:50ZPrevalence and Associations of General Practice Registrars’ Management of Impetigo: A Cross-Sectional Analysis From the Registrar Clinical Encounters in Training (ReCEnT) Study10.5826/dpc.1002a432160-9381https://doaj.org/article/a05be9e577694831a2217457f746243c2020-04-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/1114https://doaj.org/toc/2160-9381 Background: Impetigo is a mild bacterial skin infection of childhood that is usually managed empirically in primary care. Objective: To establish the prevalence and associations of impetigo in general practice (GP) registrars’ consultations. Methods: Cross-sectional analysis of the Registrar Clinical Encounters in Training (ReCEnT) study data. 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: 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. Hilary GorgesClare HealMieke van DrielAmanda TapleyJoshua DavisAndrew DaveyElizabeth HollidayJean BallNashwa NajibNeil SpikeKristen FitzgeraldParker MaginMattioli1885articleimpetigoprevalencebacterialprimary careskin infectionDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 10, Iss 2 (2020)
institution DOAJ
collection DOAJ
language EN
topic impetigo
prevalence
bacterial
primary care
skin infection
Dermatology
RL1-803
spellingShingle impetigo
prevalence
bacterial
primary care
skin infection
Dermatology
RL1-803
Hilary Gorges
Clare Heal
Mieke van Driel
Amanda Tapley
Joshua Davis
Andrew Davey
Elizabeth Holliday
Jean Ball
Nashwa Najib
Neil Spike
Kristen Fitzgerald
Parker Magin
Prevalence and Associations of General Practice Registrars’ Management of Impetigo: A Cross-Sectional Analysis From the Registrar Clinical Encounters in Training (ReCEnT) Study
description Background: Impetigo is a mild bacterial skin infection of childhood that is usually managed empirically in primary care. Objective: To establish the prevalence and associations of impetigo in general practice (GP) registrars’ consultations. Methods: Cross-sectional analysis of the Registrar Clinical Encounters in Training (ReCEnT) study data. 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: 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.
format article
author Hilary Gorges
Clare Heal
Mieke van Driel
Amanda Tapley
Joshua Davis
Andrew Davey
Elizabeth Holliday
Jean Ball
Nashwa Najib
Neil Spike
Kristen Fitzgerald
Parker Magin
author_facet Hilary Gorges
Clare Heal
Mieke van Driel
Amanda Tapley
Joshua Davis
Andrew Davey
Elizabeth Holliday
Jean Ball
Nashwa Najib
Neil Spike
Kristen Fitzgerald
Parker Magin
author_sort Hilary Gorges
title Prevalence and Associations of General Practice Registrars’ Management of Impetigo: A Cross-Sectional Analysis From the Registrar Clinical Encounters in Training (ReCEnT) Study
title_short Prevalence and Associations of General Practice Registrars’ Management of Impetigo: A Cross-Sectional Analysis From the Registrar Clinical Encounters in Training (ReCEnT) Study
title_full Prevalence and Associations of General Practice Registrars’ Management of Impetigo: A Cross-Sectional Analysis From the Registrar Clinical Encounters in Training (ReCEnT) Study
title_fullStr Prevalence and Associations of General Practice Registrars’ Management of Impetigo: A Cross-Sectional Analysis From the Registrar Clinical Encounters in Training (ReCEnT) Study
title_full_unstemmed Prevalence and Associations of General Practice Registrars’ Management of Impetigo: A Cross-Sectional Analysis From the Registrar Clinical Encounters in Training (ReCEnT) Study
title_sort prevalence and associations of general practice registrars’ management of impetigo: a cross-sectional analysis from the registrar clinical encounters in training (recent) study
publisher Mattioli1885
publishDate 2020
url https://doaj.org/article/a05be9e577694831a2217457f746243c
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