The screening and management of skin diseases in remote African regions: a narrative review.

IF 3.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Postgraduate Medical Journal Pub Date : 2024-11-13 DOI:10.1093/postmj/qgae133
Nadine Mugisha, Laura Ghanem, Omar A I Komi, Agnes Zanotto Manoel, Sanobar Shariff, Magda Wojtara, Olivier Uwishema
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Abstract

Introduction: Skin diseases in remote African regions are often exacerbated due to a lack of resources and expertise with little current research addressing the challenges that patients and healthcare systems experience. Although skin diseases in remote African regions are prevalent and pose a substantial health burden, they remain neglected and understudied. This review aims to explore current challenges in the diagnosis and management of skin diseases in African regions and focus on the need for enhanced understanding and improved healthcare strategies.

Methods: We reviewed papers that were retrieved from PubMed, Google Scholar, and other relevant academic search sites to analyze the prevalence, screening techniques, as well as management strategies and obstacles associated with dermatological diseases in remote African regions.

Results: Current literature suggests there is indeed a high prevalence of skin diseases where other infections are predominant. Further, different factors, such as socioeconomic status and environmental conditions, make it challenging for optimal screening and treatment of skin diseases in remote African regions. Common screening methods for skin diseases involve clinical examination and laboratory tests, while management includes pharmacotherapy, surgery, and counseling approaches. Overall, access to medications and adequate healthcare services remains limited.

Conclusion: Early diagnosis and management of skin diseases in remote African regions have significant challenges, including a lack of funding for dermatology, education, and research. Future promising strategies such as teledermatology, point-of-care diagnostic technologies, and task shifting show promise in improving access to care. However, there is a need for sustained efforts to address the underlying socioeconomic factors and improve healthcare delivery in remote African regions.

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非洲偏远地区皮肤病的筛查和管理:叙述性综述。
导言:由于缺乏资源和专业知识,非洲偏远地区的皮肤病往往愈演愈烈,而目前针对患者和医疗保健系统所面临挑战的研究却少之又少。尽管皮肤病在非洲偏远地区很普遍,并造成了巨大的健康负担,但这些疾病仍然被忽视,研究不足。本综述旨在探讨当前非洲地区皮肤病诊断和管理所面临的挑战,并重点关注加强了解和改进医疗保健策略的必要性:我们回顾了从 PubMed、谷歌学术和其他相关学术搜索网站检索到的论文,分析了非洲偏远地区皮肤病的患病率、筛查技术以及管理策略和相关障碍:现有文献表明,在以其他感染为主的地区,皮肤病的发病率确实很高。此外,社会经济地位和环境条件等不同因素也给非洲偏远地区皮肤病的最佳筛查和治疗带来了挑战。常见的皮肤病筛查方法包括临床检查和实验室检测,而治疗方法则包括药物疗法、外科手术和咨询方法。总体而言,获得药物和适当医疗服务的机会仍然有限:结论:非洲偏远地区皮肤病的早期诊断和治疗面临巨大挑战,包括缺乏皮肤病学、教育和研究资金。远程皮肤病学、护理点诊断技术和任务转移等未来大有可为的战略有望改善医疗服务的可及性。然而,还需要持续努力,解决非洲偏远地区潜在的社会经济因素,改善医疗服务。
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来源期刊
Postgraduate Medical Journal
Postgraduate Medical Journal 医学-医学:内科
CiteScore
8.50
自引率
2.00%
发文量
131
审稿时长
2.5 months
期刊介绍: Postgraduate Medical Journal is a peer reviewed journal published on behalf of the Fellowship of Postgraduate Medicine. The journal aims to support junior doctors and their teachers and contribute to the continuing professional development of all doctors by publishing papers on a wide range of topics relevant to the practicing clinician and teacher. Papers published in PMJ include those that focus on core competencies; that describe current practice and new developments in all branches of medicine; that describe relevance and impact of translational research on clinical practice; that provide background relevant to examinations; and papers on medical education and medical education research. PMJ supports CPD by providing the opportunity for doctors to publish many types of articles including original clinical research; reviews; quality improvement reports; editorials, and correspondence on clinical matters.
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