An interview study to determine the experiences of cellulitis diagnosis amongst health care professionals in the UK.
An interview study to determine the experiences of cellulitis diagnosis amongst health care professionals in the UK.
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DOI：
10.1136/bmjopen-2019-034692
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发表时间：
2020-10-14
期刊：
影响因子：
2.9
通讯作者：
Leighton P
中科院分区：
文献类型：
--
作者：
Patel M;Lee SI;Levell NJ;Smart P;Kai J;Thomas KS;Leighton P
探讨医疗保健专业人员（HCPs）诊断疑似下肢蜂窝织炎的经验和挑战。英国全国范围内。20名合格的HCP，他们在国家卫生服务部门至少有2年的HCP临床经验，并在英国处理过一例疑似下肢蜂窝组织炎的临床病例。从皮肤科（包括蜂窝织炎专科诊所）、全科、组织活力科、淋巴水肿科、普外科、急诊和急症医学系招募hcp。采用有目的抽样以确保参与者包括上述专业的咨询医生、实习医生和护士。参与者通过国家网络、为蜂窝织炎优先设定伙伴关系做出贡献的HCPs、英国皮肤病临床试验网络、雪球抽样（参与者帮助招募其他参与者）和作者的个人网络招募。主要结局是描述诊断下肢蜂窝织炎的关键临床特征。次要结局是探讨下肢蜂窝织炎诊断的困难。下肢蜂窝织炎的表现随着发作的进展而改变。因此，不同的专科在蜂窝织炎的不同阶段有不同的临床特征。临床经验对于自信地做出诊断至关重要，但即使在经验丰富的HCPs中，诊断的临床依据也存在差异。提出了一组核心临床特征，其中许多与其他诊断重叠。这强调了诊断是多么具有挑战性，需要客观的辅助和对蜂窝织炎模拟物的更好理解。蜂窝织炎是一种复杂的诊断，在不同的阶段有不同的临床表现。虽然蜂窝织炎是一种常见的诊断，但医务人员需要注意其他诊断。
To explore healthcare professionals (HCPs) experiences and challenges in diagnosing suspected lower limb cellulitis. UK nationwide. 20 qualified HCPs, who had a minimum of 2 years clinical experience as an HCP in the national health service and had managed a clinical case of suspected cellulitis of the lower limb in the UK. HCPs were recruited from departments of dermatology (including a specialist cellulitis clinic), general practice, tissue viability, lymphoedema services, general surgery, emergency care and acute medicine. Purposive sampling was employed to ensure that participants included consultant doctors, trainee doctors and nurses across the specialties listed above. Participants were recruited through national networks, HCPs who contributed to the cellulitis priority setting partnership, UK Dermatology Clinical Trials Network, snowball sampling where participants helped recruit other participants and personal networks of the authors. Primary outcome was to describe the key clinical features which inform the diagnosis of lower limb cellulitis. Secondary outcome was to explore the difficulties in making a diagnosis of lower limb cellulitis. The presentation of lower limb cellulitis changes as the episode runs its course. Therefore, different specialties see clinical features at varying stages of cellulitis. Clinical experience is essential to being confident in making a diagnosis, but even among experienced HCPs, there were differences in the clinical rationale of diagnosis. A group of core clinical features were suggested, many of which overlapped with alternative diagnoses. This emphasises how the diagnosis is challenging, with objective aids and a greater understanding of the mimics of cellulitis required. Cellulitis is a complex diagnosis and has a variable clinical presentation at different stages. Although cellulitis is a common diagnosis to make, HCPs need to be mindful of alternative diagnoses.
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影响因子：
2.9
作者：
McKelvie, Sara;Moore, Abigail;Hayward, Gail N.
通讯作者：
Hayward, Gail N.
影响因子：
3.7
作者：
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影响因子：
10.3
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影响因子：
28.2
作者：
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通讯作者：
de Lalla, F
影响因子：
1.7
作者：
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通讯作者：
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