中国基层医疗机构手癣和足癣诊治现状调查

目的了解基层医生有关手癣、足癣的诊治现状,分析影响因素,制定有针对性的措施。方法通过网络平台对全国19个省市的基层医生进行问卷调查。结果共回收完整问卷729份。结果显示:①约20%的基层医生对手、足癣的发病因素方面存在认识不足,约50%的基层医生对受侵犯皮肤的组织定位存在误区。②基层医生对手、足癣鉴别诊断的重要性重视不够,真菌镜检设备使用率不足一半。③基层医生能正确选用外用抗真菌药,硝酸咪康唑乳膏使用率超过80%。④仍有10.70%的基层医生推荐使用外用糖皮质激素治疗手、足癣。结论基层医生在手、足癣的规范诊疗方面仍有待提高。

Diagnosis and treatment of tinea manus and tinea pedis in Chinese primary medical institutions:a nationwide online survey

Objectives To investigate the present management of tinea manus and tinea pedis in Chinese primary medical institutions,to analysis the related factors of current condition and provide corresponding measures and strategies.Methods A nationwide online survey was carried out during early 2020.Doctors worked in primary medical institutions of 19 different districts were investigated with a questionnaire.Results Finally 729 doctors completed and submitted the questionnaires.①About 20%of the primary care physicians showed insufficient understanding of the correlative pathogenic factors of tinea manus and pedis,and about 50%of them had misunderstandings in the affected tissue localization.②Lacking fully conception about the importance of differential diagnosis,less than half of these doctors performed fungal microscopic examination during their management of suspected tinea manus and tinea pedis.③These doctors could recommend topical antifungal drugs correctly,the selection rate of miconazole nitrate cream was more than 80%among the commonly used azoles and acrylamides.④There were 10.70%of those doctors who still recommended topical glucocorticoids wrongly.Conclusions The basic knowledge and standard diagnosis and treatment of tinea manus and tinea pedis need to be improved in primary care physicians.The regularly continue education and routine guidance in differential diagnosis,medical application also might be urgent needs in those doctor group.