PDF(Pubmed)
Abstract：
Molluscum contagiosum (MC) is a common viral infection that affects the skin of children. In this study, treatment regimens and demographic information for MC patients across US medical specialties were compared. We discovered an average of 471,383 pediatric MC visits annually using the National Ambulatory Medical Care Survey database from 2000 to 2016. Non-Hispanics (82.9%) and Caucasians (91.0%) made up the majority of the visitors. The majority of cases were handled by pediatricians (46.5%), family medicine doctors (10.6%), and dermatologists (36.7%). Compared to pediatricians, dermatologists saw a higher percentage of Caucasian patients (95% vs.84%) and patients with private insurance (83% vs. 73%). Patients were more likely to see family medicine doctors (55.0%) in non-metropolitan areas than pediatricians (26.4%) or dermatologists (16.3%). Dermatologists were less likely than pediatricians (38%) to favor spontaneous resolution (70%). Dermatologists favored terpenoids (20%), imiquimod (12%), and curettage (10%), while pediatricians primarily used terpenoids (12%), steroids (4%), and imiquimod (4%). The majority of MC cases are managed by pediatricians; however, treatment approaches deviate markedly from recommended best practices.
摘要：
传染性软疣（MC）是一种常见的病毒感染，会影响儿童的皮肤。在这项研究中,我们比较了不同美国医学专业的MC患者的治疗方案和人口统计信息.从2000年到2016年，我们使用国家门诊医疗调查数据库发现了每年平均471,383次儿科MC就诊。非西班牙裔（82.9％）和高加索人（91.0％）占游客的大多数。大部分病例由儿科医生处理(46.5%),家庭医生(10.6%),和皮肤科医生(36.7%)。与儿科医生相比，皮肤科医生发现高加索患者（95%vs.84%）和私人保险患者的比例较高（83%vs.73%）。在非大都市地区，与儿科医生（26.4％）或皮肤科医生（16.3％）相比，患者更有可能去看家庭医学医生（55.0％）。皮肤科医生比儿科医生（38％）更倾向于自发解决（70％）。皮肤科医生青睐萜类化合物（20%），咪喹莫特（12%），和刮宫(10%)，虽然儿科医生主要使用萜类化合物(12%)，类固醇（4%），和咪喹莫特(4%)。大多数MC病例由儿科医生管理；然而，治疗方法明显偏离推荐的最佳实践。
