Saved in:
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Artículo Open Access |
| Published: |
Wiley
2024
|
| Subjects: | |
| Online Access: | https://onlinelibrary.wiley.com/doi/10.1111/ajd.14363 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1867002957629751296 |
|---|---|
| author | Bernadette M. Ricciardo Heather‐Lynn Kessaris Noel Nannup Dale Tilbrook Nadia Rind Richelle Douglas Jodie Ingrey Jacinta Walton Carol Michie Brad Farrant Eloise Delaney S. Prasad Kumarasinghe Jonathan R. Carapetis Asha C. Bowen |
| author_facet | Bernadette M. Ricciardo Heather‐Lynn Kessaris Noel Nannup Dale Tilbrook Nadia Rind Richelle Douglas Jodie Ingrey Jacinta Walton Carol Michie Brad Farrant Eloise Delaney S. Prasad Kumarasinghe Jonathan R. Carapetis Asha C. Bowen Bernadette M. Ricciardo Heather‐Lynn Kessaris Noel Nannup Dale Tilbrook Nadia Rind Richelle Douglas Jodie Ingrey Jacinta Walton Carol Michie Brad Farrant Eloise Delaney S. Prasad Kumarasinghe Jonathan R. Carapetis Asha C. Bowen |
| collection | Wiley Open Access |
| contents | Skin health of Aboriginal children living in urban communities Bernadette M. Ricciardo Heather‐Lynn Kessaris Noel Nannup Dale Tilbrook Nadia Rind Richelle Douglas Jodie Ingrey Jacinta Walton Carol Michie Brad Farrant Eloise Delaney S. Prasad Kumarasinghe Jonathan R. Carapetis Asha C. Bowen Australasian Journal of Dermatology AbstractBackgroundSkin concerns are frequent among urban‐living Aboriginal children, yet specialist dermatology consultations are limited with studies highlighting the need for improved cultural security. Through newly established paediatric dermatology clinics at two urban Aboriginal Community Controlled Health Organisations (ACCHOs), we aimed to describe clinic and patient data, including disease frequencies and associations, to inform dermatology service provision and advocacy.MethodsA prospective cohort study of Aboriginal children and young people (CYP, 0–18 years) attending Aboriginal Health Practitioner (AHP) co‐ordinated paediatric dermatology clinics at two urban ACCHOs.ResultsData were collected from 32 clinics over 19 months, with 335 episodes of care and a mean attendance rate of 74%. From 78 new patients, 72 (92%) were recruited into the study, only one of whom had previously received dermatologist assessment. Eczema, tinea or acne accounted for 47% (34/72) of referrals, and 60% of patients received their first appointment within 4 weeks of referral. In 47/72 (65%) consultations, the GP referral and dermatologist diagnosis concurred. The most frequent diagnoses (primary or secondary) at first consultation were atopic dermatitis (26%, 19/72), dermatophyte infections (25%, 18/72), acne (21%, 15/72), bacterial skin infections (18%, 13/72) and post‐inflammatory dyspigmentation (18%, 13/72). Three categories of the 2022 Australasian College of Dermatologists curriculum (infections, eczema/dermatitis, pigmentary disorders) accounted for 59% of all diagnoses.ConclusionsThis study highlights the specialist dermatology needs of urban‐living Aboriginal CYP. ACCHO‐embedded dermatology clinics co‐ordinated by AHPs demonstrated benefits for Aboriginal CYP in accessing care. Opportunities to embed dermatology practice within ACCHOs should be prioritised. 10.1111/ajd.14363 http://creativecommons.org/licenses/by/4.0/ |
| doi_str_mv | 10.1111/ajd.14363 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_ajd_14363 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Skin health of Aboriginal children living in urban communities Bernadette M. Ricciardo Heather‐Lynn Kessaris Noel Nannup Dale Tilbrook Nadia Rind Richelle Douglas Jodie Ingrey Jacinta Walton Carol Michie Brad Farrant Eloise Delaney S. Prasad Kumarasinghe Jonathan R. Carapetis Asha C. Bowen Australasian Journal of Dermatology Skin health of Aboriginal children living in urban communities Bernadette M. Ricciardo Heather‐Lynn Kessaris Noel Nannup Dale Tilbrook Nadia Rind Richelle Douglas Jodie Ingrey Jacinta Walton Carol Michie Brad Farrant Eloise Delaney S. Prasad Kumarasinghe Jonathan R. Carapetis Asha C. Bowen Australasian Journal of Dermatology AbstractBackgroundSkin concerns are frequent among urban‐living Aboriginal children, yet specialist dermatology consultations are limited with studies highlighting the need for improved cultural security. Through newly established paediatric dermatology clinics at two urban Aboriginal Community Controlled Health Organisations (ACCHOs), we aimed to describe clinic and patient data, including disease frequencies and associations, to inform dermatology service provision and advocacy.MethodsA prospective cohort study of Aboriginal children and young people (CYP, 0–18 years) attending Aboriginal Health Practitioner (AHP) co‐ordinated paediatric dermatology clinics at two urban ACCHOs.ResultsData were collected from 32 clinics over 19 months, with 335 episodes of care and a mean attendance rate of 74%. From 78 new patients, 72 (92%) were recruited into the study, only one of whom had previously received dermatologist assessment. Eczema, tinea or acne accounted for 47% (34/72) of referrals, and 60% of patients received their first appointment within 4 weeks of referral. In 47/72 (65%) consultations, the GP referral and dermatologist diagnosis concurred. The most frequent diagnoses (primary or secondary) at first consultation were atopic dermatitis (26%, 19/72), dermatophyte infections (25%, 18/72), acne (21%, 15/72), bacterial skin infections (18%, 13/72) and post‐inflammatory dyspigmentation (18%, 13/72). Three categories of the 2022 Australasian College of Dermatologists curriculum (infections, eczema/dermatitis, pigmentary disorders) accounted for 59% of all diagnoses.ConclusionsThis study highlights the specialist dermatology needs of urban‐living Aboriginal CYP. ACCHO‐embedded dermatology clinics co‐ordinated by AHPs demonstrated benefits for Aboriginal CYP in accessing care. Opportunities to embed dermatology practice within ACCHOs should be prioritised. 10.1111/ajd.14363 http://creativecommons.org/licenses/by/4.0/ |
| title | Skin health of Aboriginal children living in urban communities |
| topic | Australasian Journal of Dermatology |
| url | https://onlinelibrary.wiley.com/doi/10.1111/ajd.14363 |